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Community Care Funding

     At some point, if you have dementia, you are fairly certain to become involved with Social Services in assessing your care requirement. Of all the things initially difficult for us was the differentiation between and the understanding of health care, social care and who pays for what. These distinctions may have been clear to social service practitioners we came across but they were not very good at elucidating it to the uninitiated. Basically, if you are in the community and have some savings, you pay for the help you need with your illness. This was always a grey area we did not properly understand so for completeness on this website we have produced a SUMMARY of broken government promises to avoid paying for care.It is up to date as far as possible but whatever happens next has to wait till after the 2015 General Election.
    Spending constraints on social care have led local authorities to tighten eligibility criteria, and this has resulted in an increase in unmet need. Nowhere is the need for fundamental change more apparent than in social care where arrangements rooted in the 1940s have not kept pace with the social and demographic changes. Rapid growth in the numbers of frail older people and younger people with disabilities has outstripped increased funding. A growing gap between needs and resources has led to a tighter rationing of care by local authorities, restricting publicly funded care to those with substantial and/or critical needs. The net result of these trends is that the publicly funded system is more narrowly focused on those with the highest needs and lowest means.

The Dementia Challenge

    If you are not 'connected' to dementia in any way, that is not a carer, health worker or researcher, it is fairly easy not to be aware of the subject. For example, the Government and DoH run awareness campaigns about strokes, cancer, smoking etc., 'advertisements often appearing in one form or another on TV, but very rarely anything about dementia or Alzheimer's. Because it is typically an illness of old age, it doesn't have a marketable 'brand' and it can't be cured anyway. However, there is a lot of work underpinning dementia today, but how well is the public aware of it? Even I, with a clear interest in dementia was not aware of the G8 Dementia Summit in 2013 or the Dementia Challenge in 2014 until they were all over following brief news coverage on TV. The Labour government in 2009 realised the looming dementia problem and Alan Johnson kick-started a National Dementia Dementia Strategy in 2009, 'Living well with Dementia', aimed at implementation over a 5 year period. This was aimed at greater focus on local delivery and local accountability. However, it was left to the Conservatives to get into a higher gear when David Cameron introduced the Prime Minister's Challenge for major improvements in dementia care and research by 2015. A further document was issued outlining where the dementia accomplishments should be by 2020. Details and summary of the Challenge can be found HERE Today there is a considerable amount of dementia activity on-going but still you have to look for it. Sadly, dementia research has been grossly underfunded for years, governments up till now have chosen to dump the consequences on local communities, but both Labour and Conservative have promised extra funding....we shall see. The problem which has been building up over many years is a massive one, there is much catching up to do.

population increase increasing elderly population social care cost to the state care cost distribution poulation up; spending down Dilnot asset depletion Dilnot care depletion care by age numbers in care homes who pays for care? funding not equal to demand