Long Term Care in Europe

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Presentation transcript:

Long Term Care in Europe MISSOC NETWORK MEETING Budapest, 19 & 20 May 2011 Long Term Care in Europe John Ditch

Long Term Care in Europe Right Questions and Wrong Answers? or Wrong Questions and Right Answers? 20 Submissions (but 3 were ‘nil responses’) Focus on LTC for Older People

Long Term Care in Europe Distinguishing Terms: Long Term Care Community Care Residential Care Formal Care Informal Care

Long Term Care in Europe Trends in Long Term Care The key drivers: demography, expectations, female roles The key constraints: expenditure & staffing Balance between formal and informal care; public, private and voluntary sectors; national or local government Legal basis Funding principles and practice

Long Term Care in Europe

Long Term Care in Europe

Long Term Care in Europe EU over-sight & principles Promoting access Improving quality Ensuring sustainability

Long Term Care in Europe ACCESS Rights to LTC not same as access to LTC Lack of insurance cover Lack of provision Poor geographical coverage High cost Waiting times and assessment complexity

Long Term Care in Europe QUALITY (1) Quality standards vary between/within countries Poor nursing Patient/resident abuse Inadequate accommodation Lack of privacy/dignity

Long Term Care in Europe QUALITY (2) Inspection regimes and methodologies Infrastructure: buildings, rooms, facilities, staffing levels… Care in practice: clear information, assessment procedures, diet, staff training Outcomes: pressure sores, infections, drug use, falls, mortality rate

Long Term Care in Europe SUSTAINABILITY (1) Financial: Public Social Insurance (DE, LU, ES) Public taxation (Nordic, LT) Public means tested (UK, CY, IRE) Mixed (FR, BE, EL)

Long Term Care in Europe SUSTAINABILITY (2) Organisational: Coordination of services Alignment of tiers of responsibility Promote health/active lifestyles diet, smoking, alcohol life skills Training of staff and support for carers

Long Term Care in Europe

Long Term Care in Europe

Long Term Care in Europe CONCLUSION Demographic imperative Sustainability challenge Quality standards Balance between public and private