AEA has welcomed the first independent evaluation of the Government’s ‘Cash for Care’ strategy and has urged Minister’s to hear what older people are saying and experiencing.
The report has confirmed that ‘many older people supported by adult services do not appear to want what many of them described as the ‘additional burden’ of planning and managing their own support’. It has also indicated that ‘Older people reported lower psychological well-being with Independent Budgets, and suggested that this was perhaps because they felt the processes of planning and managing their own support were burdens’.
Additionally it noted that ‘common concerns of frontline staff were … managing potential risks – for instance paying family members or neighbours (with no Criminal Records Bureau checks) to provide support. Staff were also uneasy about potential harm or risks of financial exploitation arising from users’ choices’.
Gary FitzGerald, Chief Executive of Action on Elder Abuse (AEA), said, ‘An overwhelming message from this evaluation is that the Government needs to slow down and recognise that people are different. What works for one person or group of people does not automatically work for others, and this needs to be built into the process. The Serious case review into the death of Stephen Hoskin clearly indicated that acceding to choice should not result in abandonment1 and we need to be careful that this does not happen.’
Continued FitzGerald, ‘Fundamentally, the Government needs to understand that most adults facing the sharp end of abuse are in no position to be empowered without major frameworks and structures of support. They have been actively conditioned and disempowered by the perpetrator or by the circumstances of the abuse but nevertheless have a legitimate voice that needs to be listened to, heard, and acted upon. The Government’s responses on the safeguarding implications of this report are therefore insufficient, simplistic and bear little reality to the circumstances of abusive situations. They really need to address this urgently!’
AEA has argued that citizens should not be automatically disempowered from choice and control over their lives simply as a consequence of age, disability or assumed inability, but that it instead should be based upon principles similar to those expressed within the Mental Capacity Act 2005, an assessment of ability and risk, and an appropriate infrastructure that encompasses a safeguarding approach.
Concluded FitzGerald, ‘We are concerned that the Government has already sought to weaken the messages of this independent report by implying that the situation has changed and improved. If they are genuine about personalisation then we urge them to throw equal weight behind developing choice and control within regulated services instead of exclusively championing the ‘cash for care’ model. This model represents only one way of empowering people, and for some it can be a reckless option imposed with little regard for choice or control.’
Notes to Editors:
Most elder abuse happens in people’s own homes, perpetrated by family, friends and neighbours. According to the AEA helpline this accounts for 67% of elder abuse;
Under the banner of ‘personalisation’ the Government is rushing through a ‘cash for care’ model of social care, forcing elderly people away from legislatively protected services and into an unregulated environment, governed only by guidance.
The “Evaluation of the Individual Budget Pilot Projects” report is independent, written by a combined team from The University of York’s Social Policy Research Unit, Kings College London’s Social Care Workforce Research Unit and the Personal Social Services Research Unit of Manchester University, LSE and the University of Kent. They are collectively called The Individual Budgets Evaluation Network (IBSEN). The report can be found at the Department of Health website http://www.dh.gov.uk/en/SocialCare/Socialcarereform/Personalisation/index.htm
Action on Elder Abuse depends on charitable donations to work towards its objectives of protecting older people and putting a stop to all kinds of abuse e.g. physical, psychological, financial, sexual and neglect. Please donate by calling 0208 765 7000 or visiting www.elderabuse.org.uk or simply by sending an e-mail to: getinvolved@elderabuse.org.uk
Tags: Cash for Care, Charities, Charity, Elder Abuse, Gary FitzGerald, Government, UK Charity