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Presentation for Department of Health (DH) Showcase event on DH funded research
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RESEARCH ON CARERS’ SUPPORTJO MORIARTY
DH SHOWCASE 2
OUTLINEFOCUS ON SOME OF THE NIHR SSCR FUNDED RESEARCH ON CARERS
07/10/14
DH SHOWCASE 3
CONTEXT
Courtin et al (2014) cross-EU comparison
England has: Specific policies to support
carers
Specific legal entitlements for carers
National data on who is caring and support they provide
No cause for complacency but opportunity to acknowledge impact of DH policy and DH funded research
07/10/14
DH SHOWCASE 4
NIHR SSCR RESEARCH ON CARERS
Research on caring shows multiple impacts on people’s lives
Reflected in different NIHR SSCR projects
Range from Large scale survey data to improve identification of
carers (Netten et al)
Studies of carers and paid employment (Pickard et al)
Studies of carers’ experiences (Mitchell et al, 2013, Moriarty et al, 2014)
07/10/14
DH SHOWCASE 5
IDENTIFYING CARERS
The problem
Research highlighting the number of carers who care for many years without any support (Carers UK, 2014; Moriarty et al, 2014, plus virtually every other study!)
Where research is helping
Secondary analysis of two surveys Survey of Carers in Households
(2009-10)
Personal Social Services Survey of Adult Carers in England (2009-10)
Compare those who are visible to local councils
Look at factors influencing carer quality of life
07/10/14
DH SHOWCASE 6
CARERS AND PAID EMPLOYMENT
The problem
An estimated 315,000 people (mainly women) aged 16-64 have left paid employment to care Impact on their own careers
Impact on skills levels within workforce
Impact on household income now and in retirement
Where research is helping
Identified low ‘thresholds’ at which carers leave paid employment <10 hours likely to stay
>10 hours likely to leave
Implications of Care Act 2014
07/10/14
DH SHOWCASE 7
PERSONALISATION
The problem
Policies on personalisation and carer support don’t seem to have developed in tandem (Glendinning et al, 2013)
Where research is helping
Shows lack of clarity that continues to exist among practitioners and carers about carer assessments and carer involvement in assessments of person cared for07/10/14
DH SHOWCASE 8
SOCIAL CARE PRACTICE WITH CARERS
The problem
New roles for carer support workers have developed but under-evaluated
Major changes in way social care is arranged and provided
Where research is helping
Positively evaluated by carers
Undertaking multiple roles
Carers don’t want more information; they want better quality, better targeted information
Understanding impact on markets especially in role of voluntary sector
07/10/14
DH SHOWCASE 9
CHALLENGE IN EMBEDDING RESEARCH FINDINGS
If professionals don’t know what carers need by now they never [will] … You know new people take over, ‘Ooh, we want to know about the care…’ Can you imagine after twenty odd years how many meetings of professionals I’ve sat [in]? And it’s very simple what carers want. (Una, CARER09)
07/10/14
DH SHOWCASE 10
CONCLUSION
Move from ‘problems’ to greater precision about what is working for whom and in what circumstances
Recognising continuities in some aspects Impact on social support
Long term impact of caring
Identifying where changes are having an impact Nuanced impacts of personal budgets
07/10/14
DH SHOWCASE 11
DISCLAIMER
The preparation of this presentation was made possible by a grant from the National Institute for Health Research (NIHR) School for Social Care Research on Social Care Practice with Carers. The views expressed in this presentation are those of the authors and not necessarily those of the NIHR School for Social Care Research or the Department of Health/NIHR
07/10/14
DH SHOWCASE 12
IMAGES AND REFERENCES
Slide number
Reference
1 Photograph of carers who have taken Caring with Confidence course in Grimsby via Carers Trust
3 Courtin, E., Jemiai, N. and Mossialos, E. (1 August 2014) 'Mapping support policies for informal carers across the European Union', Health Policy. http://dx.doi.org/10.1016/j.healthpol.2014.07.013
5 Using recent surveys to improve support for unpaid carershttp://www.sscr.nihr.ac.uk/PDF/ProjectOutlines/PO33.pdf
6 Unpaid care and employment in Englandhttp://www.sscr.nihr.ac.uk/PDF/Findings/Findings_10_carers-employment_web.pdf
07/10/14
DH SHOWCASE 13
IMAGES AND REFERENCES (2)
Slide number
Reference
7 Carers and personalisationhttp://sscr.nihr.ac.uk/PDF/Findings/SSCRResearchFindings_12_.pdf
8 Social care practice with carershttp://www.ingentaconnect.com/content/tpp/vsr/2014/00000005/00000002/art00007
07/10/14