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Centre for Policy on Ageing | |
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Older people and access to care | Author(s) | Denise Tanner |
Journal title | British Journal of Social Work, vol 33, no 4, June 2003 |
Pages | pp 499-516 |
Keywords | Community care ; Health services ; Needs [elderly] ; Accessibility ; Social policy. |
Annotation | A number of Labour health and social policy initiatives are concerned with supporting independence, preventing deterioration, and extending access to services. This article examines the potential impact of some Department of Health (DH) initiatives on older people with "low level" needs who have increasingly been excluded from services targeted at those in high risk categories. The initiatives considered are Prevention Grants, the National Service Framework for Older People (NSF), the Fair Access to Care Services Guidance, and the Single Assessment Process. Key standpoints for this analysis are research findings indicating what older people themselves want from preventive services. Central messages, consistent with those from other service user "groups", are the need for support services that enable older people to continue to exercise choice and control over their lives. New preventive measures are evaluated in the light of these findings and found wanting. It is argued that recent policy initiatives are likely to do little to widen access to support services for those with low intensity needs. Moreover, the processes involved in identifying those at future high risk will detract from rather than enhance citizenship. A more diffuse approach to prevention is advocated, based on mutuality, community development and capacity-building. (KJ/RH). |
Accession Number | CPA-030703202 A |
Classmark | PA: L: IK: 5CA: TM2 |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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