Davies, Bleddyn
(2007)
Securing good care for older people: taking a long-term view.
Ageing Horizons, 6
.
pp. 12-27.
ISSN 1746-1081
Abstract
The paper aims to explain and evaluate two key features
of Securing Good Care for Older People, the Wanless
Report on alternative mechanisms for funding long-term
care of older people. One is the new elements of the
methodology for evaluating the alternatives (section 1.1).
The paper argues that more successfully than previously
and analyses in other countries, these elements focus attention
on what are really the core issues: the means and ends
which are the unique foci of long-term care, and estimates
of the consequences of alternatives for them. By doing so,
the report faces the politicians and policy analysis and
research communities with a formidable challenge, to
master and contribute to the development of the new
framework and evidence. Failure to meet the challenge will
increases the risk that the policy system will reinforce
rather than weaken causes of gross inequity and inefficiency
caused by the under-funding of long-term care
seemingly unanswerably demonstrated by the report. The
second key feature is the type of funding model the Report
recommends given expected changes in the balance
between demands and public expenditure. Section 1.2
argues that the report’s analysis as successfully transforms
the state of the argument about this as much as about the
framework, methodology and evidence for evaluating alternatives,
demonstrating the relative weakness of models
widely advocated a decade ago. Part 2 discusses how to
build on the Report. Section 2.1 discusses the framing of
issues and the analysis of evidence for each of the key foci
of the report’s main contribution to evaluation methodology.
Section 2.2 discusses whether the recommended
model would be the wisest choice given the environment
likely during the next few decades.
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