Targeting, care management and preventative services for older people: The cost-effectiveness of a pilot self-assessment approach in one local authority
Clarkson P British Journal of Social Work, 40, 2255-2273. 2010
|Project ID (Internal)
|Full Reference (text)
|Clarkson P, Hughes J, Challis D, et al (2010) Targeting, care management and preventative services for older people: The cost-effectiveness of a pilot self-assessment approach in one local authority. British Journal of Social Work. 40:2255-2273. [The abstract can be accessed here]
|Full Reference (URL)
|Summary / Abstract
As social services councils face a more constrained economic environment and as eligibility criteria tighten, the issue of targeting becomes increasingly relevant. This paper presents findings from a pilot project in one local authority that aimed to target access to assessment for older people with low-level needs who would normally have fallen under eligibility thresholds. Self-assessment was used as a tool whereby these older people could identify, with assistance, their preferences for a range of preventative services. Via a randomised design, the study evaluated the costs and benefits, in terms of reported satisfaction, of the approach compared with the usual care management assessment. Although self-assessed cases were offered more advice as to a wider range of preventative services, which generated greater costs, total costs were lower for this group. This cost saving arose from the use of staff with a lower unit cost who also spent less time on administrative duties and gathering information. Satisfaction with self-assessment was comparable to a professional assessment, therefore representing a cost-effective approach. The project offers evidence of how councils can target resources through assessment and how self-assessment approaches may be appropriately configured to offer value for these users whilst also generating resource savings.
|Targeting, care management and preventative services for older people: The cost-effectiveness of a pilot self-assessment approach in one local authority
|British Journal of Social Work, 40, 2255-2273.
|Publication Year / End of Project
|03/01/2019 12:00 am
NIHR School for
Social Care Research