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Free Personal Care for the Elderly: Reflections on Universalism Professor David Bell University of Stirling. Spending on Free Personal Care. 2011/12 Total FNPC Spend= £450m Total AA Spend = £481m AA Spend - Scotland/UK = 9%. Take up of Free Personal Care .
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Free Personal Care for the Elderly:Reflections on UniversalismProfessor David BellUniversity of Stirling
Spending on Free Personal Care 2011/12 Total FNPC Spend= £450m Total AA Spend = £481m AA Spend - Scotland/UK = 9%
Care home clientneeding both nursing and personal care • England • Nursing Care – £109.79 pw • Personal Care – £0 pw • Attendance Allowance – £79.15 pw • Total - £.188.94 pw • Capital Limit - £23,250 • Scotland (over 65) • Nursing Care – £75 pw • Personal Care – £166 pw • Attendance Allowance – £0 pw • Total - £241 pw • Capital limit - £25,250
Current Scottish attitudes to free personal care Individual Survey conducted by YouGov Dec 2013 n = 2032 Question The free personal care scheme should be scrapped and not replaced All older people, whatever their income, should continue to be entitled to free personal care The free personal care scheme should be replaced with a scheme available only to those on lower incomes. Don't know No opinion
Reflections • Gatekeeper effects • Payments for personal care • AA claimants in Scotland = 132,000 in Aug 2013 • Perception and reality of universalism may be quite different • Free care in Scotland? • Not all universal benefits are equally valued • Support tends to be biased towards probability of benefit • Important to understand spillover costs/benefits of universal policies • Belief that universal policy provides universal solution can be misplaced • FPC does not fully insure against costs of care
Age • All age bands that elderly people should have free personal care. • Younger people between the bands of 20 to 30 have the lowest support for means tested elderly care. • Preference for universal elderly care increases with the age of the respondents .