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A cap that fits: the 'capped cost plus' model
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2013
- Pagination:
- 76
- Place of publication:
- London
The government has committed to implementing reform of care funding in England in April 2016. However, detailed analysis of the ‘capped cost’ reforms suggests they are unlikely to meet any of their objectives. Consequently, people’s care costs will not be capped; and a market in pre-funded care insurance is unlikely to emerge. Rather than providing peace of mind to the population, annual increases in the ‘cap’ may insttead cause worry and concern. With less than three years until the reforms are due to be implemented, this report examines in detail the issues facing the ‘capped cost’ model’ and identifies the options for policymakers to fix these problems. The report concludes by assembling a range of options into an alternative package of measures that could be implemented in April 2016: the ‘capped cost plus’ model. The model comprises: a ‘cap’ on the assessed care costs that individuals are expected to pay for out of their own pockets; changes to means testing thresholds and the financial support individuals receive, proportional to their level of wealth; and a standardised expected contribution by individuals to ‘living costs’ in residential care. (Edited publisher abstract)
Techrights: human rights, technology and social care
- Authors:
- MACASKILL Donald, SCOTTISH CARE
- Publisher:
- Scottish Care
- Publication year:
- 2018
- Pagination:
- 60
- Place of publication:
- Ayr
This report discusses human rights and ethics as they relate to the use of technology in the care of older people in Scotland. The report addresses some of the challenges which the increased use of technology including ‘care-bots’, and ‘sensor devices’ are now posing for developers and older people. It argues that for the potential of the three technologies of artificial intelligence (AI), Big Data and the Internet of Things to be maximised, there need to be a core set of ethical and human rights principles within which design and developments, the implementation and the use of technology can take place. It suggests the adoption of the PANEL human rights model as an aid to assist the development of a set of ethical principles for technology and its use in social care, as well as proposing recommendations for the Scottish social care, technology and digital policy and practice context. (Edited publisher abstract)
Take six decisions for excellent healthcare and support for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Sets out six key decisions that the British Geriatrics Society (BGS) believe the incoming government should take in order to promote excellent healthcare and support for older people. This care should be person-centred, effective, efficient, safe, equitable and timely. The six key decisions are: to end the divide between health and social care; build capacity in intermediate care; invest adequately in healthcare and social support for older people; provide national strategic direction on older people living with frailty, dementia, complex needs and multiple long-term conditions; supporting staff to develop competencies in the management of older patients; and measuring the aspects of care that matter to older people and their families. (Edited publisher abstract)
Commission on the Voluntary Sector & Ageing: a policy review
- Author:
- CARNEY Gemma M.
- Journal article citation:
- Voluntary Sector Review, 5(2), 2014, pp.203-211.
- Publisher:
- Policy Press
- Place of publication:
- Bristol
This article comments on the English Commission on the Voluntary Sector & Ageing, a voluntary sector-led initiative aimed at making proposals for voluntary sector leaders and charitable organisations on how to approach the ageing population. By examining the work of the commission, the review contributes to debates on the implications of population ageing for the voluntary sector. (Publisher abstract)
Re-shaping social care services for older people in England: policy development and the problem of achieving ‘good care’
- Authors:
- LEWIS Jane, WEST Anne
- Journal article citation:
- Journal of Social Policy, 43(1), 2014, pp.1-18.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
The first part of the paper argues that the care relationship is crucial to securing care quality, which has implications for the way in which quality is achieved and measured. However, for more than twenty years, governments have emphasised the part that increasing market competition and, more recently, user choice of services can play in driving up the quality of care. The second part of the paper analyses the development of social care services for older people, from the reform of 1990 to the changes following the general election of 2010. The paper goes on to examine whether competition and choice are in any case enough to result in ‘good care’, given the evidence of limitations both in the amount of choice available and in how far older people are able or willing to choose. It is argued that if ‘good care’ depends disproportionately on the quality of the care relationship, then more attention should be paid to the care workforce, which has received relatively little comment in recent government documents. (Publisher abstract)
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)
Making integrated care happen at scale and pace: lessons from experience
- Authors:
- HAM Chris, WALSH Nicola
- Publisher:
- Kings Fund
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
The current fragmented services in health and social care fail to meet the needs of the population. A shift to an approach that develops integrated models of care for patients, especially older people and those with long-term conditions, can improve the patient experience and the outcomes and efficiency of care. Making integrated care happen at scale and pace: Lessons from experience is intended to support the process of converting policy intentions into meaningful and widespread change on the ground. The authors summarise 16 steps that need to be taken to make integrated care a reality and draw on work by The King’s Fund and others to provide examples of good practice. There are no universal solutions or approaches to integrated care that will work everywhere and there is also no ‘best way’ of integrating care, and the authors emphasise the importance of discovery rather than design and of sharing examples of good practice when developing policy and practice. Finally, the paper acknowledges that changes are needed to national policy and to the regulatory and financial frameworks for local leaders to fully realise a vision of integration. (Publisher abstract)
Time for action
- Author:
- HOUSING AND AGEING ALLIANCE
- Publisher:
- Housing and Ageing Alliance
- Publication year:
- 2019
- Pagination:
- 6
The manifesto of the Housing and Ageing Alliance, which was set up to bring about improvements to the housing and living conditions of older people. The manifesto sets out three key proposals to ensure that housing, planning, health and social care policies address population ageing and enable older people to live independently where they choose. These are: to enable older people to live independently and well wherever they choose; to create age-friendly homes, neighbourhoods and services that enable people to live healthy and fulfilling lives; and create integrated housing, health and care policies all aiming to enable people to live safely and well at home as they age. It also puts forward evidence for why homes for ageing should be high on the social care agenda. (Edited publisher abstract)
Still not ready for ageing
- Author:
- READY FOR AGEING ALLIANCE
- Publisher:
- Ready for Ageing Alliance
- Publication year:
- 2016
- Pagination:
- 6
- Place of publication:
- London
Assesses progress made by the Government to the challenges of the ageing society since the formation of the Ready of Ageing Alliance in 2013. It is argued that the Government is failing to make sufficient progress in three key areas identified in the 2014 Alliance Manifesto. These are that the economy, our communities, and the health and care system is ready for an increasingly ageing population. The paper highlights that savings levels remain far too low and that future generations of older people will find themselves poorer than today’s pensioners; social care funding reform has received little discussion since plans for its reform were shelved; health and care face major staffing shortages over the short and medium; and there is insufficient progress in tackling isolation and loneliness and in ensuring communities are equipped to help people live independently for longer. It makes recommendations for Government, including the creation of a permanent commission on Demographic Change and a single point of contact in Government responsible for leading and responding to the challenges and opportunities of ageing. (Edited publisher abstract)