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Lost to the system? The impact of fair access to care
— a report commissioned by the Commission for Social Care Inspection for the production of 'The state of social care in England 2006-07' | | Author(s) | Melanie Henwood, Bob Hudson |
| Corporate Author | Commission for Social Care Inspection - CSCI |
| Publisher | Commission for Social Care Inspection, January 2008 |
| Pages | 123 pp |
| Source | Commission for Social Care Inspection, 33 Greycoat Street, London SW1P 2QF. Email: enquiries@csci.gsi.gov.uk Download: http://www.csci.org.uk/professional/about_csci/pub... Report authors' emails:
melanie@henwood-associates.co.uk and bob@bobhudsonconsulting.com |
| Keywords | Community care ; Usage [services] ; Needs [elderly] ; Reports. |
| Annotation | What happens to adults with social care needs who fail to gain access to care? How do those who are self-funding find their way through the system, and are their needs adequately met by the market? The Commission for Social Care Inspection (CSCI) commissioned this study from independent consultants Melanie Henwood and Bob Hudson; some of the field work was undertaken by Professor Jill Manthorpe. Their core findings are included in CSCI's report, 'The state of social care in England 2006-07'. The study is also one of six background papers that provide further details on the evidence for 'Cutting the cake fairly: CSCI review of eligibility criteria for social care' (October 2008). Based on interviews with about 110 people and 15-20 people involved in focus groups, the study comprises an exploration of policy, operational and individual levels of activity in six local authorities across England reflecting diverse needs, and a range of different local applications of the fair access to care (FACS) bandings that set thresholds for eligibility at critical, substantial, moderate or low levels. A "3D Framework" identifies rationing of FACS by Directive (e.g. budgetary considerations), Discretion (professional judgment) or Diversion (signposting to other services). The report comments on people's experiences in terms of the seven dimensions set out in the 2005 Green paper, 'Independence, well-being and choice': quality of life; choice and control; making a positive contribution; personal dignity and respect; freedom from discrimination and harassment; improved health and emotional well-being; and economic well-being. Overall, decisions to reduce eligibility do not eliminate demands for support. Fundamental change is required with a greater priority being given to social care, backed up by sufficient resources to implement FACS. (RH). |
| Accession Number | CPA-080326001 B |
| Classmark | PA: QLD: IK: 6K |
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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