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Future options: residential care for older people in Birmingham; report for the Residents Action Group for the Elderly (R.A.G.E.) commissioned by UNISON Birmingham branch
- Author:
- CENTRE FOR PUBLIC SERVICES
- Publisher:
- Centre for Public Services
- Publication year:
- 2001
- Pagination:
- 44p.
- Place of publication:
- Sheffield
This report was commissioned and written in response to Birmingham Social Services Department's Best Value pilot review of residential care services for older people in the city. The review produced a set of targets which included plans to reduce in-house unit costs. The council had, prior to the review, already scheduled five homes for closure, without consultation. These were excluded from the new review, and this decision, along with the review process were criticised by services users, their families, staff and the trade unions. This report was written in response to this situation and offers its own criticisms of the review and also suggest ways forward for provision of residential care services for older people in Birmingham.
The report of the Older People's Inquiry into 'that bit of help'
- Editors:
- RAYNES Norma, CLARK Heather, BEECHAM Jennifer, (eds.)
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2006
- Pagination:
- 125p.
- Place of publication:
- York
This report of the Older People’s Inquiry into ‘That Bit of Help’ documents the experiences of older people and professionals working together to identify gaps in service provision for older people living in their own homes. The report focuses on how to involve older people alongside the professionals, as equals, in identifying what services they want and value. It notes that older people are able to take account of costs of service provision in an environment where resources are limited, and with this information they are able to prioritise the service provision which they require. A sound model is provided to ensure the central involvement of older people in prioritising valued services; the methods used would be easily transferred to local level. The chosen ‘baker’s dozen’ of small ways in which life can be made better for older people gives ideas of what services might be developed. This report includes an overview of the Inquiry’s findings, the methodology used to select examples of good practice, and the methodology used for costing the examples chosen by Inquiry members, along with their unit costs.
Social care: Government reviews and policy proposals for paying for care since 1997 (England)
- Author:
- JARRETT Tim
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2017
- Pagination:
- 22
- Place of publication:
- London
This briefing considers the policy proposals of successive Governments since 1997 for how individuals should pay for their social care. Unlike health services through the NHS, social care is not universally free at the point of delivery – local authority support is means-tested, and those that receive funding such support are still expected to contribute their income towards the cost. While the issue of paying for social care has been considered in depth – by the Royal Commission in 1999, the independent King’s Fund in 2005, and the Dilnot Commission in 2011 – and some important changes have been made, the key features of the means-test remain broadly unchanged since 1997 while the issue of very high lifetime social care bills remains unresolved. This note sets out the key findings of the reviews as they relate to how individuals pay for their social care, Government policy responses, and the position of the current Conservative Government. Social care funding is a devolved matter – this note relates to England only, although it does provide information about the adaptation of free personal care in Scotland following the report of the Royal Commission. (Edited publisher abstract)
Social care for older people: using data from the VFM profiles
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2013
- Pagination:
- 17
- Place of publication:
- London
The government is legislating to close the Audit Commission by the end of March 2015. Until then, the Commission will continue to make available its Value for Money (VFM) Profiles, which bring together data about the cost, performance and activity of local councils and fire authorities. This report presents facts, figures and graphs showing national trends and local variations in spending on social care for older people, on which the total spend in England in 2011/12 was £9.07 billion, supporting 1.05 million people. However, this amounts to an 8.5% reduction in overall spending and a 13% decrease per person aged 55+ since 2009/10, The report looks at how councils are continuing to find ways of reducing costs and improving efficiency in response to budget reductions, and notes changes to their legal responsibilities proposed in the Care Bill 2013/14. It also offers guidance on the use of VFM profiles and suggests some related information sources provided by other organisations. (Original 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)
Net costs of dementia in Sweden – An Incidence Based 10 Year Simulation Study
- Authors:
- SKÖLDUNGER Anders, WIMO Anders, JOHNELL Kristina
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(11), November 2012, pp.1112-1117.
- Publisher:
- Wiley
An ageing population results in increasing number people suffering from dementia, which will have a great impact on costs for the society. Because of the long duration of dementia disorders, it is difficult to collect empirical data for the whole survival period of incident cases. Therefore, modelling approaches are frequently used. The purpose of this study was to describe the costs of an incident dementia cohort with progression modelling. Epidemiological data indicated that the incidence of dementia in Sweden was 24,000 people in 2005. Thus, incident cases were run in a Markov model for 10 cycles of 1 year each. Severity state specific costs were used and defined by Clinical Dementia Rating scale. Total cost for the cohort was 27.24 billion Swedish Krona (SEK). The mean cost per person and year was 269,558 SEK. Total cost for long-term institutional care was 21 billion SEK during the modelled period. The authors concluded that the cost of long-term institutional care was the major cost driver, even in mild dementia. Implications for practice are discussed.
Dartington review on the future of adult social care: what can England learn from the experiences of other countries?
- Author:
- GLENDINNING Caroline
- Publisher:
- Research in Practice for Adults
- Publication year:
- 2010
- Pagination:
- 24p., bibliog.
- Place of publication:
- Dartington
This paper examines the potential future funding and delivery of adult social care by investigating the experiences of other advanced welfare states, including Denmark, Netherlands and Japan. In 2008 the English Government announced consultation on the future funding and delivery of care and support for disabled adults and older people. A Green Paper was published which suggested a number of potentially radical changes to adult social care and a further period of consultation was announced. However, these debates are also much longer standing. Despite projections of demographic change, particularly future population ageing, this on-going consultation suggests that politically acceptable and economically sustainable solutions are hard to find. If central government becomes responsible for deciding on the levels of resources allocated to individual service users, then it would be unfair to expect local authorities to contribute resources from local council tax – central government would become responsible for raising all the resources for social care, from taxation and insurance mechanisms; a move entirely consistent with reform elsewhere in the world.
Paying for care in Wales: creating a fair and sustainable system: green paper consultation on options for reform
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2009
- Pagination:
- 50p.
- Place of publication:
- Cardiff
In 2008 the Welsh Assembly Government held a major consultation and engagement programme on the general direction that reform of the social care system should take. The results of that consultation have helped to shape the proposals set out in this Green Paper. Reponses are invited to questions on disability benefits, bringing money into the system, different funding options, ways to contribute and whether there should be a nationally or a locally determined funding system.
It's a heck of a gamble, isn't it?: attitudes of older people towards the use of assets for pooling risk of care costs
- Author:
- OPINION LEADER
- Publisher:
- Age Concern
- Publication year:
- 2009
- Pagination:
- 40p.
- Place of publication:
- London
This research tested reactions to "risk pooling" - everybody contributing a proportion of their assets or income to cover the cost of care, safeguarding the bulk of people's assets, since risk is spread across the population. Findings are given on experiences of care and planning for care, perceptions of the current system, response to risk pooling, risk pooling options, how the National Care Fund would work and who would join, ending with conclusions and recommendations.
Research on the costs of long-term care for older people – current and emerging issues
- Author:
- BOWES Alison
- Journal article citation:
- Social Policy and Society, 6(3), July 2007, pp.447-459.
- Publisher:
- Cambridge University Press
This review explores debates concerning the costs of long-term care for older people, and aims to give an overview of the recent and current research agenda in this area, referring primarily to work published 2000–2006. The focus of much work is on the identification of costs, their distribution and the contexts of policy and delivery of services in which these operate.