@article{ab7adab7ee1d427f81e21f7245da8efa,
title = "A comparative overview of health and social care policy for older people in England and Scotland, United Kingdom (UK)",
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. 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. 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. 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.",
keywords = "England, Health and social care, Older people, Policy, Scotland, United Kingdom",
author = "Navneet Aujla and Helen Frost and Bruce Guthrie and Barbara Hanratty and Eileen Kaner and Amy O'Donnell and Ogden, {Margaret E} and Pain, {Helen G} and Shenkin, {Susan D} and Mercer, {Stewart W}",
note = "Funding Information: SM, BG, BH, EK, AOD, SS, NA, and HF are supported by the Advanced Care Research Centre (ACRC) , which is funded by Legal and General PLC (as part of their corporate social responsibility (CSR) programme, providing a research grant to establish the independent Advanced Care Research Centre at University of Edinburgh) . The funder had no role in the conduct of the study, interpretation, or the decision to submit for publication. The views expressed are those of the authors and not necessarily those of Legal and General PLC. Funding Information: EK is supported by an NIHR Senior Investigator Award and is Director of the National Institute of Health and Care Research (NIHR) Applied Research Collaboration (ARC) North-East and North Cumbria (NENC) ( NIHR200173 ). BH and NA are supported by the NIHR ARC NENC . AOD is funded by a NIHR Advanced Fellowship ( ADEPT: Alcohol use disorder and Depression Prevention and Treatment , Grant: NIHR300616 ). The NIHR have not had any role in the design, implementation, analysis, write-up and/or dissemination of this research. The views expressed are those of the authors and not necessarily those of NIHR. Funding Information: We would like to thank Dr Ellen Stewart, at the University of Strathclyde, for reviewing and providing valuable feedback on an early draft of this paper. SM, BG, BH, EK, AOD, SS, NA, and HF are supported by the Advanced Care Research Centre (ACRC), which is funded by Legal and General PLC (as part of their corporate social responsibility (CSR) programme, providing a research grant to establish the independent Advanced Care Research Centre at University of Edinburgh). The funder had no role in the conduct of the study, interpretation, or the decision to submit for publication. The views expressed are those of the authors and not necessarily those of Legal and General PLC. EK is supported by an NIHR Senior Investigator Award and is Director of the National Institute of Health and Care Research (NIHR) Applied Research Collaboration (ARC) North-East and North Cumbria (NENC) (NIHR200173). BH and NA are supported by the NIHR ARC NENC. AOD is funded by a NIHR Advanced Fellowship (ADEPT: Alcohol use disorder and Depression Prevention and Treatment, Grant: NIHR300616). The NIHR have not had any role in the design, implementation, analysis, write-up and/or dissemination of this research. The views expressed are those of the authors and not necessarily those of NIHR. Publisher Copyright: {\textcopyright} 2023 The Author(s)",
year = "2023",
month = jun,
day = "1",
doi = "10.1016/j.healthpol.2023.104814",
language = "English",
volume = "132",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd",
}