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QUALITY OF SERVICES FOR OLDER PEOPLE: AN ENGLI S H PERSPECTIVE

QUALITY OF SERVICES FOR OLDER PEOPLE: AN ENGLI S H PERSPECTIVE. Chris Payne. CONTEXT. England – population about 50 million, the largest of the 4 countries comprising the UK An ageing population – as many retired people as there are under 21

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QUALITY OF SERVICES FOR OLDER PEOPLE: AN ENGLI S H PERSPECTIVE

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  1. QUALITY OF SERVICES FOR OLDER PEOPLE: AN ENGLISH PERSPECTIVE Chris Payne

  2. CONTEXT • England – population about 50 million, the largest of the 4 countries comprising the UK • An ageing population – as many retired people as there are under 21 • Income, Health, Housing, Personal Care are all linked issues affecting quality of life • Demand for services is from older people with disabilities and health care problems e.g. dementia

  3. SERVICES • About 20k care homes the majority owned by independent providers • 4k domiciliary care agencies • Numerous voluntary organisations • Supported housing • Local Authorities more commissioners than providers • Development of a regulated market approach

  4. REGULATION • State Regulation using legislation, standards, inspection, legal enforcement • Quality assurance requirements built into standards • Separate standards for each set of services with common underpinning values and principles • Introduction of quality ratings from 2007

  5. COMMENTS • Do top down approaches drive up standards? In some ways yes in other ways no • Strengths – better protection, focus on needs of people receiving the services, greater transparency and awareness of what is needed • Weaknesses – approach is over controlled and too bureaucratic, too sensitive to political and media influences

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