Search results for ‘Subject term:"older people"’ Sort:
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The future of social care
- Author:
- MORIARTY Jo
- Journal article citation:
- Journal of Dementia Care, 13(3), May 2005, pp.10-11.
- Publisher:
- Hawker
The author provides an overview of the proposals in the new green paper for adult social care that are especially relevant for people with dementia and their families. The article looks specifically at direct payments; the 'right to request' and greater involvement by the voluntary and community sectors.
Integrating health and social care
- Authors:
- BERMINGHAM Rowena, HOBBS Abbi
- Publisher:
- Great Britain. Houses of Parliament. Parliamentary Office of Science and Technology
- Publication year:
- 2016
- Pagination:
- 5
- Place of publication:
- London
An ageing population and the increasing prevalence of long-term conditions are putting pressure on health and social care services. The four UK nations have committed to better integration between health and social care as one solution to these challenges. This briefing outlines what integration is and examines policies to enable it in the four UK nations, such as co-ordinating resources and pooled budgets. It provides examples of integration in England, which include Integrated Care Pilots, Integrated Care Pioneers, and New Care Models. Three key challenges to achieving integration are identified as data sharing; incentives and targets; and workforce practices. The briefing also highlights the difficulties of assessing the effectiveness of integration schemes. (Edited publisher abstract)
The 'Dilnot social care cap': making sure it delivers for older people
- Authors:
- ISDEN Ruthe, NORTON Mathew, ABRAHAMS Caroline
- Publisher:
- Age UK
- Publication year:
- 2013
- Pagination:
- 19
Earlier this year the Government announced how, in broad terms, it intended to implement the recommendations of the Dilnot Commission for a social care cap. Along with many other organisations that work with and for older people, Age UK warmly welcomed the Government’s decision to act on the Dilnot proposals, while expressing disappointment that the level of the cap was set at a less generous level than the Commission had recommended. This report aims to provides a review of what the government’s new lifetime care costs cap will mean for someone who needs support in later life. The analysis shows that the proposed system is complex and may prove difficult for many older people and their families to negotiate. It calls for more clarity and information around costs, eligibility and means test thresholds. (Edited publisher abstract)
Politics and the care conundrum: why does England have a problem funding social care?
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2011
- Pagination:
- 29p.
- Place of publication:
- London
This discussion paper explores the underlying causes of England's long-term care funding problem. It argues that the state, the older population and wider society have sufficient wealth to finance a properly funded social care system. The persistent problem of funding care in England therefore poses what can be termed the ‘care conundrum’. This paper seeks to explain this 'care conundrum', and its root causes in issues of politics and governance. Using ideas and theories drawn from political science, the paper identifies multiple factors that may explain the 'care conundrum'. These factors include: the varied, ‘indefinable’ nature of social care; the illogical, complex ‘mess’ of institutions overseeing social care policy; public ignorance of what social care is and what outcomes represent quality; and the interests of politicians in avoiding unpopular measures. The paper calls for the creation of an Office for Care and Living which would undertake a number of strategic functions, such as public education and data provision, in order to address the failure of democratic accountability alone to ensure a properly funded social care system. It argues that, even in the face of voter disinterest toward social care, the government does have an opportunity to reposition public and political discourse on care funding to create the conditions for sustainable long-term reform.
Independence, well-being and choice: our vision for the future of social care for adults in England: consultation response
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Pagination:
- 28p.
- Place of publication:
- London
The Social Care Institute for Excellence (SCIE) welcomes the green paper’s emphasis on independence and choice, and also wishes to encourage careful thinking about the issues of interdependence and control. SCIE supports the proposal to have an inclusive debate about risk. Structural change may be necessary, but is certainly not sufficient. The green paper recognises this, particularly through the emphasis on cultural change. Drawing on what is known about the implementation of changes designed to promote user- and carer-centred working, SCIE argues for an incremental approach and for forthcoming legislation to be framed in a way that allows for learning and experimentation by all concerned, including the users of services and their carers and supporters. The green paper’s seven outcomes for social care cannot be delivered by social care alone. Effective, outcome-focused partnership working across the human services and spanning from central government to the frontline must therefore be resourced and developed.
The time to care about care: responding to changing attitudes, expectations and preferences on long-term care in Europe
- Authors:
- ILINCA Stefania, SIMMONS Cassandra
- Publisher:
- InCARE
- Publication year:
- 2022
- Pagination:
- 14
- Place of publication:
- Vienna
Fifteen years after the Special Eurobarometer 283 on Health and long-term care in the European Union, the results of the cross-national InCARE survey bring to light significant changes in the attitudes, expectations and long-term care experiences of Europeans. As momentum for reform is building both at national and European level, we find the policy discourse has not kept up with dynamic preferences and attitudes towards care, especially among younger cohorts. Overwhelming support for increasing the role of the State in long-term care organization, provision and financing and shifting the burden of care away from families and individuals, is improperly reflected in current policies. What is more, a failure to do so is negatively affecting trust in care systems, as well as increasing the reliance on informal carers at the detriment of their health and wellbeing. Since 2007, the ability of care systems to adequately address evolving care needs has declined: residential care is unaffordable for many, and the supply of community-based services is falling considerably behind a rising demand. Rural communities and poorer individuals bear the brunt of growing capacity gaps, while women are disproportionately affected by the burden of frequent, intensive and undesired informal caregiving spells. A reorientation towards person-centered, participatory, equitable and accessible care models is urgently needed to rebuild declining public trust in the ability of care systems to respond to the preferences and expectations of individuals and communities. (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)
Health and social care for older people: progress, problems and priorities
- Author:
- HUMPHRIES Richard
- Journal article citation:
- Quality in Ageing and Older Adults, 16(1), 2015, pp.27-31.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the principal challenges facing the health and care system in England arising from an ageing population, assess the track record of the coalition government in addressing these and offer a perspective on the priorities likely to be faced by the next incoming government in relation to health and social care for older people. Design/methodology/approach: Assessment of key policy documents and legislation and interpretation of published data on trends in health and social care activity and expenditure. Findings: An ageing population requires a fundamental shift towards a new model of care that offers better coordinated care and promotes independence and healthy ageing. The Care Act 2014 is a significant achievement and NHS spending has been protected, but resulting cuts to local government budgets have since sharp reductions in social care for older people. The next incoming government will need to address a deepening financial crisis in health and care system; the increasingly unsustainability of means tested and rationed social care alongside universal free health care; and the need to make faster progress in developing a new models of integrated care closer to home. Originality/value: The issues raised in this paper affect older people as voters, tax payers and as existing or potential users of health and social care services. As a group they will attract significant attention from political parties in the next election campaign. (Publisher abstract)
A great place to grow older
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- London
Sets out Age UK's ambition for the next Parliament 2015-2020, advocating the development of key services, interventions and government policies to support the UK ageing population and outlining what the political parties need to focus on immediately. The key themes considered in this manifesto include: older people and wellbeing; safety at home; financial independence in later life; active communities; and quality health and care. (Edited publisher abstract)
New act, new opportunity for integration in Scotland
- Author:
- TAYLOR Alison
- Journal article citation:
- Journal of Integrated Care, 23(1), 2015, pp.3-9.
- Publisher:
- Emerald
Purpose: In this paper, the Scottish Government's approach to improving outcomes for patients and service users by integrating health and social care planning and provision is described. The Scottish Parliament passed primary legislation in February 2014, which places requirements on Health Boards and Local Authorities to work together more closely than ever before. The paper aims to discuss these issues. Design/methodology/approach: This paper sets out the Scottish Government's legislative approach to integrating health and social care, based on previous experience of encouraging better partnership between health and social care working without legislative compulsion. Findings: The Scottish Government has concluded that legislation is required to create the integrated environment necessary for health and social care provision to meet the changing needs of Scotland's ageing population. Research limitations/implications: The paper is confined to experience in Scotland. Practical implications: Legislation is now complete, and implementation of the new arrangements is starting. Evaluation of their impact will be ongoing. Social implications: The new integrated arrangements in Scotland are intended to achieve a significant shift in the balance of care in favour of community-based support rather than institutional care in hospitals and care homes. Its social implications will be to support greater wellbeing, particularly for people with multimorbidities within communities. Originality/value: Scotland is taking a unique approach to integrating health and social care, focusing on legislative duties on Health Boards and Local Authorities to work together, rather than focusing on structural change alone. The scale of planned integration is also significant, with planning for, at least, all of adult social care and primary health care, and a proportion of acute hospital care, included in the new integrated arrangements. (Publisher abstract)