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Carer break or carer-blind? Policies for informal carers in the UK
- Author:
- PICKARD Linda
- Journal article citation:
- Social Policy and Administration, 35(4), September 2001, pp.441-458.
- Publisher:
- Wiley
This article examines three policy statements on informal carers published in the UK in 1999: the National Strategy for Carers, the report of the Royal Commission on Long Term Care and the note of dissent by two members of the Royal Commission. These three documents contain two rather different approaches to policy for carers. On the one hand, the National Strategy and note of dissent emphasise respite care or short-term breaks for carers, and are concerned with sustaining the well-being of carers as well as ensuring the continuation of caring itself. The Royal Commission, on the other hand, emphasises support for the older or disabled person who is being cared for, as a means of supporting the carer, and advocates 'carer-blind' services. It is argued that this policy contains within it the potential to substitute for or replace the carer and that this represents a radical new departure for social policy for carers in the UK. The advantages and disadvantages of the two policy approaches are explored. It is argued that policies for carers should include both services specifically for carers, like breaks from caring, and services provided for the cared-for person, like domestic and personal care services. Wider issues about the proper boundary between family and state care are explored.
Long-term care and a good quality of life: bringing them closer together
- Author:
- KANE Rosalie A.
- Journal article citation:
- Gerontologist, 41(3), June 2001, pp.293-304.
- Publisher:
- Oxford University Press
Long-term care polices and programmes in the United States suffer from a major flaw: they are balanced toward a model of nursing home care that, regardless of its technical quality, tends to be associated with poor quality of life for consumers. This article argues that quality-of-life outcomes are minimized in current quality assessment and given credence only after health and safety outcomes are considered. Five trends are reviewed that might lead to a more consumer-centred emphasis on quality of life: the disability rights movement, the emphasis on consumer direction, the growth of assisted living, increasing attention to physical environments, and efforts to bring about culture change in nursing homes. Building on these trends, the article concludes with strategies to move beyond current stalemates and polarised arguments toward forms of long-term care that are more compatible with a good quality of life.
Would you buy community care from these men?
- Author:
- LAURENT Claire
- Journal article citation:
- Community Care, 17.5.01, 2001, pp.12-13.
- Publisher:
- Reed Business Information
The first half of the campaign for the next month's General Election has been dominated by the release of party manifestos. Examines the policies of the major UK parties and their implications for the future provision of the community care of the nation.
The NHS plan: what does it mean for community care
- Authors:
- ROBINSON Janice, et al
- Journal article citation:
- Managing Community Care, 8(6), December 2000, pp.5-10.
- Publisher:
- Pavilion
The NHS plan promises improvements in the National Health Service that could benefit many people with long-term illness or disability. However, the authors argue that some long standing problems concerning the funding and provision of their care and support will remain unchanged. Moreover, there are dangers of new conflicts between the NHS and local government that may hinder the delivery of integrated services and health improvements strategies.
Ways of thinking about the long-term care of the baby-boom cohorts
- Author:
- KINGSON Eric R.
- Journal article citation:
- Journal of Aging and Social Policy, 7(3/4), 1996, pp.3-23.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
This article examines various ways of thinking about long-term care for baby boomers in the United States of America, the 76 million people born between 1946 and 1964. It begins by discussing trends that need to be taken into consideration. Next, it reviews why long-term care policy discussions need to be based upon recognition of the importance of the informal exchanges of care that occur over people's lifetimes, primarily in the context of the family. The final section presents two ways of thinking about challenges posed by the aging of baby boomers - the generational equity/crisis perspective and the generational investment/gradual adjustment perspective.
Supporting people all the way: an overview of the Supporting People programme
- Author:
- GRIFFITHS Steve
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2000
- Pagination:
- 64p.,bibliog.
- Place of publication:
- York
Reviews the government's Supporting People programme and examines how far it can succeed in its goal of promoting independent living. Argues that there are underlying inconsistencies in government policy, particularly the parts played by definitions of care, support and accommodation costs. Examines the Transitional Housing Benefit Scheme as a source of funding. Examines the risk of the creation of a new strand of charging and means-testing for services and argues for avoiding or minimising charges wherever possible.
Why must government must ring the changes on charges
- Author:
- WRIGHT Simon
- Journal article citation:
- Working with Older People, 4(3), July 2000, pp.21-23.
- Publisher:
- Emerald
The author argues that the government's announcement that it will amend the Care Standards Bill to enable it to issue enforceable guidelines on charging for care services is a step in the right direction. Describes some of the adverse consequences on service users when councils charge for essential services and the safeguards that should be included in any national guidance.
Working on the boundaries of community care
- Author:
- ROBINSON Janice
- Journal article citation:
- King's Fund News, 21(3), Autumn 1998, p.2.
- Publisher:
- King's Fund
People with chronic illness and long-term disability need integrated care and support to enable them to live an independent life in the community. The author highlights a programme they are working on.
Housing: new laws may force people back into institutions
- Author:
- ASPIS Simone
- Journal article citation:
- Community Living, 9(4), April 1996, pp.4-5.
- Publisher:
- Hexagon Publishing
The author fears the Government's plan to introduce new criteria for Disability Facilities Grants and Housing Benefit could mean a return to long-term residence in institutions for disabled people.
Disability and cognitive impairment criteria: targeting those who need the most home care
- Authors:
- SPECTOR William D., KEMPER Peter
- Journal article citation:
- Gerontologist, 34(5), October 1994, pp.640-651.
- Publisher:
- Oxford University Press
Illustrates the process of evaluating alternative eligibility criteria based on one possible targeting goal - serving those who need the most care. Channelling data are used to construct a measure of total care needs which is used to evaluate success at meeting the targeting goal. Results indicate the difficulty of establishing eligibility cutoffs that are equitable and meet the targeting goal.