Transcript Links with CARESIM

Estimating expenditure
Links with CARESIM
• PSSRU model provides weights to CARESIM
– broken down by age/gender/marital status/housing
tenure for six different service categories – 3
residential, 3 home care
– for each projection year up to 2022
– to be developed?
• CARESIM model provides to PSSRU model
– projected trend in % of care home residents and
home care clients eligible for state support
– projected average % of care home and home care
fees met by state supported service users
– projected average % of user charges and private
payments met using disability benefits
Source of funding
• For each service, service users divided
into:
– NHS funded (DH data/assumed)
– PSS funded (DH data)
– Privately funded (assumed)
• Trend in ratio of private to PSS provided
by CARESIM
Expenditure (1)
• Volume for community-based calculated
– Intensity per week by dependency
group/CARESIM grouping (GHS - scaled for
some services)
• Weekly expenditure calculated
– Cost attached to each unit of service
delivered (PSSRU, DH)
– variations by source of funding
– UC uprated by 2% per year, different
assumptions explored in scenarios
Expenditure (2)
• Recovery of charges
– For each service (PSS EX1)
– For PSS funded: % recovered from CARESIM
• Other services
– Assessment and care management
– ?supporting people, direct payments etc
• Annual expenditure calculated
– By service, source of funding and source of
contribution (benefits/other)
– For PSS/private funded: % disability benefits towards
user charges/private from CARESIM
– Grossed by location of care (PSS EX1)
– Proportion of GDP (treasury assumptions re growth)