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A new approach to measuring the provision of Adult Social Care

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Title: A new approach to measuring the provision of Adult Social Care


1
UK Centre for the Measurement of Government
Activity
  • A new approach to measuring the provision of
    Adult Social Care
  • Measurement of non-market output in education and
    health.
  • October 2006

Jim Ebdon
2
Overview
  • 15bn 6 Government Final Consumption
    Expenditure
  • Current measure in UK National Accounts
  • The need for quality adjustment
  • Measuring quality change
  • Other adjustments
  • Summary

3
Current Measure
  • Cost weighted activity index (23 components)

4
Need for quality adjustment
  • E.g. for care homes.
  • Current measure uses care-weeks
  • Assumes all clients have the same need
  • OK, if average need doesnt change
  • But, UK policy is pushing up average need
  • Growth is underestimated

5
How to account for quality change?
  • Further differentiation by need or
  • Change in average level of need.
  • Personal Social Service Research Unit proposal
  • Average level of need or Capacity for Benefit
  • Holistic captures all/most need aspects in a
    single measure
  • Needs categorised by outcome

6
Categories of need Outcome Dimensions
  • 9 outcome dimensions identified
  • Personal cleanliness and comfort
  • Social participation and involvement
  • Control over daily life
  • Meals and nutrition
  • Safety
  • Accommodation cleanliness, order and
    accessibility
  • Employment and occupation
  • Role support (as a carer or parent)
  • Living in own home

7
Levels of need For each service
  • Who decides level of need?
  • Experts
  • Providers
  • Procurers
  • Clients ?
  • Which dimensions does the service affect?
  • What level of need? (high, low, no need)

8
Needs profile Intensive Home Care
9
Weights
  • Combines the outcome data into a single measure
  • Relative value of providing care for each cell.
  • For each dimension
  • For each need level
  • No need 0 (no service if no benefit)
  • Who decides the weight?
  • Experts, Providers, Procurers, Clients
  • Population ?

10
Calculation of average level of needs
  • For all identified dimensions of outcome
  • Data of levels of needs in each dimension
  • Weighted together by population preferences
  • Produces a measure of average level of need for
    each component of the output index

11
Other quality adjustments
  • Needs will not all be met
  • Adjust for actual delivery
  • Adjust for client experience
  • Satisfaction surveys / inspection data

12
Summary of proposed method
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