to Care? An
overview of home care services for older people in England, 2006
Report from the Commission for Social Care Inspection
to Care?, published on 18 October 2006, recommends that local
authorities should re-think the way they organise home care services
for older people. Home care services are central to the delivery
of the government's policy of helping older people to maintain independence
in their own home and to continue to play an active role in their
communities. The implication of this policy is that further expansion
in these services will be needed in the medium to long term, as
well as changes to the way they are organised and delivered. The
report aims to make a contribution to the debate about what kinds
of changes are needed by setting out some of the evidence that will
help national and local policy makers and commissioners make decisions
about what home care services should be offered to whom, and what
form they should take.
key points from the report:
care is an essential service enabling older people to remain safely
at home when they may otherwise be unable to cope.
is evidence that the current arrangements for commissioning and
providing home care are likely to be unsustainable.
tight targeting of statutory support towards those with critical
levels of need has resulted in a reduction in the number of older
people receiving state-funded home care. This impacts on the opportunity
to prevent crises and to promote the well being of older people
in the community.
the DH White Paper, 'Our Health, Our Care, Our Say' places a new
emphasis on early intervention there is no evidence that local
authority expenditure on social care for adults is shifting in
challenge to recruit, train and develop care workers to meet new
demands and ways of working will impact on the sector's ability
to expand and improve services.
gap is developing between what people themselves want and need,
and what is on offer from statutory services. Older people are
beginning to press for more choice and control.
local authorities and service providers are engaged in positive
work to transform home care.
the debate to move forward, more robust data and evidence will
be needed about the value for money of different service options,
their impact on health and other local services, and the outcomes
for older people and their carers.
work is needed to consider new ways of commissioning and providing
home care in the medium term and to evaluate the models that are
currently being piloted.
the Time to Care? executive