This report from the Health Foundation and Nuffield Trust explores the size and scope of cuts to social services for older people in England between 2009/10 to 2012/13. Many local authorities are rationing social care for the over-65s, with significant reductions in the number of people receiving services.
Ismail, S. Thorlby, R. and] Holder, H. (2014). Focus On: Social care for older people. Reductions in adult social services for older people in England. London: The Health Foundation / Nuffield Trust, March 2014.
The contents list comprises:
- What is social care?
- The challenge of monitoring the impact of changes in social care funding.
- Structure of this report.
- Context: social care provision before 2010.
- The growing demand for social care.
- Who meets these needs?
- Unmet need.
- Trends in informal care before 2010.
- What is publicly funded care and who gets it?
- Impact of budget cuts on spending on adult social services from 2010.
- Local government: reductions in overall income.
- How have local authorities responded to funding reductions?
- Implementing cuts within adult social care budgets.
- Spending on adult social care services since 2010.
- Impact of budget cuts on access to and volume of adult social services.
- Changes in eligibility for publicly funded social care.
- Declining numbers of recipients of publicly funded social care.
- Waiting times.
- Contact time.
- Identifying potential indicators of quality: data deficits and ways ahead.
- Impact of budget cuts on outcomes: wellbeing and health services.
- Information collection on outcomes from social care for older adults.
- Perceptions of quality of life.
- Impact on health services.
- Impact on the quality of social care services: residential and nursing homes.
- References and data sources.
- Appendix: Fair Access to Care Services (FACS) framework to assess eligibility for need.