A King’s Fund report investigates problems in the commissioning of adult social care with a focus on home care. Issues under consideration include:
- Recruitment and retention of home care staff.
- Reductions in fees paid for council commissioned home care.
- Questions of declining quality / coverage / availability.
- Lack of joined-up care.
- Use / non-use of information technology.
- Commissioning of care on a fragmented “time and task” basis, instead of attempting to relate activities and spending to wider health and care outcomes.
- Alternative possibilities and new models of supplying home care.
Bottery, S. Jefferson, L. [and] Bennett, L. [et al] (2018). Home care in England: views from commissioners and providers. London: King’s Fund, December 2018.
There is also an Executive Summary.
New Models of Home Care
A related King’s Fund report exploring innovative models of home care:
Bennett, L. Honeyman, M. [and] Bottery, S. (2018). New models of home care. London: King’s Fund, December 2018.