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Older people who self fund their social care: a guide for health and wellbeing boards and commissioners
- Authors:
- MILLER Clive, BUNNIN Antonia, RAYNER Vic
- Publishers:
- Office for Public Management, Sitra
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
OPM and Sitra have published a guide for health and wellbeing boards and commissioners looking at what the proposed Dilnot-inspired changes to health and social care funding will mean in practice. The guide focuses specifically on how policy changes will affect people who fund their own social care, and is intended to improve the strategic planning and design of this new system; and provide practical advice to commissioners. It notes that in England, older people who pay entirely for their own social care and support account for 45% of residential care home places, 47.6% of nursing home placements, and 20% of home care support. These people are often referred to as 'self-funders'. The self-funded registered residential care and registered nursing home market is worth £4.9 billion per year, and the self-funded home care market £652 million. (Edited publisher abstract)
Older people who self-fund their social care: a guide for health and wellbeing boards and commisioners; executive summary
- Authors:
- MILLER Clive, BUNNIN Antonia, RAYNER Vic
- Publishers:
- Office for Public Management, Sitra
- Publication year:
- 2013
- Pagination:
- 4
- Place of publication:
- London
There is a lack of public awareness about what the Dilnot Commission-inspired changes to funding social care will mean, and how these new policies will affect the extent and ways in which people will be required to secure effective and sustainable care and support from 2016. The particular and variable needs of people who currently fund their own care (‘self-funders’) raise questions about how the new system will actually work in practice. This summary outlines and briefly explains the content of the full version of the guide. (Edited publisher abstract)
Opportunity knocks: exploring the links between day opportunities and equal opportunities
- Authors:
- MANTHORPE Jill, MORIARTY Jo
- Journal article citation:
- Practice: Social Work in Action, 25(5), 2013, pp.317-333.
- Publisher:
- Taylor and Francis
The term ‘day opportunities’ is used in the context of personalisation in England to refer to alternatives to day centres. This article employs the lens of legislation on equalities to comment on access to day opportunities by different groups of eligible older people. It reports and discusses findings from a scoping review of the literature conducted in 2012 and updated in 2013 which searched for research and ‘grey literature’ material. Findings from the scoping review are presented using the different elements of the Equalities Act 2010. The authors conclude that social workers need to be aware of definitions when describing what is being suggested as part of a support plan or reviewed in the context of desired outcomes. Attention is drawn to the need to think about levels of needs and access to any day opportunity. Social workers are well placed to identify whether these changes have a differential impact on certain groups. This exploration of the literature on user experiences and outcomes from day opportunities may be helpful to social work practice and scholarship. (Publisher abstract)
The shifting sands of support planning
- Authors:
- WILLIAMS Val, PORTER Sue, STRONG Steve
- Journal article citation:
- Journal of Integrated Care, 21(3), 2013, pp.139-147.
- Publisher:
- Emerald
Purpose - The aim of this paper is to present a critical analysis of the current issues about support planning within personal budgets (PBs) for disabled and older people. Design/methodology/approach - The paper is based on data from a round of professional workshops in five local authorities, which represented the first stage of a research study about support planning. Focus group discussions were held with participants from voluntary sector organisations (VSOs), as well as social services participants, and the paper is based on a thematic analysis of those discussions. Findings - While there was considerable agreement about the desired outcomes for personal budget users, and the ingredients of good support planning, some major concerns were voiced about current constraints. Budgetary cuts were felt to impinge negatively on support planning, and conflicts were identified for social services between the facilitation of PB users’ choices, and the need to keep budgets limited. Support planning was often being re-colonised by social services, and VSOs felt that their own role was being curtailed. Some suggestions were made about equalising the power relationships between social services, VSOs and PB users themselves. Originality/value - These workshops represent five local authority areas which volunteered to take part in research, building on existing good practices in support for PB users. The obstacles they identified are likely to be very general ones, and need to be addressed by strategic solutions at national and local level. (Publisher abstract)
Current and future needs for hospice care: an evidence-based report
- Authors:
- CALANZANI Natalia, HIGGINSON Irene J., GOMES Barbara
- Publisher:
- Help the Hospices
- Publication year:
- 2013
- Pagination:
- 48
- Place of publication:
- London
Commissioned by the Commission into the Future of Hospice Care, this report focuses on crucial factors for planning for the future level of need for hospice care towards the end of life for the adult population in the UK. It is based on analysis of mortality trends and population projections, together with identification and review of studies assessing preferences for place of care or place of death, and survey data about factors associated with choosing hospice/palliative care units as a preferred place to die. The report presents evidence-based findings, covering likely changes in the size and shape of the UK population (including data on actual and projected number of deaths in England, Wales, Scotland and Northern Ireland and on trends in hospice care services), and where people wish to be cared for and die and whether their preferences are being met. It considers evidence about whether hospice care makes a difference to patients and caregivers and the effectiveness and cost-effectiveness of hospice care. It makes recommendations in each of these areas, discusses the implications for future care planning for adequate hospice care, and includes suggestions for further research.