Kate Baxter
Biographic Data
| ID | 4238993 |
|---|---|
| NAME | Kate Baxter |
| GIVEN NAMES | Kate |
| FAMILY NAME | Baxter |
| SIGNATURE | BAXTER K |
| AFFILIATIONS | University of York |
| ORCID | 0000-0002-3094-9546 |
| VERIFIED | Yes |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 57 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 5 |
The role of uncertainty in planning for self-funded social care for older people with a diagnosis of dementia
This paper considers how a diagnosis of dementia affects people's planning for future social care needs and associated costs. It addresses the gap in knowledge about how people recently diagnosed with dementia, and their family carers, engage with planning for social care needs that are uncertain in timing and scale. The paper also considers people's attitudes to planning for care that they may need to pay for privately, and what facilitates or h…
Care chronicles: Needing, seeking and getting self-funded social care as biographical disruptions among older people and their families
Social care to assist with the activities of daily living is a necessity for many older people; while informal care provided by family members can be a first step to meeting care needs, formal care provided by professionals is often needed or preferred by older people and their families. In England, the number of older people paying for formal care is set to rise, driven by an ageing population and the limited resources of local authorities. Litt…
A Discrete Choice Experiment of Older Self-Funders’ Preferences When Navigating Community Social Care
Most long-term care systems (social care) for older people rely on some means testing, copayment system, private insurance, or other non-governmental funding to supplement state provision. In England, an estimated quarter of homecare delivery is funded privately. For many older people, the absence of state funding for their care is only part of the problem: they are also expected to search for care in a market characterised by complexity, plurali…
Social care causes of delayed transfer of care ( DTOC ) from hospital for older people: Unpicking the nuances of ‘provider capacity’ and ‘patient choice’
Unnecessarily prolonged stays in hospitals can have negative impacts on patients and present avoidable costs to health and social care systems. This paper presents the qualitative findings of a multi-methods study of the social care causes of delayed transfers of care (DTOC) for older people in England. The quantitative strand of this study found that DTOC are significantly affected by homecare supply. In this paper, we explore in depth how and w…
What Skills Do Older Self-Funders in England Need to Arrange and Manage Social Care? Findings from a Scoping Review of the Literature
Older people in England who pay for social care from their own funds (‘self-funders’) receive little help in seeking and arranging care compared to older people funded by their local council. This suggests an implicit assumption that people funded by local councils need help to manage their care whereas self-funders do not. This article reports findings from a scoping review of published evidence from England, Scotland and Wales on the skills tha…
Choice and control in social care: Experiences of older self‐funders in England
This paper considers the experiences of older self‐funders in England in the context of policies promoting choice and control. Self‐funders are people who are not state‐funded; they pay for social care from their own resources. Choice and control have been operationalized through personal budgets, based on the assumption that managing resources enhances ability to access appropriate care and support. This paper uses data from 40 qualitative inter…
Safeguarding and personal budgets: The experiences of adults at risk
Purpose The purpose of this paper is to present findings from one element of a study exploring the relationship between personalisation, in the form of personal budgets (PBs) for publicly funded social care and safeguarding. Design/methodology/approach Semi-structured interviews were conducted with 12 people receiving PBs who had recently been the focus of a safeguarding investigation. Participants were recruited from two English local authority …
Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data
With the continued implementation of the personalisation policy, Personal Budgets (PBs) have moved to the mainstream in adult social care in England. The relationship between the policy goals of personalisation and safeguarding is contentious. Some have argued that PBs have the potential to empower recipients, while others believe PBs, especially Direct Payments, might increase the risk of abuse.This paper provides empirical evidence about levels…
Did anyone notice the transformation of adult social care? An analysis of Safeguarding Adult Board Annual Reports
Purpose – The purpose of this paper is to report on a part of a study examining the interrelationships between personalisation and safeguarding practice. Specifically the authors aimed to examine how safeguarding practice is affected by the roll out of personalisation in adult social care, particularly when the adult at risk has a personal budget or is considering this. Design/methodology/approach – A sample of annual reports from Adult Safeguard…
The Role of Emotions in the Process of Making Choices about Welfare Services: The Experiences of Disabled People in England
Choice is central to developments in many areas of welfare. Making choices, for example about health, social care, employment and housing, can be very emotional. This article draws on theories from experimental psychology and behavioural economics to analyse empirical evidence from a longitudinal, qualitative study of support-related choices. It argues that if people are expected to make emotion-laden choices, and to minimise negative aspects ass…
Personal Budgets and the Workforce Implications for Social Care Providers: Expectations and Early Experiences
Drawing on two studies in England, this paper explores the workforce-related impacts that social care providers envisage, and have so far experienced, from an increase in the number of people using personal budgets. It presents findings in relation to financial and workforce planning, recruitment and retention, workforce training and service user/provider relations. The discussion considers the implications not only for providers but also care wo…
Making choices about support services: Disabled adults’ and older people’s use of information
This paper explores how disabled adults and older people find and use information to help make choices about services. It presents findings from a qualitative longitudinal study in England. Thirty participants had support needs that fluctuated, meaning that additional services might be needed on a temporary basis; and 20 had the sudden onset of support needs resulting from an accident or rapid deterioration in health. Each disabled adult or older…
Making informed choices in social care: The importance of accessible information
The current policy trend is to encourage greater choice in the use of welfare services. To make informed choices, people need information. The process of finding and using information has costs for individuals in terms of effort, time and material resources. These costs are different for different people and impact on their use of information in different ways. Thus, the accessibility of information is important in ensuring those people who need …
An economic model to estimate the relative costs over 20 years of different hip prostheses
STUDY OBJECTIVE: To determine the relative costs of prostheses and factors associated with changes in these cost rankings. DESIGN AND SETTING: Economic model using published data. MAIN RESULTS: The main cost drivers are current costs and revision rates. Expected revision costs are a small proportion of the expected total costs. There are few competitors to the "gold standard" Charnley in terms of total expected costs over 20 years. There is no mo…
Making informed choices in social care: The importance of accessible information
The current policy trend is to encourage greater choice in the use of welfare services. To make informed choices, people need information. The process of finding and using information has costs for individuals in terms of effort, time and material resources. These costs are different for different people and impact on their use of information in different ways. Thus, the accessibility of information is important in ensuring those people who need …
Making choices about support services: Disabled adults’ and older people’s use of information
This paper explores how disabled adults and older people find and use information to help make choices about services. It presents findings from a qualitative longitudinal study in England. Thirty participants had support needs that fluctuated, meaning that additional services might be needed on a temporary basis; and 20 had the sudden onset of support needs resulting from an accident or rapid deterioration in health. Each disabled adult or older…
Choice and control in social care: Experiences of older self‐funders in England
This paper considers the experiences of older self‐funders in England in the context of policies promoting choice and control. Self‐funders are people who are not state‐funded; they pay for social care from their own resources. Choice and control have been operationalized through personal budgets, based on the assumption that managing resources enhances ability to access appropriate care and support. This paper uses data from 40 qualitative inter…
The Role of Emotions in the Process of Making Choices about Welfare Services: The Experiences of Disabled People in England
Choice is central to developments in many areas of welfare. Making choices, for example about health, social care, employment and housing, can be very emotional. This article draws on theories from experimental psychology and behavioural economics to analyse empirical evidence from a longitudinal, qualitative study of support-related choices. It argues that if people are expected to make emotion-laden choices, and to minimise negative aspects ass…
Did anyone notice the transformation of adult social care? An analysis of Safeguarding Adult Board Annual Reports
Purpose – The purpose of this paper is to report on a part of a study examining the interrelationships between personalisation and safeguarding practice. Specifically the authors aimed to examine how safeguarding practice is affected by the roll out of personalisation in adult social care, particularly when the adult at risk has a personal budget or is considering this. Design/methodology/approach – A sample of annual reports from Adult Safeguard…
Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data
With the continued implementation of the personalisation policy, Personal Budgets (PBs) have moved to the mainstream in adult social care in England. The relationship between the policy goals of personalisation and safeguarding is contentious. Some have argued that PBs have the potential to empower recipients, while others believe PBs, especially Direct Payments, might increase the risk of abuse.This paper provides empirical evidence about levels…
Personal Budgets and the Workforce Implications for Social Care Providers: Expectations and Early Experiences
Drawing on two studies in England, this paper explores the workforce-related impacts that social care providers envisage, and have so far experienced, from an increase in the number of people using personal budgets. It presents findings in relation to financial and workforce planning, recruitment and retention, workforce training and service user/provider relations. The discussion considers the implications not only for providers but also care wo…
The role of uncertainty in planning for self-funded social care for older people with a diagnosis of dementia
This paper considers how a diagnosis of dementia affects people's planning for future social care needs and associated costs. It addresses the gap in knowledge about how people recently diagnosed with dementia, and their family carers, engage with planning for social care needs that are uncertain in timing and scale. The paper also considers people's attitudes to planning for care that they may need to pay for privately, and what facilitates or h…
Social care causes of delayed transfer of care ( DTOC ) from hospital for older people: Unpicking the nuances of ‘provider capacity’ and ‘patient choice’
Unnecessarily prolonged stays in hospitals can have negative impacts on patients and present avoidable costs to health and social care systems. This paper presents the qualitative findings of a multi-methods study of the social care causes of delayed transfers of care (DTOC) for older people in England. The quantitative strand of this study found that DTOC are significantly affected by homecare supply. In this paper, we explore in depth how and w…
An economic model to estimate the relative costs over 20 years of different hip prostheses
STUDY OBJECTIVE: To determine the relative costs of prostheses and factors associated with changes in these cost rankings. DESIGN AND SETTING: Economic model using published data. MAIN RESULTS: The main cost drivers are current costs and revision rates. Expected revision costs are a small proportion of the expected total costs. There are few competitors to the "gold standard" Charnley in terms of total expected costs over 20 years. There is no mo…
Making informed choices in social care: The importance of accessible information
The current policy trend is to encourage greater choice in the use of welfare services. To make informed choices, people need information. The process of finding and using information has costs for individuals in terms of effort, time and material resources. These costs are different for different people and impact on their use of information in different ways. Thus, the accessibility of information is important in ensuring those people who need …
Personal Budgets and the Workforce Implications for Social Care Providers: Expectations and Early Experiences
Drawing on two studies in England, this paper explores the workforce-related impacts that social care providers envisage, and have so far experienced, from an increase in the number of people using personal budgets. It presents findings in relation to financial and workforce planning, recruitment and retention, workforce training and service user/provider relations. The discussion considers the implications not only for providers but also care wo…
Making choices about support services: Disabled adults’ and older people’s use of information
This paper explores how disabled adults and older people find and use information to help make choices about services. It presents findings from a qualitative longitudinal study in England. Thirty participants had support needs that fluctuated, meaning that additional services might be needed on a temporary basis; and 20 had the sudden onset of support needs resulting from an accident or rapid deterioration in health. Each disabled adult or older…
The Role of Emotions in the Process of Making Choices about Welfare Services: The Experiences of Disabled People in England
Choice is central to developments in many areas of welfare. Making choices, for example about health, social care, employment and housing, can be very emotional. This article draws on theories from experimental psychology and behavioural economics to analyse empirical evidence from a longitudinal, qualitative study of support-related choices. It argues that if people are expected to make emotion-laden choices, and to minimise negative aspects ass…
Did anyone notice the transformation of adult social care? An analysis of Safeguarding Adult Board Annual Reports
Purpose – The purpose of this paper is to report on a part of a study examining the interrelationships between personalisation and safeguarding practice. Specifically the authors aimed to examine how safeguarding practice is affected by the roll out of personalisation in adult social care, particularly when the adult at risk has a personal budget or is considering this. Design/methodology/approach – A sample of annual reports from Adult Safeguard…
Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data
With the continued implementation of the personalisation policy, Personal Budgets (PBs) have moved to the mainstream in adult social care in England. The relationship between the policy goals of personalisation and safeguarding is contentious. Some have argued that PBs have the potential to empower recipients, while others believe PBs, especially Direct Payments, might increase the risk of abuse.This paper provides empirical evidence about levels…
Safeguarding and personal budgets: The experiences of adults at risk
Purpose The purpose of this paper is to present findings from one element of a study exploring the relationship between personalisation, in the form of personal budgets (PBs) for publicly funded social care and safeguarding. Design/methodology/approach Semi-structured interviews were conducted with 12 people receiving PBs who had recently been the focus of a safeguarding investigation. Participants were recruited from two English local authority …
Choice and control in social care: Experiences of older self‐funders in England
This paper considers the experiences of older self‐funders in England in the context of policies promoting choice and control. Self‐funders are people who are not state‐funded; they pay for social care from their own resources. Choice and control have been operationalized through personal budgets, based on the assumption that managing resources enhances ability to access appropriate care and support. This paper uses data from 40 qualitative inter…
What Skills Do Older Self-Funders in England Need to Arrange and Manage Social Care? Findings from a Scoping Review of the Literature
Older people in England who pay for social care from their own funds (‘self-funders’) receive little help in seeking and arranging care compared to older people funded by their local council. This suggests an implicit assumption that people funded by local councils need help to manage their care whereas self-funders do not. This article reports findings from a scoping review of published evidence from England, Scotland and Wales on the skills tha…
Social care causes of delayed transfer of care ( DTOC ) from hospital for older people: Unpicking the nuances of ‘provider capacity’ and ‘patient choice’
Unnecessarily prolonged stays in hospitals can have negative impacts on patients and present avoidable costs to health and social care systems. This paper presents the qualitative findings of a multi-methods study of the social care causes of delayed transfers of care (DTOC) for older people in England. The quantitative strand of this study found that DTOC are significantly affected by homecare supply. In this paper, we explore in depth how and w…
A Discrete Choice Experiment of Older Self-Funders’ Preferences When Navigating Community Social Care
Most long-term care systems (social care) for older people rely on some means testing, copayment system, private insurance, or other non-governmental funding to supplement state provision. In England, an estimated quarter of homecare delivery is funded privately. For many older people, the absence of state funding for their care is only part of the problem: they are also expected to search for care in a market characterised by complexity, plurali…
Care chronicles: Needing, seeking and getting self-funded social care as biographical disruptions among older people and their families
Social care to assist with the activities of daily living is a necessity for many older people; while informal care provided by family members can be a first step to meeting care needs, formal care provided by professionals is often needed or preferred by older people and their families. In England, the number of older people paying for formal care is set to rise, driven by an ageing population and the limited resources of local authorities. Litt…
The role of uncertainty in planning for self-funded social care for older people with a diagnosis of dementia
This paper considers how a diagnosis of dementia affects people's planning for future social care needs and associated costs. It addresses the gap in knowledge about how people recently diagnosed with dementia, and their family carers, engage with planning for social care needs that are uncertain in timing and scale. The paper also considers people's attitudes to planning for care that they may need to pay for privately, and what facilitates or h…
Medicine (13 works) · Healthcare innovation and challenges (12 works) · Political science (11 works) · Public relations (10 works) · Nursing (9 works) · Psychology (9 works) · Sociology (9 works) · Business (8 works) · Qualitative research (8 works) · Marketing (7 works)