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Long-term care for older people and EU Law: the position in England and Scotland
- Authors:
- HERVEY Tamara, et al
- Journal article citation:
- Journal of Social Welfare and Family Law, 34(1), March 2012, pp.105-124.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The implications of EU law for UK healthcare provision have been tracked by the literature, and covered in EU legislation. However, long-term care for older people involves not only healthcare but also social care. This article examined to what extent, if at all, is the current legal position on long-term care for older people in England and Scotland potentially inconsistent with the UK's obligations in EU law? Drawing on empirical data gathered in early 2010 for a European Commission report, this article considers in detail how EU law might apply to the social care aspects of long-term care for older people in England and Scotland. It concludes that EU law is an important element of the long-term care policy context. Implications for practice are discussed.
The impact of devolution: long-term care provision in the UK
- Author:
- BELL David
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2010
- Pagination:
- 41p., bibliog.
- Place of publication:
- York
This report on long-term care provision policies, from a series on the impact of 10 years devolved government in the United Kingdom, considers the constraint that tax and benefit structure (control of which remains centrally within the Departmental Expenditure Limits (DEL) system), has on Scotland, Northern Ireland, Wales and England. The importance of having secondary social care, funded from Annually Managed Expenditure by the Department for Work and Pensions (DWP) and less bound to annual budgets than DEL, in minimising diversity of delivered care is discussed. The inability of devolved governments to steer DWP, due to weak intergovernmental relations, is highlighted and in section 2 Scottish attendance allowances and Welsh domiciliary care charges are contrasted. Section 3 details demand for care varies more within countries than between them, while section 4 highlights divergence in older people’s ability to pay. A current snapshot of care provision across the UK in section 5, is followed by a focus on free personal care, personalisation and charging in Section 6. Section 7 reiterates that policies can be constrained as well as enhanced by devolution. Other reports, in this series, detail area based regeneration, indicators of poverty and social exclusion, employment and employability and housing and homelessness.
The Scottish way
- Author:
- MARSHALL Mary
- Journal article citation:
- Professional Social Work, July 2008, pp.16-17.
- Publisher:
- British Association of Social Workers
This article analyses Scotland's free personal care policy and describes how this alternative approach to care funding has worked.
Free personal care in Scotland: a narrative review
- Authors:
- DICKINSON Helen, et al
- Journal article citation:
- British Journal of Social Work, 37(3), April 2007, pp.459-474.
- Publisher:
- Oxford University Press
The advent of free personal care for older people was a defining moment in the development of UK political devolution. After all the controversy surrounding the 1999 Royal Commission on Long Term Care, Scotland’s decision to implement the main recommendations of the Sutherland Committee was a decisive break from Whitehall’s approach and seemed to offer a key opportunity to learn from the implications of this policy for an English context. Against this background, this paper summarizes the origins, nature and impact of free personal care, providing a narrative review of the policy to date.
Crisis what crisis?
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 16.09.04, 2004, pp.34-35.
- Publisher:
- Reed Business Information
Discusses the provision of free personal care in Scotland. Examines the figures and refutes the argument that the personal care policy is financially doomed. Argues that the cost of free personal care will be a small percentage of the total cost of care.
Providing free personal care for older people: research commissioned to inform the work of the Care Development Group
- Authors:
- MACHIN Diane, MCSHANE Danny
- Publisher:
- Scotland. Scottish Executive Central Research Unit
- Publication year:
- 2002
- Pagination:
- 257p.
- Place of publication:
- Edinburgh
This volume of research is comprised of six studies that were commissioned by the Central Research Unit of the Scottish Executive to inform the deliberations of Care Development Group (CDG) which was set up to develop proposals for the implementation of free personal care for older people in Scotland.
Linkage of national health and social care data: a cross-sectional study of multimorbidity and social care use in people aged over 65 years in Scotland
- Authors:
- HENDERSON David A.G., et al
- Journal article citation:
- Age and Ageing, 50(1), 2021, pp.176-182.
- Publisher:
- Oxford University Press
Background: little is known about the relationship between multimorbidity and social care use (also known as long-term care). The aim of this study was to assess the relationship between receipt of formal social care services and multimorbidity. Methods: this retrospective data linkage, observational study included all individuals over the age of 65 in the population of Scotland in financial years 2014–15 and 2015–16 (n = 975,265). The main outcome was receipt of social care measured by presence in the Scottish Social Care Survey. Logistic regression models were used to assess the influence of multimorbidity, age, sex and socioeconomic position on the outcome reporting average marginal effects (AME). Findings: 93.3% of those receiving social care had multimorbidity, 16.2% of those with multimorbidity received social care compared with 3.7% of those without. The strongest magnitudes of AME for receiving social care were seen for age and multimorbidity (respectively, 50 and 18% increased probability comparing oldest to youngest and most severe multimorbidity to none). A 5.5% increased probability of receiving social care was observed for the most-deprived compared with the least-deprived. Interpretation: higher levels of social care receipt are observed in those with increasing age, severe multimorbidity and living in more deprived areas. Multimorbidity does not fully moderate the relationship between social care receipt and either age or deprivation. (Edited publisher abstract)
Black and minority ethnic elderly: perspectives on long-term care
- Author:
- PATEL Nina
- Publisher:
- Policy Research Institute on Ageing and Ethnicity
- Publication year:
- 2010
- Pagination:
- 48p.
- Place of publication:
- Bolton
Based on a series of seminars held in Leeds, London and Edinburgh in 1998, this paper presents the perspectives of black and minority ethnic elders, carers and managers of minority ethnic elders' organisations about long-term care for the elderly. The paper introduces the general context of care for black and minority ethnic older people, including an overview of demographic, socio-economic and health aspects. It considers the views and experiences of the seminar delegates and makes recommendations for the Royal Commission on Long-Term Care for the Elderly. The recommendations cover appropriateness of current models of care, accessing services, planning and paying for long-term care, reducing dependency and alternative models of care, and the future model of care.
Frequently asked questions: care for older people
- Author:
- ROBSON Kathleen
- Publisher:
- Scotland. Scottish Parliament
- Publication year:
- 2009
- Pagination:
- 15p.
- Place of publication:
- Edinburgh
This briefing is intended to assist MSPs and their staff in dealing with issues around care for older people that frequently arise in the context of their constituency caseload. Topics covered include personal and nursing care payments, local authority charging procedures, waiting lists for care, and selling homes to pay for care.
An example to us all
- Author:
- HUNTER Mark
- Journal article citation:
- Community Care, 16.10.03, 2003, pp.58-59.
- Publisher:
- Reed Business Information
Looks the introduction of free nursing and personal care for older people by Scotland's local authorities and explains why the approach seems to be working.