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Our turn next: a fresh look at home support services for older people
- Editor:
- HENWOOD Melanie
- Publisher:
- Nuffield Institute for Health
- Publication year:
- 1998
- Pagination:
- 11p.,bibliog.
- Place of publication:
- Leeds
Looks at shortcomings in community care provision, focusing particularly on home care services and at issues that need to be urgently addressed concerning their provision.
New directions in community care: a Labour Party discussion document
- Author:
- HINCHLIFFE David
- Publisher:
- Labour Party
- Publication year:
- 1993
- Pagination:
- 7p.
- Place of publication:
- London
Document which aims to identify and encourage the development and expansion of new models of care which offer greater choice and wider opportunities for people who wish to remain in independent or semi-independent living.
Adult social care: policy developments under the current Government (England)
- Author:
- JARRETT Tim
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2020
- Pagination:
- 20
- Place of publication:
- London
A briefing paper summarising the adult social care measures carried out since the Conservative Government was first returned in 2015. It considers both the increases in central government funding for social care and its approach to reform of social care. It notes that a social care plan will be brought forward during 2020 and reform to social care implemented during this Parliament. The information covers England only. (Edited publisher abstract)
Reforming long-term care in the United States: findings from a national survey of specialists
- Authors:
- MILLER Edward Alan, MOR Vincent, CLARK Melissa
- Journal article citation:
- Gerontologist, 50(2), April 2010, pp.238-252.
- Publisher:
- Oxford University Press
Theories of the policy process recognise that policy proposals are typically generated, debated, redrafted, and accepted for consideration through the gradual accumulation of knowledge within communities of specialists. This study, designed to inform long-term care (LTC) reform efforts, consisted of a Web-based survey of 1,147 LTC specialists within the United States. Participants included consumer advocates, provider representatives, public officials, policy experts, and others with experience in LTC. Findings showed that although differences could be discerned, group views converged in several areas: there was general agreement that LTC financing needed to be socialised more and that impediments to organisational change needed to be overcome; respondents felt that LTC needed to be rebalanced toward home- and community-based settings, though few supported doing so by limiting nursing home (NH) bed supply; most believed that the approaches used to oversee NHs should also be applied to assisted living. Payment incentives were highlighted as the most effective strategy for improving quality even though it suffers from the same informational deficits compromising consumer reporting. The authors conclude that by giving voice to those who know LTC very well, and identifying areas of agreement and disagreement, this study should prove useful in promoting LTC reform where it might otherwise remain politically intransigent.
Exploring assistance in Sweden and the United States
- Authors:
- SHEA Dennis, et al
- Journal article citation:
- Gerontologist, 43(5), October 2003, pp.712-721.
- Publisher:
- Oxford University Press
Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Data from national surveys of community residents completed at approximately the same time in each nation are used to create comparable measures of need and assistance. Descriptive and logistic regression analyses compare need and assistance patterns across the nations and identify individual factors that explain receipt of assistance and unmet needs. Results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the United States masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen considerably when the analysis is limited to those reporting need. Although these two different health systems result in similar levels of overall ADL assistance, a detailed microlevel comparison reveals key distinctions. Further microlevel comparisons of access, cost, and quality in cross-national data can further aid our understanding of the consequences of health policy.
Care, costs and containment: the social policy of long-term care
- Author:
- DALLEY Gillian
- Journal article citation:
- Policy and Politics, 27(4), October 1999, pp.533-540.
- Publisher:
- Policy Press
Current social values dictate that old age should be regarded as a social problem. Older people are regarded as heavy consumers of health and social care. The debate about the relationship between the individual, the family and the state is most frequently rehearsed in relation to issues associated with old age.
Voice and choice for users and carers? Developments in patterns of care for older people in Australia, England and Finland
- Authors:
- YEANDLE Sue, KRÖGER Teppo, CASS Bettina
- Journal article citation:
- Journal of European Social Policy, 22(4), 2012, pp.432-445.
- Publisher:
- Sage
This article considers developments during the 1990s and 2000s, decades that saw considerable debate, innovation, experimentation and change in how services for older people were planned, developed, delivered and experienced in many states, including Australia, England and Finland. It identifies key trends in residential and community care for older people, investigating the extent of ‘de-institutionalisation’, ‘privatisation’ and ‘individualisation’. The concepts of collective and individual ‘voice’ and ‘choice’ are used to interrogate the roles of collective and individual actors, older people and carers, in influencing policy formulation. While these three processes have been pursued by policy-makers in each country, their implementation is illuminated by understanding how ‘voice’ and ‘choice’ have been operationalised – individually and collectively – in each context. In the reshaping of eldercare in the three states, the analysis identifies the greater influence of claims-making by family carers, in comparison with the collective and individual voices of older people as service users.
A brave new world of personalized care? Historical perspectives on social care and older people in England
- Author:
- MEANS Robin
- Journal article citation:
- Social Policy and Administration, 46(3), June 2012, pp.302-320.
- Publisher:
- Wiley
In England, social care for older people is moving towards a personalised response to need. This article explores the extent to which this represents a complete break with the past by looking at four key reports from the past. Each is interrogated in terms of how social care is defined, how services are to be delivered, how quality is understood and the assumptions made about who will be able to access services. The article draws out key continuities in policy assumptions such as the primacy of family and the ongoing debate about ‘What is social care?’ and how it can be distinguished from health care. It argues that the voluntary sector has always been seen as a ‘key player’ in social care. The analysis of the four reports is used to explores the changing role of local authorities in the planning, purchase and provision of social care services for the elderly.
Implementing reimbursement around discharge from hospital
- Author:
- GREAT BRITAIN. Department of Health. Health and Social Care Joint Unit
- Publisher:
- Great Britain. Department of Health. Health and Social Care Joint Unit
- Publication year:
- 2002
- Pagination:
- 15p.
- Place of publication:
- London
Older people should not have to wait o leave hospital when they are ready to do so. The government intends, subject to legislation, to introfduce a system of reimbursement at the point when responsibility for a patient's care transfers from the NHS to social services, by April 2003.
Scotland makes it happen
- Author:
- BAULD Linda
- Journal article citation:
- Community Care, 18.10.01, 2001, pp.36-37.
- Publisher:
- Reed Business Information
Scotland is pressing ahead with plans to bring personal care to everyone. The author, a member of the expert group set up by the Scottish Executive to draw up proposals for implementing the policy, reports on the challenges they faced.