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A fair price for care?
 — disparities between market rates for nursing/residential care and what state funding agencies will pay
Author(s)William Laing
PublisherYPS, for the Joseph Rowntree Foundation, York, 1998
Pages29 pp
SourceYork Publishing Services, 64 Hallfield Road, York YO3 7XQ.
KeywordsCare homes ; Nursing homes ; Charges ; Costs [care] ; Department of Social Security ; Social Services Departments ; Finance [care] ; Market research.
AnnotationMore than 70% of people in nursing or residential care homes depend to some extent on state funding to pay for their care. This study assesses the adequacy of fees paid, and finds evidence of significant disparities between what the Department of Social Security (DSS) is prepared to pay (under "preserved rights" Income Support") and the fees charged by care homes, so that residents are required to secure top-up funding from families or friends. The report also identifies hidden disparities between what social services departments (SSDs) are willing to pay and the reasonable costs of care services. It highlights concerns that care homes may receive inadequate returns, and that low fees for SSD-funded residents are being subsidised by high fees paid by private residents, or by the charitable resources of voluntary sector providers. Policy proposals are made that could reduce inequalities in the present system: the DSS should transfer funds to SSDs to pay for care; and SSDs could release resources by reorganising or out-sourcing services run in-house. This study was supported by the Joseph Rowntree Foundation (JRF) as part of its programme of research and innovative development projects; but the views are not necessarily those of JRF. (RH).
Accession NumberCPA-980817001 B
ClassmarkKW: LHB: QEJ: QDC: PCSS: PF: QC: WUA

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