ESSENCE CASE STUDY Help-at-home: economic evidence

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Key Points


  • Help-at-home schemes provide older people with access to a range of highly-valued support and can lead to health and wellbeing benefits.
  • Help-at-home schemes appear to save local government and the NHS around £1500 per person per year, owing to:
    • people remaining longer in their homes, rather than moving to care homes;
    • fewer GP appointments;
    • fewer hospital admissions.
  • Benefits of help-at-home schemes might also accrue to volunteers providing support (who are more likely to find jobs after gaining skills through volunteering with the schemes).
  • Findings from the economic evaluation summarised here are the first to demonstrate that help-at-home schemes also have the potential to offer value for money
  • Despite the support provided by help-at-home schemes some older people continue to experience loneliness, financial worries and personal care.
  • Despite economic evidence that help-at-home schemes can be good value for money, many benefits are likely to depend on local infrastructures and how such schemes are run, making it hard to generalise their value.

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NIHR School for
Social Care Research