An ageing demographic highlights the increasing demand for a reform in adult social care
In an ageing society it seems appropriate to expect adequate funding and research to be put into finding new ways to deal with the pressures of looking after the welfare of the elderly. The reality of this however, is not so optimistic. With the population of elderly people growing, and within this the number of the very old increasing, a higher demand for care services and health research is becoming more and more prominent.
Neurological conditions such as Alzheimer’s, Dementia and Parkinson’s could also prove a more prominent figure as conditions which are age related in our future of an ageing society. The Projecting Older People Population Information System (POPPI) shows predictions of the increase of those with Dementia in 2030 to increase to 1 million in England. This is why more funding to provide more research and adequate care needs to be put in place, to avoid conditions such as these as much as possible.
The funding pressure on councils on adult social care has been a hot topic over the last few years. Adult social care is one of the largest spend areas for local authorities across the country, and the pressures to fund the ever increasing need for adult social care is intensifying as a result of the demographic predictions of an ageing population.
Since the Coalition in 2010, £1.3 billion was removed from councils annual spending on helping those aged 65 and over showing a decrease of 17 per cent, this was after Chancellor George Osborne had already promised £2 billion to councils to help care homes and provide help for the elderly. If you arrange these figures side-by-side with the number of the population in the UK aged 65 and over being 10 million, then the severity of spending cuts become alarmingly apparent. The cuts do not keep up with the demand for the need for more adult social care across the country.
A recent report showing research carried out by London Councils found that despite the potential savings from boroughs, the current funding gap in adult social care wouldn’t be resolved without the help of the government increasing borough funding allocations. The report found that by 2017/18 the estimated gap in adult social care is predicted to be at least £907 million. The report supported by Ernst and Young looked at finding an answer to these issues seeking to ‘explore whether councils could be doing more to enable them to work more efficiently and achieve additional savings from the adult social care budgets’. Though it continued to find that even if solutions were found and it was ‘possible to exploit the savings from each option to the full, there would still be a funding gap.’
Though the funding costs on adult social care are then only intensified by a growing population, but an ageing society, with the very old getting older. It is no secret that an ageing society is something that we as a population will have to get used to. Predictions made by the office for national statistics show an increase of those aged 65 and over will reach to 23 per cent by 2035. With these predictions being made, along with many others, plans need to be put in place to ensure that the welfare of the elderly is being looked after.
In 2000 there were more people over the age of 60 than there were under the age of 5. In Europe alone, 22 per cent of the population is aged 60 or over. The United Nations Population Fund has predicted that within 10 years time, the number of people aged 60 or over will pass 1 billion. This raises concerns for not only adult social care, but also for the increase of age related illnesses. POPPI has predicted that the population of England in 2030 aged 65 and over will make up to 21.46%.
However despite these radical predictions, the focus couldn’t seem farther away from the older generations. More funding is being spent on research and treatment for illnesses such as Cancer, which does affect a huge majority if the population. General Practitioner Mike Baird raises the view that most people are more concerned with helping out illnesses Cancer related, as opposed to those which are age related. Are we living in what some might describe an ageist society where the old get weaker and the young get stronger? It is becoming more and more apparent that cases of dementia and other age related conditions are common place, and are part of growing old.
Doctor Baird is fairly pessimistic on the topic of age related illnesses, “everyone agrees something needs to be done with people living longer.” The idea of incurring a mental health condition later on in life is something that people would rather avoid thinking about suggests Doctor Baird. “It’s something people would rather hope would go away , perhaps even hope for an early death to avoid more serious mental issues later on – a lot of elderly ask their relatives to shoot them “if they ever got like that” – slightly jokingly but the thought is there , people do not want to be a burden.”
According to Doctor Baird few doctors or nurses go into mental health in the aged by choice – “they often drift in as a job is available, not a glamorous career choice for a 30 year old medic.” For a busy GP, an old person with mental health problems is very time consuming and usually unrewarding, “although targets and tick boxes are now attached so it has to be done.”
Jo Yelland, an independent hospital and health care professional, who says that: “The social care system needs a massive reform to sort out these differences.” The quality of care is a huge responsibility, time consuming and expensive. Many people, despite the recent shocks of the state of care homes, still perceive the homes as safe places, when in actual fact, many are badly neglected. There is a high risk of illnesses and for people to fall over. Care homes providing quality care are often alarmingly expensive, so for those who cannot afford this often do not receive the attention and care that they need.
Jo sees this as a complex situation, “It’s really important, if the government doesn’t make a decision, then the funding issue is a major time bomb, unless the government decides who is going to pay then there is going to be absolute chaos.”
Health care professional Jo highlights that the main issue is the rate in which the population is changing. The ageing society will mean that there will be more people living alone, single, and in need, “Where is all this informal care and support that these people need?” says Jo.
“It doesn’t seem to be having much of an impact; something about which government is really going to get a grip, the outlook isn’t looking great for the next 20 years.”
For those who cannot look after themselves and rely on the need of a carer, many of whom who cannot rely on family to help look after them, are facing the prospects of moving into a care home. This raises many issues. Currently, councils carry out tests to evaluate your income and assets. If you own assets worth more than £23,250, then you will need to pay the full amount of your care. This means many have to sell their homes in order to be looked after. However new rules have been proposed to increase the amount to £123,000, but not until April 2017. The Government are proposing to pick up the really high costs, whilst the individual will cover the cost of the average care package.
Most recently, the government have tried to overhaul the current system on adult social care. Included in the Queen’s speech, by 2016 individuals long-term care costs will be capped at £72,000.
More strategic decisions need to be implemented to see as many positive changes as possible being made to the current adult social care system. Adult social care needs to be more efficient and the government need to recognise that help is needed to fill the funding gap, as the population is ageing, which puts more pressure on local authorities, the NHS and age related illnesses.
Local councils need to develop new ways to provide social care to older people, and changes such as these need to be made quickly as a result of the challenges of an ageing society.