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Care inquiry: volume 1: report: 10th report, 2006 (session 2)
- Author:
- SCOTLAND. Scottish Parliament. Health Committee
- Publisher:
- Scotland. Scottish Parliament
- Publication year:
- 2006
- Pagination:
- 140p.
- Place of publication:
- Edinburgh
Scotland's Free Personal and Nursing Care policy is a success which has benefited nearly 50,000 older people in allowing many more older people to be cared for at home. The Scottish Parliament remains fully committed to the policy and will continue to work with local authorities to ensure that older people receive services in line with their needs. Not surprisingly, however, there have been some teething problems in the implementation of this policy which need to be sorted out. The Committee's report helpfully identifies various issues which need to be resolved.
On the level
- Author:
- GILBERT Helen
- Journal article citation:
- Care and Health Magazine, 20.4.04, 2004, pp.18-19.
- Publisher:
- Care and Health
Despite government guidance on fairer charging for home care, looks at findings of a recent Age Concern report, 'Fair enough', which has revealed huge discrepancies between local authorities.
Homing in on free personal care
- Authors:
- BUSHNELL Jeremy, ROCHE Michael
- Publisher:
- Independent Age
- Publication year:
- 2019
- Pagination:
- 9
- Place of publication:
- London
This report outlines the reasons why free personal care can help provide the systemic change that social care needs. It shows the increasing numbers of older people who have had to sell their homes to pay for care and how the current deferred payments system is not working. It also shows how the introduction of free personal care can stop individuals from facing up to such a difficult decision in the first place and play a preventative role by helping an increased number of people to receive care at home. (Edited publisher abstract)
Stronger foundations: international lessons for the housing-with-care sector in the UK
- Author:
- BEACH Brian
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2018
- Pagination:
- 25
- Place of publication:
- London
This report, supported by the Associated Retired Community Operators (ARCO) and Legal and General Capital, looks at the lessons that the UK can learn from other countries in the provision of later life housing-with-care. Drawing on evidence from a review of literature, and expert roundtable and interviews, the report discusses terminology around later life housing and housing-with-care and how the housing-with-care sector varies across countries. It then focuses on legislation, financing and planning policies in different countries, and highlights lessons that could help the expansion and higher levels of building in the housing-with-care sector in the UK. The final section discusses the main themes, which include for the sector to: support the creation of different types of products that suit diverse needs; take greater consideration of the experience that housing-with-care offers, rather than focusing solely on a housing product; and avoid unnecessarily burdensome regulation of care and support within housing-with-care settings; and improve local authority awareness of housing-with-care and its role in later life planning. (Edited publisher abstract)
The patchwork service
- Authors:
- POCOCK Rob, SADLER Stacey, McCOMBIE Claire
- Journal article citation:
- Community Care, 29.10.98, 1998, pp.30-31.
- Publisher:
- Reed Business Information
Home care for elderly people is currently a lottery with charges varying from area to area across the country. The authors look at how the service can be standardised.
Charging elders: perverse incentives and poverty
- Author:
- FRENCH John
- Journal article citation:
- Critical Social Policy, 44/45, Autumn 1995, pp.96-106.
- Publisher:
- Sage
Argues that the two thematic constructions in the Fowler and Griffiths reports have combined to create financial dis-welfares for elder customers of community care. It is argued that decentralised systems of charging have to date created territorial inequalities especially for elders in receipt of means-tested benefits. Reviews the incidence of reliance on, and evidence of, under-claim in welfare benefit entitlements in relation to community care. In order to reduce regional inequities, the case for an equitable charging policy is presented, reflecting a central principle, hitherto ignored, in the Griffiths Report.
Social care: forthcoming Green Paper (England)
- Author:
- JARRETT Tim
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2019
- Pagination:
- 55
- Place of publication:
- London
A briefing paper looking at the planned Green Paper on social care for adults and how it is funded. The briefing provides a timeline of key announcements, what to expect from the Green Paper, reasons for the delays in publishing, and lists commentaries relating to the Green Paper. The original rationale for the Green Paper was to explore how social care is funded. It is likely to consider the policy options of: a more generous means-test; a cap on lifetime social care charges; an insurance and contribution model; a Care ISA; and tax-free withdrawals from pension pots. Other topics that may be included are integration with health and other services, carers, workforce, and technological developments. (Edited publisher abstract)
Personal asset protection guarantee
- Author:
- LAING William
- Publisher:
- LaingBuisson
- Publication year:
- 2017
- Pagination:
- 28
- Place of publication:
- London
This discussion paper puts forward the Personal Asset Protection Guarantee (PAPG) as an alternative to the threshold and cap for sharing residential care costs between individuals and the state. As a starting point, some equity and efficiency downsides of the Dilnot solution are identified: geographically inequitable distribution of benefits; ‘pay or shift’ threat to the stability of the care home sector, especially in less affluent areas of England; and the complexity and cost of administering the lifetime care cost cap. It then proposes PAPGs as an alternative that would be more equitable and efficient, whilst achieving the same policy objectives as a combination of asset threshold extension and lifetime care cost cap. The PAPG would offer an initial assessment for individuals in need of residential care. Their eligibility for council-funded support would then be calculated in terms of the percentage of the individual's assets that has been spent down since the initial assessment. It estimates that the scheme would be guaranteed to keep approximately three-quarters of their personal assets. (Edited publisher abstract)
Will the cap fit? What the government should consider doing before introducing a cap on social care costs
- Authors:
- BARNFIELD Jerry, et al
- Publishers:
- Independent Age, Institute and Faculty of Actuaries
- Publication year:
- 2017
- Pagination:
- 49
- Place of publication:
- London
This report looks at the impact that different approaches to introducing a cap on care costs could have on the amount older people would have to pay for their care, and on cumulative care costs. It argues that, if set at the right amount, a cap on care costs could bring clarity to the care and support system, help families to plan for later life and be clear about their own responsibilities to save and pay for care. The report models three different levels of cap: a £35,000 cap, based on the Dilnot Report; a £72,000 cap, contained in the Care Act; and the reports recommended all-inclusive £100,000 cap that includes the local authority rate, daily living costs and 'excess' top-up fees based on average care costs. It also applies these three models across different means-test thresholds and capital limits: the current £23,250 upper capital limit for state-funded care; the £118,000 upper capital limit in the Care Act; and a capital limit of £100,000 as proposed in the Conservative Party’s 2017 General Election manifesto. The research found that the government’s proposed lifetime cap on care costs for adults in England would not protect the majority of service users. The report argues that any cap should be set at a level that means people with high care needs would have a reasonable prospect of benefiting. It recommends that that the government reset the cap to an all-inclusive £100,000, including accommodation costs. (Edited publisher abstract)
Hospital discharge and the citizenship rights of older people: will the UK become a test-bed for Eastern Europe?
- Authors:
- FORD Deirdre, STEPNEY Paul
- Journal article citation:
- European Journal of Social Work, 6(3), 2003, pp.257-272.
- Publisher:
- Taylor and Francis
The authors draw on their UK and European experiences as well as the growing body of research on hospital discharges of older people to illustrate how citizenship rights and social justice cannot be upheld without ethical good practice in this field. Entitlements and ethical considerations can be obscured by the economic interests of the agencies involved. These developments which are already evident in other European welfare states provide a warning to Eastern Europe about the dangers of importing managerial and market principles into the field of care for older people. Research evidence supported by case studies is used to illustrate how rights to health care and even human rights can be overridden when policies of cost containment combined with efficiency targets begin to shape decisions about care. Argues that research can provide guidance on the essential elements for good practice in inter-professional work, especially concepts of well-being that include justice, fairness, participation and autonomy to counteract the jeopardised citizenship of older people.