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The prevalence and dynamics of social care receipt George Stoye


Introduction We use data

Introduction We use data from the English Longitudinal Study of Ageing to examine the prevalence and dynamics of social care received in private households. We start in Chapter 2 by using the latest available data to update existing evidence on the prevalence of receiving help with certain activities among the older population. Specifically, we describe, for a given point in time, who receives help, what type of help is received, how many hours of help are received from different sources, and the role of local authorities and private finance. To provide additional context, potential care needs among the older population are described in Appendix B. In Chapter 3, we exploit the longitudinal nature of the data to provide the first evidence on the dynamics of care receipt in England: how the proportion of individuals receiving domestic care changes when we consider a period of time rather than a snapshot, and what characteristics and factors are associated with starting and ending care receipt. Finally, in Chapter 4, we consider how the receipt of care differs across different date-of-birth cohorts, the possible drivers of this variation and its potential implications in the context of an ageing population. Chapter 5 concludes. © Institute for Fiscal Studies 7

The Prevalence and Dynamics of Social Care Receipt 2. Receipt of Social Care in 2014–15 Key findings A quarter of the population aged 65 and over received some form of assistance in 2014–15. 26% of individuals report receiving some form of assistance to address difficulties with activities of daily living. The majority of assistance is provided by informal providers. 23% of individuals receive help from an informal provider, such as a spouse or child. 9% of individuals receive formal care. 6% of individuals receive help from both informal and formal sources. Many individuals with specific difficulties do not receive help, and this varies considerably across activities. 78% of individuals who report a mobility difficulty do not receive help with this activity. On the other hand, more than 80% of individuals reporting difficulty with managing money or taking medication receive some assistance with these activities. It is not clear to what extent these differences accurately reflect met and unmet need in each category. Many factors are associated with the receipt of care. A number of factors are associated with the receipt of care, and these vary by type of care (informal or formal). Older individuals and those with a greater number of difficulties are more likely to receive all forms of care. Family, and in particular partners, play an important role in determining what type of care individuals receive. Individuals with a partner are more likely to receive informal care, but less likely to receive formal care, than an otherwise similar single individual. This is consistent with the evidence that partners are the most common providers of informal care. Individuals with children are also more likely to receive informal care and less likely to receive formal care. 8 © Institute for Fiscal Studies

The dynamics of social assistance benefit receipt in Britain