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Establishing the Evidence Base for an Evaluation of Free Personal Care in Scotland

DescriptionThis study considers the baseline against which the development of free nursing and personal care in Scotland can be evaluated.
ISBN (Web Only)
Official Print Publication Date
Website Publication DateJune 20, 2006

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David Bell, Alison Bowes, Alison Dawson, Elizabeth Roberts, University of Stirling
ISBN 0 7559 6119 6 (Web only publication)
This document is also available in pdf format (920k)

CONTENTS

List of tables
List of figures
List of abbreviations

Executive Summary
Aim of the study
Policy review
The balance of care
Unmet need
Costs and finance
Experiences of service users
Conclusions and gaps in the evidence base

Chapter One Introduction

Chapter Two Policy Review
The policy context of free personal care
Recent developments with the potential to affect free personal care
Conclusion

Chapter Three Demographics
Demography
Household structure
Healthy life expectancy
Conclusion

Chapter Four Balance of Care
Changes in geriatric care
Care homes
Sheltered housing
Care at home
Informal care
Innovations
Conclusion

Chapter Five Unmet Need
Categories of need
Attendance allowance
Unmet need from survey data
Other research on unmet need
Adequacy of service provision
Results from the survey of scottish local authorities
Conclusion

Chapter Six Costs and Finance
Defining the costs of the policy
Care home residents
Care at home
Supporting people
Local authority expenditure on free personal care
Local authority expenditure - survey findings
Incomes and assets of older people
Conclusion

Chapter Seven Experiences and Views of Service Users
The importance of service users' views
Perspectives on personal care
Quality of life
Paying for care
Varying perspectives
Conclusion

Chapter Eight Gaps in the Evidence Base
Policy review
Demography
Balance of care
Unmet need
Finance and costs
Experiences and views of service users

Legislation Referred to in this Report
Acts of Parliament
Secondary Legislation
Bills

References

Appendix 1: Self-funding rules
Appendix 2: Study methods
A) Systematic review protocol
B) Systematic review - summary of results
C) Domiciliary care of older people questionnaire for scottish local authorities
D) Databases and statistical releases used

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

This report is available on the Scottish Executive Social Research website only
www.scotland.gov.uk/socialresearch.

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Page updated: Thursday, June 29, 2006