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UK Centre for the Measurement of Government Activity

Explore a new method to measure Adult Social Care provision and improve quality adjustment for accurate assessment. Learn how to determine levels of needs and account for quality changes effectively.

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UK Centre for the Measurement of Government Activity

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  1. UK Centre for the Measurement of Government Activity A new approach to measuring the provision of Adult Social Care Measurement of non-market output in education and health. October 2006 Jim Ebdon

  2. Overview • £15bn: 6% Government Final Consumption Expenditure • Current measure in UK National Accounts • The need for quality adjustment • Measuring quality change • Other adjustments • Summary

  3. Current Measure • Cost weighted activity index (23 components)

  4. Need for quality adjustment • E.g. for care homes. • Current measure uses care-weeks • Assumes all clients have the same need • OK, if average need doesn’t change • But, UK policy is pushing up average need • Growth is underestimated

  5. How to account for quality change? • Further differentiation by need or • Change in average level of need. • Personal Social Service Research Unit proposal • Average level of need or ‘Capacity for Benefit’ • Holistic: captures all/most need aspects in a single measure • Needs categorised by outcome

  6. Categories of need – Outcome Dimensions • 9 outcome dimensions identified • Personal cleanliness and comfort • Social participation and involvement • Control over daily life • Meals and nutrition • Safety • Accommodation cleanliness, order and accessibility • Employment and occupation • Role support (as a carer or parent) • Living in own home

  7. Levels of need: For each service • Who decides level of need? • Experts • Providers • Procurers • Clients  • Which dimensions does the service affect? • What level of need? (high, low, no need)

  8. Needs profile – Intensive Home Care

  9. Weights • Combines the outcome data into a single measure • Relative value of providing care for each cell. • For each dimension • For each need level • No need = 0 (no service if no benefit) • Who decides the weight? • Experts, Providers, Procurers, Clients • Population 

  10. Calculation of average level of needs • For all identified dimensions of outcome • Data of levels of needs in each dimension • Weighted together by population preferences • Produces a measure of average level of need for each component of the output index

  11. Other quality adjustments • Needs will not all be met • Adjust for actual delivery • Adjust for client experience • Satisfaction surveys / inspection data

  12. Summary of proposed method

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