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  • Bauer, Annette  (3)
  • England
  • 1
    In: Community Development Journal, 2013, Vol. 48(2), pp.313-331
    Description: Current debates about the sustainability of public commitments include discussion of the adequacy and affordability of collective health and social care responses to the rapidly growing needs of ageing communities. A recurrent theme in England is whether communities can play greater roles in preventing the emergence of social care needs and/or helping to meet them. Various approaches have been suggested, including community development, community capacity-building and creating social capital. We investigated whether there is an economic case for initiatives of this kind, cognizant of the fact that there are many other objectives for any local scheme. We used a cost–benefit approach and decision-modelling techniques to examine potential costs and economic consequences in a context where evidence is limited and there is little opportunity to collect primary data. We conclude that there could be sizeable savings to the public purse when investing in community capital-building initiatives at relatively low cost.
    Keywords: Social Services ; Cultural Capital ; Basic Needs ; Community Development ; Ageing ; Cost-Benefit Analysis ; Social Capital ; England ; United Kingdom ; Sociology;
    ISSN: 0010-3802
    E-ISSN: 1468-2656
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  • 2
    In: Health & Social Care in the Community, March 2017, Vol.25(2), pp.780-789
    Description: Solutions to support older people to live independently and reduce the cost of an ageing population are high on the political agenda of most developed countries. Help‐at‐home schemes offer a mix of community support with the aim to address a range of well‐being needs. However, not much is currently known about the costs, outcomes and economic consequences of such schemes. Understanding their impact on individuals’ well‐being and the economic consequences for local and central government can contribute to decisions about sustainable long‐term care financing. This article presents results from a mixed‐methods study of a voluntary sector‐provided help‐at‐home scheme in England for people of 55 years and older. The study followed a participatory approach, which involved staff and volunteers. Data were collected during 2012 and 2013. Social care‐related quality of life was measured with the Adult Social Care Outcomes Toolkit for 24 service users (59% response rate) when they started using the scheme and 4–6 months later. A customised questionnaire that captured resource use and well‐being information was sent to 1064 service users (63% response rate). The same tool was used in assessment with service users who started using the scheme between November 2012 and April 2013 (100% response rate). Costs of the scheme were established from local budget and activity data. The scheme was likely to achieve a mean net benefit of £1568 per person from a local government and National Health Service (NHS) perspective and £3766 from the perspective of the individual. An expenditure of £2851 per person accrued to central government for the additional redistribution of benefit payments to older people. This article highlights the potential contribution of voluntary sector‐run help‐at‐home schemes to an affordable welfare system for ageing societies.
    Keywords: Costs ; Economic ; Home ; Independent Living ; Older People ; Third Sector
    ISSN: 0966-0410
    E-ISSN: 1365-2524
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  • 3
    Language: English
    In: Journal of Intellectual Disabilities, June 2016, Vol.20(2), pp.194-207
    Description: Circles of Support aim to enable people with learning disabilities (and others) to live full lives as part of their communities. As part of a wider study of the economic case for community capacity building conducted from 2012 to 2014, we conducted a mixed methods study of five Circles in North West England. Members of these Circles were supporting adults with moderate to profound learning disabilities and provided accounts of success in enabling the core member to live more independent lives with improved social care outcomes within cost envelopes that appeared to be less than more traditional types of support. The Circles also reported success in harnessing community resources to promote social inclusion and improve well-being. This very small-scale study can only offer tentative evidence but does appear to justify more rigorous research into the potential of Circles to secure cost-effective means of providing support to people with learning disabilities than the alternative, which in most cases would have been a long-term residential care placement.
    Keywords: Circles of Support ; Economic Evidence ; Carer Benefits ; Community Capacity Building ; Personalization and Person-Centred Planning ; Social Welfare & Social Work
    ISSN: 1744-6295
    E-ISSN: 1744-6309
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