Back to Search
Start Over
A comparative overview of health and social care policy for older people in England and Scotland, United Kingdom (UK).
- Source :
-
Health policy (Amsterdam, Netherlands) [Health Policy] 2023 Jun; Vol. 132, pp. 104814. Date of Electronic Publication: 2023 Apr 05. - Publication Year :
- 2023
-
Abstract
- Background: Responsibility for health and social care was devolved to Scotland in 1999 with evidence of diverging policy and organisation of care compared to England. This paper provides a comparative overview of major health and social care policies in England and Scotland published between 2011 and 2023 relating to the care of older people.<br />Methods: We searched United Kingdom (UK) and Scotland government websites for macro-level policy documents between 2011 and 2023 relating to the health and social care of older people (aged 65+). Data were extracted and emergent themes were summarised according to Donabedian's structure-process-outcome model.<br />Results: We reviewed 27 policies in England and 28 in Scotland. Four main policy themes emerged that were common to both countries. Two related to the structure of care: integration of care and adult social care reform. Two related to service delivery/processes of care: prevention and supported self-management and improving mental health care. Cross-cutting themes included person-centred care, addressing health inequalities, promoting use of technology, and improving outcomes.<br />Conclusion: Despite differences in the structure of care, including more competition, financial incentivization, and consumer-based care in England compared to Scotland, there are similarities in policy vision around delivery/processes of care (e.g. person-centred care) and performance and patient outcomes. Lack of UK-wide health and social care datasets hinders evaluation of policies and comparison of outcomes between both countries.<br />Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest to declare.<br /> (Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.)
- Subjects :
- Adult
Humans
Aged
United Kingdom
England
Scotland
Health Policy
Public Policy
Subjects
Details
- Language :
- English
- ISSN :
- 1872-6054
- Volume :
- 132
- Database :
- MEDLINE
- Journal :
- Health policy (Amsterdam, Netherlands)
- Publication Type :
- Academic Journal
- Accession number :
- 37075590
- Full Text :
- https://doi.org/10.1016/j.healthpol.2023.104814