Variations in Domiciliary Free Personal Care Across Scottish Local Authorities

Elizabeth Lemmon, David Bell

Research output: Working paper

Abstract / Description of output

Equity, or equal access for equal need, is frequently an objective of social care systems.However, responsibility for social care provision often lies with local government. This can mean that, despite central government commitment to universal coverage, geographic variation in the provision of services may occur. We investigate variation in free personal care in Scotland, a service provided to those aged 65 and over who need help with personal care tasks such as washing, dressing etc. To do this, we use a mixture of publicly available and administrative data sources over the period 2013-2016. We employ both descriptive and econometric methods to investigate the extent of geographic inequity in free personal care provision. Our results suggest that the variation in free personal care provision is not fully explained by variation in measured need, implying that inequity exists between local authorities, suggesting that needy individuals may be more or less likely to receive free personal care, depending on where they live. Further, these variations are quite dramatic.
Original languageEnglish
Publication statusPublished - Jan 2019


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