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KMID : 1023720060320010223
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Journal of Welfare for the Aged
2006 Volume.32 No. 1 p.223 ~ p.245
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Increasing Supply of the Community Care Services for the Elderly through the Private Sector: Lessons from the U.K.
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Woo Kuk-Hee
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Abstract
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Today, the policy priority of long term care for the elderly is the domiciliary care. In U.K., an objective of the 1990 National Health Service and Community Care Act was to promote the development of domiciliarty care services to enable people to
live in their own homes. To facilitate this, the Act demanded local authorities to increase the independent sector to offer care services. This resulted in a rapid growth of independent sector, especially, private sector provision. This study examined the various strategies to extend and reinforce the domiciliary care in U.K. and discussed several negative sides of them. As a result, six key strategies emerged from this study, that is, funding and financial incentives, change of the role of local authority social service departments from provider to purchaser, emphasis on personal care not domestic help, intensification services ―providing a more intensive service for fewer people, expansion of Direct Payment Scheme, exemption an additional tax.
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KEYWORD
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domiciliary care, independent sector, private sector, personal care, domestic help, intensive service, Direct Payment, exemption an add, tax
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