Targeting, care management and preventative services for older people: The cost-effectiveness of a pilot self-assessment approach in one local authority

Clarkson, Paul; Hughes, Jane; Challis, David; Thorley, Linda; Kilshaw, Carole

Abstract

As social services councils face a more constrained economic environment and as eligibility criteria tighten, the issue of targeting becomes increasingly relevant. This paper presents findings from a pilot project in one local authority that aimed to target access to assessment for older people with low-level needs who would normally have fallen under eligibility thresholds. Self-assessment was used as a tool whereby these older people could identify, with assistance, their preferences for a range of preventative services. Via a randomised design, the study evaluated the costs and benefits, in terms of reported satisfaction, of the approach compared with the usual care management assessment. Although self-assessed cases were offered more advice as to a wider range of preventative services, which generated greater costs, total costs were lower for this group. This cost saving arose from the use of staff with a lower unit cost who also spent less time on administrative duties and gathering information. Satisfaction with self-assessment was comparable to a professional assessment, therefore representing a cost-effective approach. The project offers evidence of how councils can target resources through assessment and how self-assessment approaches may be appropriately configured to offer value for these users whilst also generating resource savings. © The Author 2010.

• Journal Article Type: Article
• Acceptance Date: Mar 1, 2010
• Online Publication Date: Mar 25, 2010
• Publication Date: 2010-10
• Deposit Date: Jul 24, 2020
• Journal: British Journal of Social Work
• Print ISSN: 0045-3102
• Electronic ISSN: 1468-263X
• Publisher: Oxford University Press (OUP)
• Peer Reviewed: Peer Reviewed
• Volume: 40
• Issue: 7
• Pages: 2255-2273
• DOI: https://doi.org/10.1093/bjsw/bcq042
• Public URL: https://nottingham-repository.worktribe.com/output/3752512
• Publisher URL: https://academic.oup.com/bjsw/article-abstract/40/7/2255/1706303?redirectedFrom=fulltext