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National service framework (NSF) for older people in Wales
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2006
- Pagination:
- 3p.
- Place of publication:
- Cardiff
This joint Welsh Health and National Assembly for Wales circular accompanies the publication of the NSF for Older People in Wales. The NSF sets national standards for the health and social care of older people in Wales, and includes a 3 stage implementation programme.. Implementation will be the joint responsibility of, and will require co-operation between, NHS Trusts, Local Health Boards and Local Authorities, in partnership with other relevant stakeholders.
Direct payments for older people in Wales survey
- Author:
- DIX Jackie
- Journal article citation:
- Generations Review, 13(1), January 2003, pp.24-25.
- Publisher:
- British Society of Gerontology
Briefly reports on a small survey carried out by Age Concern Cymru which surveyed local authorities in June 2002. Summaries the number of local authorities offering direct payments, number of older people receiving direct payments, and schemes under development
Housing for older people in Wales: a sector review of sheltered housing
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2017
- Pagination:
- 13
- Place of publication:
- Oxford
This report explores the current position of sheltered housing in Wales and recommends how providers and local authorities could better realise its potential to ensure it contributes to the delivery of outcomes for older people. It draws on the views of a small number of providers and commissioners of sheltered housing, gathered in both face-to-face and telephone interviews in 2016. It examines current policy drivers and the role sheltered housing is perceived to play within the wider housing and care agenda. It also looks at the current market, including types of providers and levels of supply and the opportunities that could be considered in the future. It highlights the need for a strategic approach to the commissioning and delivery of sheltered housing that is age friendly, enables care and support to be provided, and supports the wider health, housing and social care agendas. The final section looks at the implications for local authorities and providers of sheltered housing. (Edited publisher abstract)
Third party payments for care home fees in Wales: report of a national review by CSSIW
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 29p.
- Place of publication:
- Cardiff
Some independent care homes charge fees which are higher than the maximum amount that Social Services can contribute. If the individual chooses to move into a home which charges a higher fee than the amount paid by Social Services, then the difference between the amounts is paid by a third party, usually a relative. This report reviews the application of these third party payments in Wales. Evidence was drawn from a survey completed by 237 care home providers who provide care for older people requiring both personal and nursing care. Further evidence was gained from an examination of local authority policies and from meetings with provider and local authority representative organisations. The findings indicate that around 40% of providers across Wales charge third party payments. There were regional variations in the number of homes in an area charging third party payments. Most providers see these payments as being necessary to support their businesses, with the majority of respondents highlighted a shortfall between the real costs of providing care and the cost paid by the local authority. In only 12% of cases did providers state that this charge was for increased services or facilities. The impact of these costs on third parties can be great.
A delicate balance? Health and social care spending in Wales
- Authors:
- LUCHINSKAYA Daria, OGLE Joseph, TRICKEY Michael
- Publisher:
- Wales Public Services 2025
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- Cardiff
This briefing note looks at trends in public spending on health and local authority funded adult social care in Wales since 2009-10, with some comparisons with the other UK nations. It reports that the total health and social service spend per head in Wales was higher than that of England in 2015-16. Over the period 2009-10 to 2015-16, day-to-day spending on local authority-organised adult social services in Wales remained broadly flat in real terms, but the increasing over-65 population means that spending per older person has fallen by over 12% in real terms. The briefing concludes that spending may need to increase by at least £129 million (23%) between 2015-16 and 2020-21 to get back to the equivalent spend per-head in 2009-10, which amounts to a 2.5% year-on-year increase. (Edited publisher abstract)
Attendance allowance and local government: examining the evidence and the options
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
Explores the government’s proposal to transfer Attendance Allowance (AA) from the Department for Work and Pensions (DWP) to local authorities, as part of its plans to reform local government financing and give councils new spending responsibilities. It describes the operation of the AA system, its recipients and take-up and compares the AA and adult social care systems in England. It then examines evidence on the costs of living with a disability for older people and to what extent the AA and social care system meets these additional costs. The final chapter identifies and evaluates options for the government in transferring AA to local government in England and Wales. Options examined are: transfer AA spending to the local authority adult social care system; administration of AA system by local authorities; and a new universal, disability-related cash payment for older people paid by local authorities. The report concludes with key messages for policy makers and social care stakeholders. These include the importance of understanding the population group that receives AA - who are typically older, poorer, live alone, and with substantial levels of disability - and a recognition of potential additional costs for local authorities following any transfer due to the likelihood of increased demand for adult social care. (Edited publisher abstract)
Scrutinising changes to community services: guidance for local authorities
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2016
- Pagination:
- 25
- Place of publication:
- Cardiff
This guidance is designed to ensure that robust Equality and Human Rights Impact Assessments (EHRIAs) are undertaken when changes to community services are proposed, essential to ensure that there is not a disproportionate impact upon older people and that alternative approaches are considered. Non-statutory community services such as day centres, public toilets, libraries and transport are as important to older people’s health, independence and wellbeing as statutory health and social care services but are at risk due to reductions in public spending. Part 1 examines the importance of current Equality Impact Assessments and promotes the need to use Equality and Human Rights Impact Assessments (EHRIAs) when changes to community services are being considered. Part 2 examines the crucial role of scrutiny around changes to community services and is targeted towards elected members and officers in local government. The aim is to improve the quality of scrutiny and ensure that the impact of closing down or reducing the provision of a community service on older people is thoroughly and rigorously analysed and considered. (Edited publisher abstract)
Supporting people services for older people: emerging findings report
- Author:
- GRIFFITHS Lucie
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2015
- Pagination:
- 3
- Place of publication:
- Cardiff
Research summary presenting findings on progress being made in response to the 2010 Aylward Review recommendation that access to older people's housing-related support services provided as part of Supporting People in Wales should be based on need rather than housing tenure. The research draws on the results a survey of Supporting People providers, a survey of providers and local authorities, and area based case studies. The research found that just over half of the service provision (52 per cent) was within sheltered housing schemes and just under a third (31 per cent) within housing allocated to older people, indicating that a large majority of services were provided to social housing tenants. A small number of services were provided only in community settings. Across Wales, the large majority of units of support (74 per cent) were commissioned by local authorities as 'fixed' support (connected to accommodation), with the remainder commissioned as 'floating' support (non-accommodation-based), often to older tenants in general needs social housing rather than older homeowners. (Edited publisher abstract)
A review of independent living adaptations
- Authors:
- BIBBINGS Jennie, et al
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2015
- Pagination:
- 143
- Place of publication:
- Cardiff
A review of the provision of independent living adaptations within Wales, providing a map of the current system, including performance indicators, and exploring the feasibility of options for change. The review identified a fragmented service delivery system with many points of access and a range of diverse pathways with a variety of funding streams for different tenures. Funding for adaptations has developed in an ad hoc way in response to wider policy changes, leading to complexity in funding streams as well as eligibility criteria. Based on the qualitative and quantitative research undertaken as part of this review, three models for change were developed and analysed: option 1 - 'Status quo' - maintains existing funding streams and delivery agencies, with a strong focus on adopting best practice; option 2 - 'Unified system' -merges all existing funding streams into a single pot, to be delivered by a single organisation across all tenures and ages; option 3 - 'Tiered system' , which this review recommends - retains existing funding streams but with a greater focus on building on elements of best practice. The emphasis is on streamlining the front end of service delivery in a way which is more equitable for service users, while maintaining a range of funding streams to relieve pressure across the system. (Edited publisher abstract)
Older people and home care in Wales: findings from a survey of service users
- Authors:
- LLEWELLYN Mark, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 14(3), 2013, pp.167-179.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to provide an account of a comprehensive and independent study of 1,029 older people who receive home care in Wales. The study aims to expand knowledge on the views of older people, a group who traditionally have struggled to make their voices heard. It asked older people about six specific components of home care: being listened to; having trained, knowledgeable and skilled care workers; having enough time to be cared for; receiving care from as few different workers as possible; receiving quality care; and being signposted to other sources of information. Design/methodology/approach – After an initial literature review and period of analysis, a thematic framework for home care was developed which contained the six components described above. A questionnaire was subsequently designed and distributed via the post to all home care services over 65 years old in four local authorities across Wales. A sample response rate of 26.7 per cent was achieved. Findings – The paper provides evidence on the levels of satisfaction (or otherwise) with the home care received by older people in Wales. Overall, nearly 85 per cent of older people are either “satisfied” or “very satisfied”, and given the sample size these data are significant (within appropriate confidence intervals) for the whole of the 25,000 people who receive home care in Wales. However, it is difficult to contextualise these findings given that there are no effective comparator data. Research limitations/implications – Given the chosen research approach, the results may lack a certain depth of understanding. That said, the size of the sample does provide commissioners and providers of services with certainty about the general population view. Originality/value – This paper offers a unique independent analysis of home care in Wales, and provides the reader with detailed insights into the views of older people who rarely get a chance to be heard. (Publisher abstract)