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The potential impact of changes in public funding for residential and nursing-home care in the United Kingdom

The Residential Allowance

Bibliographic Data

ID11201272
AuthorsPaul Clarkson (0000-0002-0778-312X, University of Manchester), Jane Hughes (0000-0002-6158-1211, University of Manchester), David Challis (0000-0003-3231-1586, University of Manchester)
Year2005
Volume25
Issue2
Pages159-180
Publication date2005-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAgeing and Society (JOURNAL)
Journal identifiersISSN: 0144-686X • E-ISSN: 1469-1779
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0144686x04002582
OpenAlexW2121250750
LanguageEN
Citations received5

The pursuit of independence and avoidance of unnecessary care-home admissions are key elements of British government policy for the care of older people. The present government's objective to maintain independence has been compromised by the ‘Residential Allowance’ which, as a component of social security payable to residents in independent-sector homes, could be seen as an incentive to place people in care-homes rather than seek care-at-home. In order to remove this incentive, the government proposed to abolish the allowance and instead transfer resources by a grant to local authorities. This was intended to promote independence by making available funds with which social services departments could support domiciliary care. This paper examines the potential impact of the proposal from the perspective of front line practitioners and managers. Calculations of the proposal's likely effects in five authorities were made from a simulation of their usual decision-making processes. The results, applied to the national picture, showed only a marginal effect of the change upon admissions to care homes. The potential effect of the change in diverting admissions from care homes was seen to be hampered by organisational influences which vary between authorities

Allowance (engineering) · Business · Economic growth · Economics · Government (linguistics) · Incentive · Independence (probability theory) · Nursing homes · Operations management · Public economics · Social security · Healthcare innovation and challenges · Housing, Finance, and Neoliberalism · Medicine · Nursing · Social Policy and Reform Studies

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  • Geographical and structural change in nursing care provision for older people in England, 1993–2001

    Open Access•Robert Ford, Robert G Ford et al.•Geoforum•2007

  • The Intersection of Gender, Culture and Society for Caregivers of Older Adults Ageing in Place in Ontario, Canada

    Open Access•D Jacobson, Tashani Parker et al.•Health Expectations•2025

  • Has social care performance in England improved? An analysis of performance ratings across social services organisations

    Paul Clarkson, Sue Davies et al.•Policy Studies•2009

  • Performance Measurement in Adult Social Care

    Paul Clarkson•The British Journal of Social Work•2010

Unique citing works5
Citations per year0,26
Citation span2007 - 2025 (19)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5

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