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The prevalence and dynamics of social care receipt George Stoye

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Executive Summary

Executive Summary Executive Summary The long-term care needs of the growing older population are increasingly important issues for policymakers and society as a whole. This report uses new data from the English Longitudinal Study of Ageing – a panel survey representative of the household population aged 50 and over in England with respondents being re-interviewed biennially – to examine the prevalence of social care and the changes to the needs and care receipt of individuals across time and between different birth cohorts. Chapter 2 This chapter uses data collected in 2014–15 to examine the prevalence of social care receipt in England among individuals aged 65 years and above, and to describe how care is funded. 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. © Institute for Fiscal Studies 1

The Prevalence and Dynamics of Social Care Receipt 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. Hours of formal care received are relatively low. Only 36% of those who report receiving formal care in the last month received 5 or more hours of formal care in the last week. This is equivalent to 5% of those reporting any difficulties with daily activities or 3% of all individuals aged 65 and over. A relatively small proportion of the population is exposed to domestic social care costs at a given point in time. Just 2% of individuals were paying for home care workers or contributing to the cost of care arranged by the local authority in 2014– 15. Chapter 3 This chapter examines the individual characteristics and events that are associated with changes in the receipt of individual social care over time. The prevalence of care is much more widespread when considering a longer period of time. Between 2002–03 and 2010–11, half of respondents reported receiving some form of assistance in at least one interview. The receipt of care is a dynamic process, with individuals entering and exiting care over time. 11% of respondents report new assistance after reporting no assistance two years earlier. 7% of respondents report no longer receiving care after reporting assistance in their previous interview. 2 © Institute for Fiscal Studies

The dynamics of social assistance benefit receipt in Britain