The care sector
Health and social care is delivered by 4 sectors
- public (statutory) - covered by law.
- private (independent)
- voluntary (independent)
- informal (family and friends)
- You have no right to receive care from the independent sectors.
Mixed Economy of Care.
- Combination of all four sectors.
- Benefit - Greater flexibility / Greater Choice / Independence is promoted / Creates competition
- Example - A GP (public) may arrange for a service user to move into a (Private) residential care home.
Key Features of the public sector
- Care delivered by state - entitled to everyone.
- Paid for by taxes (part of your work payslip is transferred to paying for health services)
- Everyone has an entitlement to care (EQUALITY ACT 2010)
- Mainly free, but there are some charges for dental care, eye tests and prescriptions (unless exempt)
Benefits of the public sector
- Provide funding for service (don't have to pay)
- Accountable to the public (Anyone can access)
- Services are co-ordinated and therefore services are similar across UK (Doesn't differ in the way you are treated - MORE NORMALISATION LESS WAREHOUSING)
Issues with public sector
- Nanny state exists (no control as an individual)
- Demand is very high (Many people will want to be treated at the same time so therefore not every practioner will be able to see all)
- Can be very bureaucratic (Government makes decisions for all individuals)
Acronyms for Sectors
- MIXED ECONOMY OF CARE
- EFFICIENT USE OF RESOURCES
- STRAIN REDUCED ON STATE
Acronyms for Public Sector
- RESPOND QUICKLY
- ACCOUNTABLE TO THE PUBLIC
- NANNY STATE
- EQUAL ACCESS
Key Features of the voluntary sector
- Part of the independent sector
- Not funded through taxes.
- Non profit organisation.
- Relies on volunteers and donations
Role of the voluntary sector
- Part of the mixed economy of care.
- Reduces the presssure on state.
- Puts pressure on the government.
- Efficient and flexible in meeting the changing needs of society.
Issues with the voluntary sector
- Under pressure
- Effective if volunteers are available
- Support provided is not specialist (may be worse rather than better for the service user)
- Financially limited.
Acronyms for Voluntary Sector
Volunteers and paid staff
Gaps are filled
Reduces pressure on state
Excellent at meeting local needs
Effective in lobbying.
Compete with private sector and other charities
Economical difficulties due to financial issues
Key Features of the private sector
- Part of the independent sector
- Ran to make a profit.
- Charges service users.
Role of the private sector
- Greater choice.
- Mixed economy of care.
- Quicker response time
- Respond to demand quicker.
- Shorter waiting times.
Issues with private sector
- Creates inequality.
- Profit making.
- More interested in money than patient.
- Expensive - only a minority can afford.
Acronyms for Private Sector
Charge service users/public sector
Resources are better
Shorter waiting times (reduces public sector waiting time and burden)
Key Features of the Informal Sector
- Care is provided by family or friends (loved ones provide care - has a positive effect on service user)
- They are unpaid.
- Example - Parent giving medicine to a child
Benefits of the informal sector
- Fills the gaps in care (Every section of care is covered)
- Care provider knows and cares for the individual (Knows the individual's strengths and weaknesses)
- Can be available 24/7 (Service user knows that someone will always be there to care and look after them)
Issues with the informal sector
- Huge burden on carer (Not always able to provide care for service user - causes a negative effect on health)
- Not qualified so they might make mistakes (Might make the situation worse)
Acronyms for Informal Sector
FRIENDS OR FAMILY
BURDEN ON CARER
KNOW THE PERSON THAT THEY ARE CARING FOR