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Public funding for residential and nursing home care
 — projection of the potential impact of proposals to change the residential allowance in services for older people
Author(s)Paul Clarkson, Jane Hughes, David Challis
Journal titleInternational Journal of Geriatric Psychiatry, vol 18, no 3, March 2003
Pagespp 211-216
KeywordsCare homes ; Nursing homes ; Social Services Departments ; Finance [care] ; Public expenditure ; Social policy.
AnnotationThe potential effects of the White Paper, "Modernising social services " (Cm 4169, 1998) on its associated policy changes on funding of UK residential care are investigated. Plans to change the distribution of the Residential Allowance (RA) payable in support of residents in independent or nursing home care form a component of income support paid directly to establishments to a grant to local authorities. This change was intended to remove the perverse incentive of making access to independent residential care more favourable than to local authority care. A further objective was to encourage local authorities to use the grant to support home-based alternatives to residential care. This article is based on results of focus group discussion, a questionnaire and other information gathered from managers of social service departments (SSDs) regarding the policy's potential diversionary effect. The study indicates that wider organisational factors other than price are likely to play a greater role in deciding whether an older person is admitted to care. Changes in public funding alone do not reflect the complexities involved in decision-making concerning the residential placement of older people. (RH).
Accession NumberCPA-030425214 A
ClassmarkKW: LHB: PF: QC: WN8: TM2

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