School for Social Care Research Improving the evidence base for adult social care practice People who fund their own social care: findings from a scoping review Kate Baxter and Caroline Glendinning SPRU, University of York Presented to SPA Conference Sheffield, July 2014
School for Social Care Research Content of presentation Why self-funders? Aims and methods Findings Size of evidence base Characteristics of self-funders Information needs Provider experiences Discussion
School for Social Care Research Definitions Self-funders people who pay for all of their social care from private resources people who ‘top up’ their local authority funding excludes means-tested contributions Social care care homes, domiciliary care, day care and extra-care housing
School for Social Care Research Why self-funders? FACS eligibility thresholds increasing Population ageing Care Act 2014 Information and advice Assessments of need Care account/care costs cap
School for Social Care Research Aims and Methods Published and grey literature from 2000 to present Database and website searches Data extraction size and characteristics of the self-funding population information and advice available or wanted providers’ experiences with self-funders reported gaps in evidence
School for Social Care Research Size of evidence base 70 references 22 both care homes and home care 29 care homes 12 home care 2 housing with care 0 day care 5 social care in general Wide range of methods
School for Social Care Research Characteristics of self-funders Overall numbers not clear, but increasing Regional differences Dependency levels lower Limited evidence on ethnicity, age and gender
School for Social Care Research Information and advice Onus on self-funders to ask Perceived unwillingness of local authorities Reluctance to share personal/financial situation Conflated needs and financial assessments Limited financial advice
School for Social Care Research Providers’ experiences Very little evidence Increasing knowledge of size and importance of self- funding home care market Inequities between local authority-funded and self- funded residents
School for Social Care Research Discussion Care Act 2014 Information and advice Market failure Identifying self-funders Staff skills and culture Self-funders’ experiences/pathways
School for Social Care Research Kate Baxter Social Policy Research Unit University of York These slides present independent research commissioned by the NIHR School for Social Care Research. The views expressed are those of the authors and not necessarily those of the NIHR School for Social Care Research or the Department of Health, NIHR or NHS.