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People with preserved rights: a socially excluded minority
- Author:
- LAING William
- Publisher:
- Joseph Rowntree Foundation,|York Publishing Services
- Publication year:
- 2000
- Pagination:
- 33p.
- Place of publication:
- York
This study assesses different policy options to address the anomalous position of care homes residents with ‘preserved rights’. By August 1999, there were still some 64,000 care home residents whose only source of state funding was ‘preserved rights’ Income Support. The main brunt of financial disadvantage is borne by older claimants and their families in the more affluent parts of the country, where Income Support limits are insufficient to meet typical market fee rates. In addition, claimants of all ages are excluded from non-financial support and advocacy offered by social services departments under the community care reforms, which have passed preserved rights residents by. The author concludes that the best option is to abolish the preserved rights regime and transfer funding and care management for claimants to local authorities. The research shows that the cost to the state of meeting fee shortfalls would be small. The largest impact would be the extra cost to local authorities of purchasing and care management arrangements.
A fair price for care: disparities between market rates for nursing/residential care and what state funding agencies will pay
- Author:
- LAING William
- Publisher:
- York Publishing Service
- Publication year:
- 1998
- Pagination:
- 38p.,tables,diags.
- Place of publication:
- York
Study of the disparities between market rates for nursing or residential care in the UK, and what state funding agencies are prepared to pay. Finds evidence of significant differences, so that residents are required to secure top-up funding from families or friends. Also identifies hidden disparities between what social services departments are willing to pay and the reasonable cost of providing care services. Highlights concerns that care homes may receive inadequate returns and that low fees for SSD funded residents are being subsidised by high fees paid by private residents, or by the charitable resources of voluntary sector care providers.
Calculating a fair price for care: a toolkit for residential and nursing care costs
- Author:
- LAING William
- Publisher:
- Policy Press,|Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 38p.
- Place of publication:
- Bristol
- Edition:
- 2nd ed.
The principal objective of this report is to provide commissioners of care services, care home operators and others with an interest in the care sector with a transparent and robust means of calculating the reasonable operating costs of efficient care homes for older people and people with dementia in any given locality, and thus determining fee levels necessary to sustain delivery of adequate care services by independent sector providers, now and in the future.
Calculating a fair price for care: a toolkit for residential and nursing care costs
- Author:
- LAING William
- Publisher:
- Policy Press
- Publication year:
- 2002
- Pagination:
- 32p.,bibliog.
- Place of publication:
- Bristol
Reports on the concern that many local authorities are paying care home fees that are insufficient to cover operators' reasonable costs. As a result of margin pressures and new minimum standards under the Care Standards Act, many care homes are ceasing to operate, while few new care homes are opening. Using industry benchmarks and survey data this report presents a model for calculating the costs of providing nursing and residential care for older people. A free spreadsheet toolkit is included alongside the report.