Centre for Policy on Ageing
 

 

Choosing and paying for care
Author(s)G Clare Wenger
Journal titleHealth & Social Care in the Community, vol 7, no 3, May 1999
Pagespp 187-197
KeywordsOrganisation of care ; Services ; Health services ; Long term ; Finance [care] ; Health insurance ; Insurance [elderly] ; Social policy ; Social surveys ; Wales.
AnnotationThis paper presents data from before and after implementation in 1993 of the NHS and Community Care Act 1990, from two separate studies of older people in rural areas of Wales. It shows the low proportions of the population who are covered by private health insurance, and draws attention to the fact that, although some older people have considered private health insurance, few are covered. Comparing data for people aged <65 with those aged >65, the paper explores the preferred sources of help in a range of situations. The findings show that in most instances, statutory services are preferred. Data for older people aged >80 are presented comparing findings from 1990/91 and 1995, which show that use of services for which charges have been introduced appear to have fallen. Low take-up of dental and optician services are also identified. The implications of the findings for social policy are considered, and it is suggested that: insurance cover for long-term care should be organised at a national level; greater attention should be given to service preferences of users; and effectiveness of various health and social services should be evaluated. (RH).
Accession NumberCPA-990607002 A
ClassmarkP: I: L: 4Q: QC: WPG: JG: TM2: 3F: 9

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