Working with Older People, vol. 13, June 2009, p. 9-12
This article explains how In Control has worked with a group of local authorities to develop a new system of social care based on individual budgets used to procure self-directed support. The new system consists of seven steps:
Working with Older People, vol. 13, June 2009, p. 13-16
At present large private companies are dominating the elderly care market in the UK. It is argued that they should be replaced by social enterprises which reinvest profits back into the business in order to further their mission. They would be more motivated than private providers to deliver innovative and personalised care, rather than seeking to maximise profits.
Working with Older People, vol. 13, June 2009, p. 28-31
Considers the role of independent advocacy for older people in the development of individual budgets for service users.
M. Hardey and B. Loader
British Journal of Social Work, vol. 39, 2009, p. 657-669
Concern about population ageing across Europe and the potential demands on state resources have made services for older people a key target for information technology initiatives. This paper examines the role of older people as users in the increasingly information-led area of health and social care. It is suggested that while IT initiatives may have facilitated the integration of services, they have at the same time marginalised older people as users. However, it is argued that the recent advent of Web 2.0 and the consequent rise of user generated content may transform the role of the user in such systems.
Health and Social Care in the Community, vol. 17, 2009, p. 415-422
The Mental Capacity Act 2005 introduced legal safeguards aimed at protecting the liberty of people lacking capacity admitted to institutional care in England and Wales. This paper explores the adequacy of the Deprivation of Liberty Safeguards for protecting the liberty of residents in social care settings, with special reference to older people with dementia living in care homes. It is suggested that the capacity of the safeguards to adequately protect the liberty of residents with dementia may be limited by under-recognition of the extent to which deprivation of liberty actually occurs in care homes, insufficient resourcing, and a lack of critical independence in their proposed implementation. In addition, the planned contraction in regulation – especially a reduction in inspections - will constrain the regulator's ability to ensure that residents' right to liberty is protected.
Working with Older People, Vol. 13, June 2009, p. 32-34
For the personalisation agenda to be realised, service users need access to a vibrant social care marketplace, as well as the information and skills required to navigate it. The author explains how Warrington has developed its local market in social care provision by working with partners, focusing on outcomes and enhancing the role of information for users.
Working with Older People, vol.13, June 2009, p. 25-27
The author explains Hanover Housing Group's approach to personalisation of supported housing services. The article also points out that individuals may lack power to have any significant impact on how services are delivered, and that providers may be driven out of the market because individual budgets put economies of scale at risk. It concludes by emphasising the importance of engaging supported housing residents in service commissioning.
Department of Health
London: TSO, 2009 (Cm 7673)
This consultation paper addresses the perceived unfairness of the current system of funding social care for older people, and seeks to avert a looming crisis in its financing as the population ages. The document rules out funding a 'minimum care entitlement' through general taxation, as this would place an intolerable burden on younger workers. It presents three options:
None of these options would cover food or accommodation costs of residential care, which would still have to be met by individuals. It is also unclear whether the scheme would cover costs of home care for older people with moderate needs.
(For comment see Health Service Journal, July 16th 2009, p. 4-5 and July 23rd 2009, p. 12-13)
Working with Older People, vol. 13, June 2009, p. 35-38
Government policy emphasises the need to recognise the valuable contribution that older people can make to their community, and to reduce social isolation while promoting good health. This article looks at some innovative projects in Leeds which aim to develop older people's social networks.