Results from REF2014 reconfirm LSE as a world-leading research university, with the Department of Social Policy ranking first in the UK for the percentage of its research rated world leading (4*) or internationally excellent (3*).
All six of the Department's impact case studies were ranked 4*. LSEHSC contributed three of these to REF2014. Click here to read the full case studies. 18 December 2014
Advance-HTA's interim results presented in Mexico
Dr Panos Kanavos, deputy director at LSE Health, Department of Social Policy and Aris Angelis, PhD fellow, Department of Social Policy, presented Advance-HTA project’s interim results together with other partners of the project at a two-day Capacity Building workshop in Mexico City, on Thursday 6 and Friday 7 of November. Over 70 Health Technology Assessment (HTA) experts and decision makers of ministerial and academic affiliation attended the workshop, coming from all over the Latin America region with countries including Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Mexico, Paraguay, Peru, Trinidad and Tobago and Uruguay. Advance-HTA is a research project funded by the European Commission's Research Framework Programme (FP7). It comprises several complementary streams of research that aim to advance and strengthen the methodological tools and practices relating to the application and implementation of HTA. It is a partnership of 13 Consortium members led by the Medical Technology Research Group, LSE Health. More information can be found at http://www.advance-hta.eu/. 12 November 2014
Ethical Dilemmas of vaccination
How relevant are gender and age when making policies about vaccination and does this leave governments open to claims of discrimination? Dr Jeroen Luyten, Fellow in Health Economics and Health Policy, discusses the moral and ethical issues in vaccination policy. 10 November 2014
LSE report reveals £8 billion cost of mental health problems in pregnancy
PSSRU colleagues Annette Bauer, Martin Knapp, Valentina Iemmi and Bayo Adelaja have contributed to a report which amongst its key findings has discovered that perinatal depression, anxiety and psychosis carry a total long-term cost to society of around £8.1 billion a year.
The report was produced by the London School of Economics and Centre for Mental Health for the Everyone’s Business campaign led by the Maternal Mental Health Alliance and funded by Comic Relief.
Click here to read the report in full. 20 October 2014
LSE Health and The Commonwealth Fund convene International Experts Working Group on High-Need, High-Cost Patients
Across health systems in industrialised countries, as few as 5-10 percent of patients are responsible for more than 50 percent of the total cost of healthcare. These “high-need, high-cost” patients are likely to suffer from chronic diseases and multiple or complex conditions, often combined with behavioural or mental health problems and socioeconomic challenges. LSE Health and The Commonwealth Fund have launched a two-year project to compare international integrated delivery models for the care of high-need, high-cost patients and identify best practices in improving health and social care while controlling costs associated with this population.
An International Experts Working Group met at the London School of Economics & Political Science on 11-12 September 2014, in preparation for The Commonwealth Fund’s Annual International Symposium, where senior international policymakers convened to discuss high-need, high-cost patients. Read more... (PDF). 24 September 2014
Final Health Inc conference
The Health Inc FP7 project, coordinated by LSE Health, is holding its final conference, “Towards equitable coverage and more inclusive social protection in health” on 28-29 October, 2014, at the Institute of Tropical Medicine, Antwerp, Belgium. Further details on the conference agenda can be found here.
For a span of three years, Health Inc has explored whether social exclusion can explain the limited success of innovate health financing and social protection reforms in two Indian states (Karnataka and Maharashtra) and two West-African countries (Senegal and Ghana). In this final conference we will bring together scholars, policymakers and civil society actors from around the world to discuss our findings and debate on how to make social health protection programmes and health financing strategies more inclusive.
If you would like to attend the conference, please follow this link to register. 16 September 2014
Report by PSSRU colleagues included in the latest Chief Medical Officer’s report on public mental health priorities.
Mental health issues can arise at any age and from a variety of triggers; from maternal mental illness negatively affecting a child’s emotions into adulthood, to a bereavement which can have an effect on emotions for many years. This can transcend into physical health problems as people with mental illness are more likely to smoke or have weight problems. While the health and quality of life consequences rightly dominate the public concerns, the economic consequences are what heavily influences public policy responses. PSSRU colleagues Martin Knapp and Valentina Iemmi have written a chapter titled “The economic case for better mental health”, which appears in the latest Chief Medical Officer’s report on Public Mental Health Priorities. Click here to read the report in full. (The chapter is located in Section 4 on page 147 of the report). 15 September 2014
Dementia UK, 2nd Edition: Dementia costs the UK £26 billion a year
A new report which has been co-authored with The Alzheimer's Society, LSE and the King's College London has found that dementia costs the UK £26 billion a year - enough to pay the energy bills of every household in the country.
Martin Knapp said ‘the cost of dementia is high, but the key question is what does that cost buy? We need to make sure that people with dementia and their carers get effective and cost-effective treatment, care and support.’
The download the full report, click here. 9 September 2014
Martin Knapp awarded fellowship at King's College London
Martin Knapp has been awarded a fellowship as an Honorary Professor of Health Economics at the Institute of Psychiatry at King's College London. Read more...23 July 2014
Twins and short spaced births linked to premature death among parents
Mothers of twins and parents who have children in quick succession have a greater risk of dying prematurely, new research from LSE shows. According to Professor Emily Grundy from LSE’s Department of Social Policy, the results show that the stresses of closely spaced, frequent births may have longer term implications for parents’ health. 16 July 2014
Nudging the Obese
With obesity levels in the UK now the third highest in Western Europe, political leaders are struggling to find a solution to the nation’s expanding girth. Are nudge policies the way to go? LSE Health's Adam Oliver has written an article in The Lancet. Read more... 7 July 2014
Autism costs the UK £32 billion a year
Research published in a leading international medical journal shows that autism costs the UK more than heart disease, cancer and stroke combined. A new study led by the London School of Economics and Political Science (LSE) estimates that autism costs the country at least £32 billion per year in treatment, lost earnings, care and support for children and adults with autism. Read more10 June 2014
"Saving our Sanity" by Martin Knapp
It is increasingly recognised across the world that intervening early in mental illness not only spares millions from untold misery but can save millions in finances. Martin Knapp provides an overview of a field of study that could transform this century and in which LSE leads the way in the Summer 2014 edition of LSE Alumni's Connect magazine. Read more9 June 2014
A new report, co-authored by PSSRU's Prof Martin Knapp, says Mental health cuts are costing the NHS millions.
The report's background available on the LSE News and Media section10 April 2014
30,000 people with mental health problems lose social care as funding cut by £90million
Since 2005, 30,000 people with mental health problems have lost their social care support, following a £90 million shortfall in funding due to cuts to local authority budgets, according to research by the Personal Social Services Research Unit (PSSRU), based at LSE.
Adjusting for socio-demographic change, this would be equivalent to 63,000 fewer people with mental health problems receiving social care since 2005 and local authorities needing to spend £260million to meet their needs.
Dr Jose-Luis Fernandez PSSRU Deputy Director and co-author of the research, said: “Even before the current public spending austerity programme was introduced, the adequacy of adult social care spending was an issue of concern. Overall, our findings indicate significant reductions in service provision both in terms of the numbers of people receiving care and in terms of the amount of public resources invested. The scale of reductions in spending and provision are almost certainly without precedent in the history of adult social care.” Read more12 March 2014
LSEHSC Article in Top 15 Most-Read
Health Affairs, a leading U.S. based journal on health policy thought and research, has cited an LSE Health and Social Care article as one of it's most frequently read articles during 2013. Written by Mark Stabile, Sarah Thomson, Sara Allin, Seán Boyle, Reinhard Busse, Karine Chevreul, Greg Marchildon, and Elias Mossialos, the article, Health Care Cost Containment Strategies Used In Four Other High-Income Countries Hold Lessons For The United States, and published in the April 2013 issue of Health Affairs, was ranked number 8 in the Top 15 Most-Read Health Affairs articles of 2013. You can see the full list of most read Health Affairs articles on the Health Affairs Blog. 21 January 2014
The Health Inc project, coordinated by LSE Health and funded by European Commission, won the ‘Social Science & Medicine Best Poster Award’ at the ‘Health Systems in Asia’ conference in Singapore in December 2013. The prize was awarded to the project consortium for five posters presented at the event.
Health Inc is a three year (2011 – 2014) collaborative research project between LSE Health (Alistair McGuire, Philipa Mladovsky, Divya Parmar and Gemma Williams) and five international partners, funded by the European Commission (FP7). The project explores how social exclusion restricts access to health services despite recent health financing reforms, with research conducted in Ghana, Senegal and the Indian states of Maharashtra and Karnataka.
More information on the posters and the Health Inc project can be found on the Elsevier and Health Inc websites respectively. December 2013
Recessions can be good for your health, but only if you are male
Philipp Hessel and Mauricio Avendano of LSE Health argue that permanent changes in lifestyle in early adulthood could provide an explanation for why men fare better in recessions. It is thought that temporary economic downturns may promote healthy living in young men who cannot afford to indulge in smoking, alcohol and over-eating, while providing more time for sport and other physical activity. They can also encourage some to become more motivated to achieve and become independent earlier, leading to better long-term career prospects and therefore better health.
Women who leave school during a recession, on the other hand, tend to get married and have children earlier, causing them to opt out of the labour market earlier, leading to poor long-term career prospects and therefore worse long-term health. Working part-time or never entering the labour market can also make women more vulnerable to poverty, particularly in the event of divorce.
Read more 3 December 2013
Dr Jose-Luis Fernandez joins senior figures at Guardian roundtable to discuss social care.
With the social care system under continual financial pressure, Dr Jose-Luis Fernandez joined a host of senior figures in social care at a Guardian/CapacityGRID roundtable to discuss the future of social care.
The key points under discussion were: that future adult social care will be focused on enabling people to live independently rather than on assessing and meeting need; families, charities, volunteers and neighbours will increasingly be the providers of services; and politicians and the public need to debate this new approach to adult care and recognise the implications for families and communities. 27 November 2013
Recessions Risk Cognitive Mid-Life Decline
A study co-authored by LSEHSC researchers on the long-term effects of recessions on cognition appeared on Bloomberg yesterday and in the Mail Online today.
The study, co-authored with Anja Leist at the University of Luxembourg and the LSEHSC’s Philipp Hessel and Mauricio Avendano-Pabon, suggests that cognitive decline may result from recessionary pressures, such as lay-offs, enforced part-time work, salary cuts and the necessity to accept lower-status work. The study was published in the Journal of Epidemiology on November 20th 2013.
Behavioural Public Policy, edited by Adam Oliver, launched
How can individuals best be encouraged to take more responsibility for their well-being and their environment or to behave more ethically in their business transactions? Behavioural Public Policy, a new book with contributions from economists, psychologists and philosophers, and edited by LSE Health's Adam Oliver, argue the case that behavioural economic findings can be used to help inform the design of wide ranging policy initiatives.
Described by George A. Akerlof as an "exciting new book", Behavioural Public Policy was published by Cambridge University Press in October 2013.
LSE counselling report launched in parliament
An independent report by the LSE, commissioned by the British Association for Counselling and Psychotherapy and authrored by Martin Knapp, shows that more funding directed towards counselling and psychotherapy services in the UK could help curb escalating costs in public and mental health and ensure the country’s future wellbeing.
Launched at the House of Commons on Tuesday 15 October, the report looks at the economic benefits of therapy in the wake of increasing healthcare costs, as well as ongoing constraints on health spending. LSE Press Release October 2013
Exercise "potentially as effective" as many drugs for common diseases
Physical activity is potentially as effective as many drug interventions for patients with existing coronary heart disease and stroke, a review of evidence suggests. The report by Huseyin Naci, a researcher at the London School of Economics and Political Science (LSE) and a fellow of Harvard Medical School, and Professor John Ioannidis, director of Stanford University School of Medicine, is published on bmj.com
The researchers argue that more trials comparing the effectiveness of exercise and drugs are urgently needed to help doctors and patients make the best treatment decisions. In the meantime, they say exercise “should be considered as a viable alternative to, or alongside, drug therapy.”
LSE Press Release
LSE Health and Social Care blog post
Further news coverage
How football is helping unlock dementia patients' memories
Dr Michael Clark from the Personal Social Services Research Unit at LSE evaluated a pilot project the Sporting Memories Network ran across care homes in Leeds. His report noted a positive impact not only on the wellbeing of residents but also on the staff. The pilot was funded by a Skills for Care workforce development innovation fund grant and attracted the support of local clubs and organisations but also came to the attention of the government. Guardian (web) 12 September 2013
England faces crisis in care for older people by 2032
Up to 160,000 older people in England will be left vulnerable in the next two decades as the country faces a huge shortfall in unpaid care, according to new LSE research published today. As the proportion of older people rises, traditional caregivers – mid-life women – will be placed under increasing pressure to juggle work and care for their parents, creating inequality in the workplace and potentially at a big cost to the labour market. LSE News and Media (web) 23 August 2013
Use of antidepressants soar in Europe
Researchers from London School of Economics and Political Science collected data from 29 European countries over 30 years, finding "strong evidence" that the drugs are key to helping treat depression, they said. "These findings underline the importance of the appropriate use of antidepressants as part of routine care for people diagnosed with depression, therefore reducing the risk of suicide," said researcher David McDaid. Times of South Africa (web) 8 August 2013
Better data on self-funders key to making care reforms work
A Department of Health review is seeking to address limited data on self-funders to help determine how resources for the government's care funding reform will be distributed between local authorities, says Jude Ranasinghe. Last week, the Department of Health launched a consultation on its proposed reforms to care funding .These include the introduction, from April 2016, of a £72,000 cap on reasonable care costs and the provision of help with residential care costs for homeowners with assets of £118,000 or less in 2016-17 prices, up from £23,250 currently. In addition, from 2015-16, people who cannot afford reasonable residential care charges without selling their home will be able to defer the fees. Overall, these changes are expected to increase the number of people who are now eligible for local authority financial support for adult social care and reduce the number of self-funders. To assess how the funding to pay for these reforms should be distributed between local authorities, the Department of Health has commissioned research from public sector funding specialists LG Futures and the Personal Social Services Research Unit (PSSRU) at the University of Kent/London School of Economics and Political Science. Community Care (web), 26 July 2013
People living longer, but are they living healthier? The debate on Longevity, health and public policy involved more than 100 delegates from Government, the media and public policy who discussed the challenges that can be presented by increased longevity. Professor Michael Murphy of the London School of Economics, (LSE) reiterated the idea that while the figures show how much longer people may live, they do not show how healthy they will be.
Thousands of disabled people are being left behind.
It's vital that the Government continues to support good social care, but the social care system is on its knees. Chronic underinvestment has led to an increasing number of disabled people being cut out of the system. This has seen cash-strapped councils upping the bar for eligibility for support, with 83 per cent of councils now setting the threshold at a higher level. According to London School of Economics, 69,000 disabled people have been pushed out of the system. Telegraph (Web), 9 July 2013,Tanni Grey-Thompson
Rise In Anti-Depressant Use Across Europe Coincides With Drop In Suicide Rates
The increasing uptake of anti-depressants across Europe in recent decades has coincided with a gradual decline in suicide rates over the same period, according to a new report published in PLoS. Between 1995 and 2009, the use of antidepressants across Europe increased by almost 20 per cent per year on average, with a corresponding 0.8 per cent annual reduction in the suicide rate. Researchers, including David McDaid from the London School of Economics and Political Science, say that data collected from 29 European countries over three decades provides "strong evidence" that anti-depressants are playing a key role in treatment strategies for depression. Medical News Today (web) 8 July 2013
Research conducted by Huseyin Naci from LSE Health finds Statin use linked to few side effects
Statins — the popular class of cholesterol-lowering drugs used widely to prevent recurrent heart disease and a first event — appear to cause few side effects, according to new research conducted by Huseyin Naci from LSE Health, Jasper Brugts from Erasmus Medical Center and Professor Tony Ades from the University of Bristol. In their paper, published in Circulation: Cardiovascular Quality and Outcomes, Naci and colleagues conducted the largest meta-analysis on statin side effects to date, reviewing data from 135 previous drug studies to evaluate the safety of the seven statins on the market. They concluded that “as a class, adverse events associated with statin therapy are not common.” Read the full LSE Press Release To read further news coverage please click here
The Paralympic legacy is slipping away. Too many disabled people are being abandoned by the system
Thousands of disabled people are bring left behind. It's vital that the Government continues to support good social care. Chronic underinvestment has led to an increasing number of disabled people being cut out of the system. This has seen cash-strapped councils upping the bar for eligibility for support, with 83 per cent of councils now setting the threshold at a higher level. According to London School of Economics, 69,000 disabled people have been pushed out of the system. Telegraph (Web), 9 July 2013
Has austerity brought Europe to the brink of a health disaster?
Elias Mossialos, Director of LSE Health and Brian Abel-Smith of Health Policy, and , Senior Lecturer in Health Policy, have been quoted in a BMJ article which asks whether the debt crisis should or could have been handled differently as evidence of rising health problems begins to emerge from countries forced to make drastic spending cuts. BMJ June 2013;346
Plight of carers highlighted by MP
Liberal Democrat Paul Burstow spoke about the plights of carers recently. He highlighted PSSRU research which found people giving up work to care for someone led to the UK economy losing £1.3 billion a year from tax revenues and benefits. The figure devised by the PSSRU at the London School of Economics rises to £5.3 billion a year when lost earnings are also taken into consideration. Former care services minister Mr Burstow, moving a debate on carers in the House of Commons, said: "This is simply not a cost the UK can continue to bear as a consequence of a failure to act to put the right safeguards, support and systems in place to enable carers to stay in employment”. AOL UK (Web), 20 June 2013
Sustainable healthcare: race is on to save both money and the sick Out of a total of 47 European countries surveyed, 22 experienced a decline in the health share of government spending. This included some of the countries most affected by the crisis, such as Ireland, Portugal and Spain. , senior lecturer in health policy at the London School of Economics, who led part of the work, says that Europe-wide there has been no marked increase in the private share of health spending – that is, the sums that citizens were expected to provide. Financial Times 20 June 2013
, Deputy Director of LSE Health, Senior Lecturer in Health Policy and Senior Research Fellow in the European Observatory on Health Systems and Policies has been appointed to the European Commission's Expert Panel on Effective Ways of Investing in Health. The 12-member panel will support the Commission in identifying ways to improve the cost-effectiveness and sustainability of health systems in Europe - 22 May 2013
Africa: raising the profile of obesity, heart disease and diabetes
Public health efforts in Africa have focused on infectious diseases such as HIV, but chronic diseases are also big killers. Few people know more about the fight against non-communicable diseases (NCDs) in Africa than Professor Ama de-Graft Aikins. An LSE African Initiative Fellow at LSE Health and associate professor of social psychology at the Regional Institute for Population Studies, University of Ghana, it has been the main focus of her work since 2004. Guardian (web) 10/05/2013
PSSRU and SSCR to hold stall at Community Care Live 2013
PSSRU/SSCR will be at stand 29 at Community Care Live which is being held at the College of Social Work on Wednesday 22nd May 2013.
For further information, please see the Community Care website.
Research into the UK government’s proposed reforms of the funding of care and support published - 24th April 2013
The cost implications of the UK government’s recent plans to reform the funding system for care and support in England are analysed in a new research paper, which also considers the effects of options to give more help to lower income care home residents. The paper, by the London School of Economics and Political Science (LSE) and the University of East Anglia (UEA), provides detailed estimates of the public expenditure costs of the government’s plans. It projects that the government’s current proposals, with a cap of £75,000, would add £2 billion (2010 prices) to public expenditure by 2030. This is in contrast to a projected extra £3.3 billion cost of the Dilnot Commission’s proposals, which had recommended a cap of £35,000. To read the report in full click here
LSE and Nuffield Health Research on Impact of Low Fitness - April 2013
"The average person in England does well below the recommended levels of physical activity – with the average person doing only four days of sports and exercise in any month. Adding to this all other types of moderate activity (including work and housework), the average person is still only about halfway to achieving the government goals with respect to physical activity". This is part of a new report which has recently been published by Nuffield Health in conjunction with LSE Health and Social Care.
LSE's major contribution to leading health policy journal - April 2013
LSE academics have co-authored five research papers in the latest issue of Health Affairs, the leading US journal of health policy thought and research. Four of the five papers were funded by research grants from the US-based Commonwealth Fund awarded to LSE Health and led by Dr Sarah Thomson and Professor Elias Mossialos. The issue also highlights the international work of the European Observatory on Health Systems and Policies, of which the LSE is a founding partner. To view abstracts click here.
LSE academic paper receives research award - March 2013
A paper co-authored by Professor Martin Knapp, Dr Derek King, Andrew Healey and Cicely Thomas, has been assigned the Excellence in Mental Health Policy and Economics Research Award 2011-12 by the International Centre of Mental Health Policy and Economics. The paper, Economic Outcomes in Adulthood and their Associations with Antisocial Conduct, Attention Deficit and Anxiety Problems in Childhood, was rated one of the three best papers to be featured in the Journal of Mental Health Policy and Economics in 2011. The paper looks at the links between mental health needs in childhood (at age 10) and adverse economic consequences in adulthood (age 30). The results found a need for better interventions in childhood in order to head off a life-course for many people that is dominated not only by poor mental health but also economic disadvantage. The award was presented at a ceremony in Venice, Italy on Friday 22 March.
Your chance to influence review of social care funding - March 2013
Following on from the Government's cap on individual liability for social care costs, the Department of Health has commissioned LG Futures and PSSRU to carry out research which may influence policy in 2015-16.
Telehealth unlikely to be cost effective for patients with long-term conditions - March 2013
A new paper in the British Medical Journal by PSSRU's Catherine Henderson, Martin Knapp, José-Luis Fernández, Jennifer Beecham and colleagues from the Whole System Demonstrator evaluation team reports that telehealth does not seem to be a cost effective addition to standard support and treatment for patients with long term conditions. The research team examined the costs and cost effectiveness of telehealth compared with usual care over 12 months in 965 patients with a long term condition (heart failure, COPD or diabetes). Of the 965 patients, 534 received telehealth equipment and support, while 431 received usual care. The results took account of costs to both health and social care systems. The study found that the cost per quality adjusted life year (QALY) - a combined measure of quantity and quality of life – of telehealth when added to usual care was £92,000. This is well above the cost effectiveness threshold of £30,000 set by the UK National Institute for Health and Clinical Excellence (NICE). The probability of cost effectiveness was low (11%).
To view BMJ's full press release, please click here.
To view the full research paper, please click here.
Matteo Galizzi awarded prestigious ESRC fellowship - March 2013
Dr Matteo Galizzi, Research Fellow in LSE Health, has been awarded a Future Research Leader Fellowship from the Economic and Social Research Council (ESRC), for his project entitled ‘Linking Survey and Experimental Data: behavioural experiments in health and well-being’.
The Future Research Leader Fellowship is a new ESRC scheme aiming to support outstanding early career researchers to carry out excellent research and to develop all aspects of their research and knowledge exchange skills. Only 70 fellowships, across all social disciplines and all universities in the UK, were awarded this year. Dr Galizzi’s project was also selected to be among the five ‘showcase’ proposals highlighted on the ESRC website.
LSE leads consortium to advance and strengthen the methodological tools and practices relating to the application and implementation of Health Technology Assessment (HTA) - January 2013
LSE Health together with 12 other institutional partners have been awarded a €3 million research grant by the European Commission under DG Research's 7th Framework Programme for their project entitled ADVANCE-HTA, commencing in January 2013 for 3 years. LSE Health will act as the principal investigator and coordinator, led by Dr Panos Kanavos, Reader in International Health Policy, bringing together a team of high-level experts with extensive experience in the area of health policy, health economics, health and research methodologies, access to medicines, pharmaceutical policies, medical devices, and Health Technology Assessment (HTA).
To view the press release, please click here (PDF).
PSSRU report to Schizophrenia Commission finds schizophrenia costs society £11.8 billion every year
PSSRU analysis submitted to the Schizophrenia Commission estimates that schizophrenia costs society £11.8 billion every year. Much of that could be spent more effectively, according to the commissioners – for example, only 1 in 10 people with schizophrenia are currently offered potentially life-changing psychological therapies. The report by Martin Knapp and colleagues highlights the disparity between the money spent on people with physical illness and those with mental illness; only 13% of the NHS budget goes towards treating mental ill health, even though 23% of conditions dealt with by the NHS are mental rather than physical. It also expresses concerns that highly effective early intervention treatment teams are being cut in some areas; these are estimated to save the NHS £16,000 per person over the first three years of their illness.The report fed into the Schizophrenia Commission, established in 2011 by the charity Rethink Mental Illness, to carry out an independent inquiry into the state of care for people with schizophrenia and psychosis in England. The commission is made up of 14 leading health and social care figures, including Martin Knapp.
Read the full report – Effective Interventions in Schizophrenia - The Economic Case – by Martin Knapp and colleagues.
Read more in the LSE News Archive
Social workers 'more generous' to clients in high-threshold councils
A report published by PSSRU has been cited in an article on communitycare.co.uk"
Practitioners asked to assign 24 service user case studies to Fair Access to Care Services bands gave significantly different answers depending on the council they worked for, found the research produced by the Personal Social Services Research Unit (PSSRU) at the London School of Economics."
The original report, compiled by Jose-Luis Fernandez and Tom Snell, is available here (PDF).
LSEHSC colleagues present at ECHE 2012
A number of LSEHSC colleagues gave presentations at the ECHE 2012 conference in Zurich from 18th – 21st July 2012. Topics included long-term care, private health insurance, health care costs and health care reform. Colleagues who made presentations were Panos Kanavos, Jose-Luis Fernandez, Raphael Wittenberg, Julien Forder, Irini Papanicolas, Lucia Kossarova, Michaela Tinelli, Martin Knapp and Jonathan Cylus. For a full list of presentations, see the ECHE 2012 website.
Interview: Julian Le Grand - 21st June 2011 (ThirdSector) "The man tasked with making the mutuals work believes labour-intensive services will be most suited to control by staff" Read more
LSE Research Assistant recalls her time as a Rwandan government insider June 2011 (Africa at LSE) Read more
Governments in sub-Saharan Africa need to tackle chronic disease burden June 2011 (BMJ)
Coverage of the event Africa's disease burden: what matters most? Read more
NHS reforms live blog
News: News blog | guardian.co.uk - Randeep Ramesh, Rowenna Davis - May 25 at 14:23 BST fury like a campaigner scorned. Then there's social scientist Sean Boyle who has blogged over at the London School of Economics site about the NHS. His view is simple: Labour pored in cash and did serious...
Patients suffer. Standards fall. So why is competition still such a dirty word in the NHS?
Daily Mail, 26/05/2011, p.14, Ian Birrell Click here to read full article
We should drop the NHS bill to save the reforms
Financial Times, 26/05/2011, p.13, Julian Le Grand
Comment: Julian LeGrand of the LSE contends that Nick Clegg is bent on rolling back the NHS reforms implemented under New Labour. He believes this will lower standards of care. Read more..
BBC Radio 4 (26 May)
World at One
Zack Cooper discusses reforms to the NHS.
Joan Costa-Font and Jose-Luis Fernandez have edited a special edition of the Oxford Review of Economic Policy, titled "The Economics of Ageing". To view the articles please click here
The new Health System in Transition (HiT) report on England shows that doubling expenditure on the NHS between 1997 and 2010 had a mixed impact on health system performance.
CSI Health Seminar: Tuesday 15th March 2011
Health incentives and equity: Empirical findings and conceptual issues
Report from DH-funded Programme of Work 2006-2011
Between 2006 and 2011 the Department of Health provided funding to PSSRU to undertake a significant programme of research in three main areas: Social care commissioning and performance; Long-term care financing; and mental health economics and policy. The five year programme – which built on PSSRU's long-standing reputation for excellence in social care research - has been rated "excellent" by peer-reviewers for: evidence of a clear focus on the issues specified in the application; evidence of appropriate research design, methods of data collection and forms of analysis; appropriate outcome measures; the value of the likely product relative to cost; and relevance to policy or practice. A report outlining this programme of work is now available (DH_Final_Report). PSSRU continues to undertake high-quality research in the above areas (see Research and projects for further information).
Mental health promotion and mental illness prevention: The economic case
Researchers from PSSRU at the London School of Economics and Political Science, the Centre for the Economics of Mental Health and the Centre for Mental Health have reported on the economic case for mental health promotion and mental illness prevention and early intervention, helping the Department of Health assess the case for investment in this area and plan its new mental health strategy launched on 2 February 2011 (See No Health without Mental Health).
The report, Mental Health Promotion and Prevention: The Economic Case, identifies and analyses the costs and economic pay-offs of a range of interventions in the area of mental health promotion, prevention and early intervention. It models fifteen areas, including parenting interventions for children with persistent conduct disorders, workplace screening for depression and anxiety disorders, debt and the befriending of older adults. It finds that many interventions are outstandingly good value for money, low in cost and often become self financing over time, saving public expenditure.
'Reproductive Morbidity and Poverty' seminar presentation (as part of the Centre for Global Health Population Poverty and Policy seminar series in November 2010, University of Southampton)
Professor Bleddyn Davies received APHA award November 2010
Professor Bleddyn Davies, founding director of PSSRU, was recently awarded the American Public Health Association Gerontological Health Section's International Lifetime Achievement Award 2007. He was presented with this award on 5 November in Washington. The event was attended by Brian Ferrar, First Secretary Science & Innovation, British Embassy, Washington DC.
Bleddyn's work has focused on equity, efficiency and community care reform. Particular themes running through many years of work include targeting, service productivities, financing mechanisms, projections of future needs and costs, and care management. Indeed, Bleddyn introduced care management to the UK through a series of experiments, books and papers during the 1970s and 1980s.
The policy lessons deduced by Bleddyn from the Kent Community Care Project drew on early American models, and he transformed and adapted them so that they became the 'cornerstone' of the policy reforms outlined in the UK government's 1989 White Paper. He has also been the author of books on the theory of territorial justice, social and economic consequences of gambling, the mitigation of child poverty, and the economics of higher education.
Bleddyn lectured in economics in the University of Wales and in social policy at the LSE before establishing the PSSRU in 1974 at the University of Kent. The aim was to study equity and efficiency in community and long-term care.
After retiring as Director of PSSRU in 2003, he became Emeritus Professor at both Kent and LSE, and Professorial Fellow at the Oxford University Institute of Ageing. He was awarded an OBE for his services to social science and social policy, he is an Academician of the Academy of the Social Sciences, and a Fellow of the Gerontological Society of America.
In 2002 a one-day conference was held at the LSE in his honour, and papers from this event were later published in a Festschrift volume of essays by scholars, policy makers and managers.
The APHA award is thoroughly deserved and we are all delighted for him.
Care Calculator November 2010
What care is received by older and disabled people in England? What financial contributions might they be expected to make to their care?
The PSSRU at LSE, in collaboration with the BBC, has just launched a Care Calculator and a Care Questionnaire. These are on the BBC website.
The aim of the Care Calculator is to give an approximate idea of the level of social care - both public and private - currently provided in England. It sets out what is likely to be received by somebody with a particular profile of needs - and there are six hypothetical profiles on the website - and what financial contribution would be expect of them given what usually happens in social care services across the country.
The Care Calculator has been developed by Jose-Luis Fernandez and Martin Knapp. It does not attempt to determine levels of entitlement but to reflect what currently happens in England. This is then the basis for a very simple short questionnaire which gives people an opportunity to comment on what they feel about levels of support currently offered to disabled and older people in England.
They are also asked their opinions about how care should be funded, whether an individual's level of savings should affect what they pay, how informal care could be encouraged and which of a number of potential funding arrangements might they support.
The latter include funding from income tax, from equity release schemes, from private insurance policies and the partnership system first set out in the Wanless Social Care Review, the work for which was undertaken by PSSRU staff at LSE. Early results from the survey, which were completed online, were presented on Radio 4 on 31 January when Care Services Minister Ivan Lewis joined a studio audience along with the LSE team, to discuss care services and their funding. The transcript from the programme can be found on the Radio 4 You and Your's programme website. .
For further information contact Jose-Luis Fernandez.
Investing in local communities 'could save millions' for social care agencies - 5th November 2010
Investing in local communities can save social care hundreds of pounds per service user each year, soon-to-be-published research from the London School of Economics will show. Speaking at the National Children and Adult Services Conference 2010, Professor Martin Knapp, director of the LSE's Personal Social Services Research Unit, outlined the savings that can be made from three types of community-based social care initiatives.
Julian Le Grand interviewed on BBC Radio 4 about plans for local councils to assume responsibility for public health - 30th November 2010
Experts query GP commissioning plans Professor Julian Le Grand comments on the reforms - 16th November 2010 (Public Finance Magazine)
Seminar on Reproductive health and morbidity, 6 November 2010 Download the flyer here for more details
Ageing societies: challenges and opportunities - 11th October 2010
Who do you think should look after you when you are old? What illnesses do you fear the most? And how old do you have to be to feel 'old' anyway? BUPA Health Dialog's new survey explores reactions to these questions across twelve countries. Its findings have been analysed by Dr Jose-Luis Fernandez and Dr Julien Forder, Principal Research Fellows at LSE's Personal Social Services Research Unit, in a report commissioned through LSE Enterprise. The BUPA Health Pulse Report 2010 finds that the 'informal care network', where families look after their elderly relatives, is disintegrating.
SSCR releases first annual report
The first Annual Report from the NIHR School for Social Care Research (SSCR) is now available online. The report provides an overview of the School's activities to date, its plans for the coming months, and 'hints at the important new challenges facing the social care community,' as Professor Dame Sally C Davies, director general of research and development for the Department of Health, explains. A PDF of the report can be found on the SSCR website. If you have any thoughts or comments, please email them to firstname.lastname@example.org.
EU: Costs And Benefits of Maternity and Paternity Leave Konstantina Davaki, LSE Health, discusses her views at the workshop held by the EP Women's Right Committee and Employment Committee - 7th October 2010 (eGov monitor)
Implementation and adoption of nationwide electronic health records LSE Health staff are among authors of a paper reporting interim findings from a large scale qualitative study of the problematic implementation of the NHS Care Record Service in England - September 2010 (BMJ)
Now It's Britain's Turn for a Health Care Reform Battle Professor Julian Le Grand comments on the health care reform debate - 29th September 2010 (Politics Daily)
Can user charges make health care more efficient? Sarah Thomson, Thomas Foubister and Elias Mossialos explain why charging patients for health services we want them to use makes little economic sense - 18th August 2010 (BMJ)
The Case for End-of-Life Care Gets Stronger article by Zack Cooper, Health Economist, LSE Health - 24th August 2010 (The Huffington Post)
3rd August 2010 (Altarum Institute - blog)
Learning from Health Care Reform Abroad - More Lessons from the British National Health Service
Blog article by Zack Cooper, Research Officer, LSE
3rd August 2010 (awares.org)
Autism 'costs the UK almost £28 billion a year'
Professor Martin Knapp, LSE, comments on the research
LSE Health and NHS Confederation Seminar Series 2010 More details
Invitation and Programme
GPs and the future of the NHS Professor Julian Le Grand claims that giving GPs greater commissioning powers lead to reduced hospital referrals, reduced emergency care, improved co-ordination of services and some innovative patterns of care - 10th July 2010 (Guardian pg 31)
Professor Julian Le Grand interviewed on shake-up of NHS funding - 9th July 2010 (BBC Radio 4)
Difficulties of tracing health research funded by the European Union - July 2010 (Journal of Health Services Research and Policy)
Larger Waistlines and a Bulging Welfare State Professor Julian Le Grand comments on the Social Trends report by the Office for National Statistics - 3rd July 2010 (Guardian pg 7)
Coalition cuts threaten services for the elderly
Social care services will continue to be cut unless the Government protects the funding given to local authorities, an expert has warned. Professor Julien Forder - principal research fellow at the University of Kent's Personal Social Services Research Unit (PSSRU) - told KOS Media such cuts were to be expected due to social care being funded differently to institutions like the NHS. 30th June 2010
Psychiatrists make recommendations for redesign of mental health services
The enquiry was launched following the publication of Mental Health and the Economic Downturn in November 2009 - a piece of joint work carried out between the RCPsych, NHS Confederation and the London School of Economics. The enquiry represents a serious effort to consider service redesign in mental healthcare, and give voice to the people who work at the heart of our mental health services. 21st June 2010
AGE UK: "Protect care from Budget cuts"
Research, commissioned by Age UK and undertaken by the London School of Economics and the University of Kent, modelled the impact of 13% cuts to older people's care over the next two years...
The impact of a tightening fiscal situation on social care for older people
Ahead of the emergency budget on 22 June, Age UK commissioned the PSSRU at the University of Kent and LSE to look at how spending cuts could affect social care. The PSSRU report, by Julien Forder and José-Luis Fernández, is available on the PSSRU website (pdf file, 10 pages, 326KB).
News items connected to this work are on the Age UK and BBC websites, among others. 18th June 2010
The Effects of HIV/AIDS on Rural Communities in East Africa: A Twenty Year Perspective Janet Seeley, University of East Anglia, Stefan Dercon, University of Oxford and Tony Barnett, London School of Economics - March 2010 (Tropical Medicine and International Health)
DFID systematic review by LSE Health and Social Care team - June 2010
Seminar on Reproductive health and morbidity - 6th November 2010 Call for Papers, 31 July 2010 Download Flyer
Stoking the antibiotic pipeline Chantal Morel and Elias Mossialos show how financial incentives might be used to persuade drug companies to develop new antibiotics to tackle multidrug resistant bacteria May 2010 (BMJ)
18th February 2010 (The Times - Queen's Anniversary Prizes 2010, pgs 2 & 3)
Looking for the answers in health and social care
" LSE Health and Social Care, a research centre within the LSE's department of social policy, has won a Queen's Anniversary Prize for applying research to the advancement of global health and social care policy. "The centre works to bridge the gap between research and policy," explains Professor Alistair McGuire, head of the department of social policy. A key part of its work involves identifying best practice across the European Union and discovering how it stems from local policies. The centre is currently involved in developing the EU's mental health strategy. Its work has also fuelled debate about contentious healthcare reforms in the United States. "
LSE Health receives an ISPOR Award for Excellence in Methodology in Pharmacoeconomics and Health Outcomes Research - 25th March 2010
Queen's Anniversary Prizes - 18th February 2010 (The Times)
LSE Health to establish and maintain the new CHRE International Observatory on the Regulation of Health Professionals - 14th January 2010
The Effects of HIV/AIDS on Rural Communities in East Africa: A Twenty Year Perspective
Janet Seeley (University of East Anglia), Stefan Dercon (University of Oxford) and Tony Barnett (London School of Economics and Political Science)
Published in Tropical Medicine and International Health, March 2010
National evaluation of the partnerships for older people projects pilots
Within the Partnerships for Older People Projects (POPP) 29 local authorities and their health and voluntary sector partners were funded by the Department of Health between 2006 and 2009. They were to develop services for older people aimed at promoting their health, well-being and independence, and preventing or delaying their need for higher intensity or institutional care.
The PSSRU took the lead in the national evaluation of the pilot projects. The evaluation findings were launched on 16 January by the Secretary of State for Health, Andy Burnham, when Karen Windle from the PSSRU presented key messages from the evidence collected.
The complex and multi-method national evaluation explored the process of implementation as well as the outcomes and found that a wide range of projects resulted in improved quality of life for participants and considerable savings as well as better local relationships.
The following publications from the evaluation will be available to download in pdf format:
Summary (12 pages, 81KB) Final report (large file: 302 pages, 7.63MB)
Appendices to final report (246 pages, 2.21MB)
Interim report (October 2008), 10 pages, 131KB) (large file: 302 pages, 7.63MB) to final report (246 pages, 2.21MB) (October 2008), 10 pages, 131KB)
LSE Health to establish and maintain the new CHRE International Observatory on the Regulation of Health Professionals
LSE Health has been awarded a contract by the Council for Healthcare Regulatory Excellence (CHRE) to establish and maintain the new CHRE International Observatory on the Regulation of Health Professionals. The objectives of the Observatory are to advance understanding, enable learning across countries and facilitate the spread of good practice in the regulation of health professionals internationally. The Observatory's work programme will include country reporting, commissioned research, a rapid response facility to provide information and policy advice, and the production of analytical reports on key topics such as revalidation, fitness to practise, trends in regulatory reform and the impact of payment reform on professional behaviour. Observatory research will also address broader topics relating to the identification and adoption of good practice and to how country context affects the potential for regulatory reform. Working closely with CHRE, the work at LSE Health will be led by Professors Alistair McGuire and Elias Mossialos and will be coordinated by Thomas Foubister. Professor Julian Le Grand (Chair of LSE Health) will sit on the Observatory's strategy group and Professor Robert Baldwin of the Department of Law will be an advisor to Observatory research activity. 14th January 2010
18th November 2009
LSE Health and Social Care wins a Queen's Anniversary Prize for Higher and Further Education 2009.
LSE Health and Social Care (of which PSSRU is a part) has been awarded a Queen's Anniversary Prize for Higher and Further Education for 'applying research to the advancement of global health and social care policy'.
Martin Knapp, director of PSSRU, said: "LSE Health and Social Care is a vibrant group of very busy researchers, teachers and students. We are delighted that our efforts and achievements have been recognised with this highly prestigious award".
-Read the full LSE Health and Social Care submission brochure:
Bridging Research and Policy for Better Health and Social Care
-Read the full LSE press release:
Queen's Anniversary Prize
One of the other groups to be awarded a Queen's Anniversary Prize for Higher and Further Education in 2009 is the Health Services and Population Research Department at the Institute of Psychiatry, King's College London. PSSRU enjoys many collaborative links with the Institute, and one of the component parts of the award-winning Department is the Centre for the Economics of Mental Health, directed by Martin Knapp. Read IOP Press Release
LSE Health receives a 'Rising Powers' award from the ESRC - November 2009
New study investigates links between economic crisis and increasing mental health problems
Demand for treatment for mental health problems has increased over the past 12 months as people struggle to cope with unemployment, debt, home repossession, threat of redundancy and other difficulties caused by the recession.
As pressure mounts on the government to reduce levels of spending in public services, a new report, Mental Health and the Economic Downturn, warns against 'short-term gain for longer-term pain' and sets out ways of making mental health services more efficient without adversely affecting patient care.
The joint publication from LSE, the Royal College of Psychiatrists and the NHS Confederation's Mental Health Network says that mental health problems cost £110 billion a year (greater than the costs of crime) and is projected to double over the next 20 years...
View LSE News
Read the full report (PDF)
PSSRU work on BRIDGE project
PSSRU is currently working on a European Observatory project examining knowledge transfer. This scoping study will map existing initiatives, mechanisms and practices of knowledge brokering for health policy making and identify what we know about what works and what does not, and what appears promising but has not yet been well evaluated
Health and social care age discrimination report
The DH has published a report on age equality in health and social care. The review analyses evidence about the nature, extent and variability of age discrimination in health and social care services. It also considers what reforms are already in train to tackle age discrimination and support greater age equality. It looks at evidence from a wide variety of sources, including academic research, stakeholder submissions, personal testimony and the conclusions of a number of workshops and engagement events.
1st October 2009 (Time Magazine)
A Looming Drug Crisis: The Dearth of New Antibiotics
Coverage of the report on antibiotic research released 17th September 2009, led by Elias Mossialos, LSE Health.
1st October 2009 (CNN.com)
New research warns penicillin 'becoming obsolete'
Coverage of the report on antibiotic research released 17th September 2009, led by Elias Mossialos, LSE Health.
Report on The Role of Funding and Policies on Innovation in Cancer Drug Development - September 2009
26th September 2009 (British Medical Journal)
Europe's Knowledge Broker
Tessa Richards, assistant editor of the BMJ, looks at the work of the European Observatory on Health Systems and Policies on the evidence it provides to help Europe's health ministers develop their policies.
24th September 2009 (British Medical Journal)
What can we learn from German health incentive schemes?
Incentives aimed at changing individual health behaviours are well established in Germany. Harald Schmidt (LSE Health), Andreas Gerber and Stephanie Stock (University of Cologne) describe how they work and discuss some of the difficulties.
17th September 2009
Policies and Incentives for Promoting Innovation in Antibiotic Research
Professor Elias Mossialos, LSE Health, leads research into the challenges concerning antibiotic resistance and launches a new report commissioned by the Swedish Government. The report was presented at an expert conference in Stockholm on 17th September. More information
-Press Invitation: Göran Hägglund to take part in expert conference on antibiotics
-Constructive dialogue on incentives for developing new antibiotics
(FINCHANNEL.COM - Global News Channel)
-New antibiotics desperately needed as penicillin becomes obsolete (Time Magazine)
-A Looming Drug Crisis: The Dearth of New Antibiotics
-New research warns penicillin 'becoming obsolete'
PSSRU research feeds into new care and support Green Paper
PSSRU research led by Julien Forder and Jose-Luis Fernandez has provided the analytical modelling underpinning the new Green Paper on the future funding of care and support services in England. The cross government green paper, "Shaping the Future of Care Together", introduces the radical new concept of a national care system, and proposes one of three alternatives funding models. A paper summarising the first stage of the analysis can be found at http://www.pssru.ac.uk/archive/abstracts.php?id=DP2644.
The full Green Paper can be found on the Department of Health website at here
Professor Elias Mossialos awarded €4.5 million research grant
The European Commission's Research Directorate has awarded Professor Elias Mossialos, director of LSE Health, a €4.5 million research grant to develop methodologies and indicators for assessing health system efficiency and quality. This represents the second largest research grant ever awarded to LSE by the Commission and the largest so far from the Framework Programme 7.
Dilemmas in social care to be tackled by new national research school
Announcing the new NIHR-funded School for Social Care Research led by Professor Martin Knapp, co-director of LSE Health and Social Care. With a budget of £15 million over the next five years, the SSCR will lead research in the adult social care practice field, aimed at improving services to improve people's lives.
Full LSE Press Release
The QQuIP team receives the Excellence in Commissioning Regional Award - 9th July 2009
LSE-EC final report on private health insurance - July 2009
Report on Electronic prescribing in hospitals - Challenges and lessons learned - 1st June 2009
Fertility, Living Arrangements, Care and Mobility: understanding population trends and processes Ernestina Coast, Dylan Kneale and John Stilwell (eds.) - May 2009 (Springer)
LSE Health has been successful in being awarded a 'Rising Powers, Global Challenges and Social Change' programme Network award from the Economic and Social Research Council (ESRC)
Autism costs the UK more than £27 billion a year
The care and support of individuals with autism is costing the UK over £27 billion a year finds new research. Of this, £2.7 billion goes towards supporting children with autism spectrum disorders (ASDs), with £25 billion allocated to the care of adults.
The economic cost of autism in the UK, by Professor Martin Knapp and Dr Jennifer Beecham of the London School of Economics and Political Science, and Renee Romeo, King's College London, is published in Autism journal this week.
Dilemmas in social care to be tackled by new national research school
Urgent questions about how England should care for the 1.8 million adults in social care will start to get better answers from today with the opening of the School for Social Care Research.
With a budget of £15 million over the next five years, the School will lead research in the field, all of it aimed at improving services to improve people's lives.
It is a collaboration between five universities, led by Professor Martin Knapp at the London School of Economics and Political Science (LSE) who is Director of the new school. The other universities involved are the University of Kent, King's College, London, Manchester University and the University of York. The school is funded by the Government's National Institute for Health Research.
Couples with children outside wedlock 'should be married by the State'
Prof Julian Le Grand, the architect of a clutch of New Labour policies such as baby bonds, is calling for marriage to be the legal "default" setting for new parents.
Daily Telegraph, 1 May 2009
Dr Adam Oliver, LSE Health and Social Care, has been awarded £187,221 from the Wellcome Trust for the Centre for the Study of Incentives in Health. Further details
Professor Martin Knapp, LSE Health and Social Care, has been awarded £58,990 from HEFCE to improve the transfer of research-based knowledge and the quality of the dialogue between research centres and social care organizations, users, carers, practitioners and policy makers. Further details
Autumn of love: Chris Arnot talks to Martin Knapp, professor of social policy at the LSE and director of the LSE's personal social services research unit as well as the new national School for Social Care Research. He discusses the latter's launch, and expresses the belief that its £15m budget could be recognition that social care hasn't been given the same attention as primary healthcare.
Guardian (Education), 28-Apr-2009, page 9
Using financial incentives to achieve healthy behaviour: Paying people to change their behaviour can work, at least in the short term. However, as Theresa Marteau, Richard Ashcroft, and Adam Oliver explain, there are many unanswered questions about this approach.
British Medical Journal, 23 April 2009
NHS can't afford to keep on saving lives, says cancer expert: Health economist Julian Le Grand, of the London School of Economics, suggested there should be "a consistent rule that says what will be funded and what won't. It shouldn't be a question of who shouts the loudest."
Sunday Herald, 13 April 2009
Bribery - the key to better public health: Obese patients in Kent are being paid up to £425 to lose weight by the NHS in a trial to test whether financial incentives can be used to change unhealthy behaviour... Paying people to change their habits works because it offers immediate rewards for behaviour that will only provide a health benefit in years ahead. The approach was recommended last month in a report by Health England, a government advisory group chaired by a former No 10 health adviser, Julian Le Grand.
The Independent, 10 April 2009
Britain's Homecare Scandal: Care of the elderly is a professional job. Assisting medication, feeding, changing, bathing, even using hoists demands a level of expertise we expect in the care of some of our most vulnerable people. Research from the London School of Economics, commissioned by Panorama, found that 70% of home care is provided by the independent sector today and is worth £1.5 billion.
BBC, 9 April 2009
Research Assessment Exercise 2008
Latest issue of the PSSRU bulletin, December 2008
Frail old people may be without family care by 2041 finds new LSE research
Around 250,000 vulnerable pensioners could be left without family care by 2041, opening up an unpaid care gap and potentially increasing demand for paid services, finds new research by LSE research fellow Linda Pickard.
Demand for unpaid care by frail older people from their adult children is projected to rise by 90 per cent in the next 35 years - yet the number of offspring projected to provide the intense care likely to meet their needs (care for 20 hours a week or more) will only rise by 27 per cent. See full LSE News Story
Individual budgets put you in the driving seat, concludes joint evaluation
Individual budgets - a government initiative allowing older, disabled and mentally ill people to control their own social care provision - are great for the majority of users but pose challenges for staff administering them, found a cross-institutional team brought together to evaluate them. See full LSE News Story
Visiting academic 'highly commended' in medical book competition
Dr Ann Richardson, a visiting fellow with PSSRU, has been awarded by the British Medical Association (BMA) for her latest book.
Entitled Life in a Hospice; reflections on caring for the dying (Radcliffe Publishing, September 2007), the book was awarded 'highly commended' in the medicine category of the BMA Book Competition 2008. See full LSE News Story
New PSSRU paper on age discrimination
The UK government has announced proposals to make discrimination in goods and services on the basis of age illegal. Equalities Minister Harriet Harman introduced the proposals on 26 June as part of a package of measures in an Equalities Bill.
The Department of Health commissioned research from the PSSRU on age discrimination in mental health services to inform policy proposals. A summary report is now available - Age Discrimination in Mental Health Services (PDF).
Professor Martin Knapp receives NIHR Senior Investigator Award
Schemes providing support to people using direct payments: A UK survey
PSSRU have recently released their second report from the Direct Payments Survey project looking at schemes providing support to people using direct payments. The full report - termed by Community Care as "one of the most detailed pictures to date of the challenges facing direct payment support schemes" - is available here (PDF).
Future supply of informal care for younger adults and older people
The PSSRU was funded by the Strategy Unit (Cabinet Office) and the Department of Health to produce projections of the supply of informal care for younger adults and older people in England to 2041. For both younger adults and older people, the supply of informal care was compared to demand in future years.
The analyses focus on the supply of intense care provided for 20 or more hours a week and on demand for social care from disabled people. The results show that, on the assumptions used, future informal care supply is projected to be lower than estimated demand in respect of both younger adults and older people. Two Discussion Papers are now available:
Pickard L (2008a) Informal Care for Younger Adults in England: Current Provision and Issues in Future Supply, England 2005-2041, Report to the Strategy Unit (Cabinet Office) and the Department of Health, PSSRU Discussion Paper 2513, London.
Pickard L (2008b) Informal Care for Older People Provided by their Adult Children: Projections of Supply and Demand to 2041 in England, Report to the Strategy Unit (Cabinet Office) and the Department of Health, PSSRU Discussion Paper 2515, London.
New research shows dementia burden will be £5.8 billion more then predicted
A recently completed report, commissioned by the Alzheimer's Research Trust, provides updated figures as to the cost of providing long-term care to older people with dementia, and finds that the cost will increase to £16.7 billion by 2031, as opposed to £10.9 billion as estimated in 2003.
View the ART press release for further information.
A summary of the report's findings have been published in the International Journal of Geriatric Psychiatry: Comas-Herrera A, Wittenberg R, Pickard L, Knapp M (2007) Cognitive impairment in older people: future demand for long-term care services and the associated costs, International Journal of Geriatric Psychiatry, 22, 1037-1045.
New forthcoming book - life in a hospice: reflections on caring for the dying - Dr Ann Richardson, visiting fellow
This book is about hospices, seen through the eyes of the people who work in them, and provides real-life accounts of hospice life from managers, doctors, nurses, carers and support staff.
See Radcliffe Publishing for further information about this book.
Mental health policy and practice across Europe receives Baxter award
Mental Health Policy and Practice across Europe, edited by Martin Knapp, David McDaid, Elias Mossialos and Graham Thornicroft, is the joint winner of the 2007 Baxter Award. Funded by the Baxter Corporation, the Baxter Award is awarded for an outstanding publication and/or practical contribution to excellence in healthcare management in Europe.
The book was also awarded 2,500 USD, which the editors donated to the Budapest based non governmental organisation, the Mental Disability Advocacy Centre. MDAC aims to advance the human rights of children and adults with actual or perceived intellectual or psycho-social disabilities across eastern Europe and central Asia. More information on the book can be found here.
Social policy and society focus on long-term care, volume 6, issue 3
The latest issue of SPS includes a themed section on the costs of long-term care for older people. Three papers were included in this section from the PSSRU. The first examined the public expenditure costs and distributional effects of potential reforms to long-term care funding in the UK; the second described a theoretically based but pragmatic approach to identifying the welfare gain from government expenditure on social care, while the last projected the receipt of informal care by disabled older people from their spouses and (adult) children to 2031 in England:
Hancock R, Juarez-Garcia A, Comas-Herrera A, King D, Malley J, Pickard L, Wittenberg R (2007) Winners and losers: Assessing the distributional effects of long-term care funding regimes, Social Policy and Society, 6, 3, 379-395
Forder J, Netten A (2007) The costs of what? Measuring services and quality of care, Society and Social Policy, 6, 3, 397-409
Pickard L, Wittenberg R, Comas-Herrera A, King D, Malley J (2007) Care by spouses, care by children: Projections of informal care for older people in England to 2031, Social Policy and Society, 6, 3, 353-366.
MHEEN II - journal of mental health special issue
The Mental Health Economics European Network (MHEEN), set up in 2002, initially covered 17 European countries and now involves representatives from 32. In its early work - much of which has just been published in a special issue of the Journal of Mental Health - the Network aimed to:
prepare a simple framework for identifying and collecting data on the primary economic dimensions relevant to mental health systems across Europe;
build up information and indicators for countries which would allow comparisons to be made, and provide the means for better understanding of how mental health systems might be developed; and
promote wider learning about economic issues in mental health.
One of the papers in the special issue sets out the financial platform for mental health provision across 17 countries, describing modes of finance (tax-based, social insurance, voluntary insurance and so on), levels and patterns of funding, payment arrangements, and resource allocation mechanisms.
A second paper focuses on the employment experiences of people with mental health problems and the efforts made by policy frameworks and practice initiatives to address the difficulties faced. Complementary evidence on employment patterns and their association with general labour market conditions in selected countries is offered in another paper.
There is also a paper on the extent to which economic evidence is used in decision-making in mental health systems, and the level of investment in cost-effectiveness and similar evaluations. A final contribution looks at the shifting of boundaries between health, social care and other service systems.
The current Network of 32 European countries (plus some from outside Europe) is continuing to develop and expand the understanding of economic issues in mental health in Europe.
Please contact David McDaid for further information about MHEEN and its related activities.
MAP2030 project website launched at LSE
The Modelling Ageing Populations to 2030 project team has now launched its website.
The MAP2030 website provides information about the project, including the aims of the project, background publications and information on staff working on the project.
New PSSRU at LSE online newsletter
The first issue of the new PSSRU at LSE online newsletter is now available. Research Bites features topical articles on news and research at the LSE branch and aims to provide information about our research at the LSE, and to disseminate findings as they become available.
Francesco Moscone and Martin Knapp receive excellence in mental health and economics research award
Francesco Moscone and Martin Knapp from LSE have recently been awarded an excellence in mental health and economics research award for their paper entitled Exploring the Spatial Pattern of Mental Health Expenditure in the Journal of Mental Health Policy and Economics.
The full paper is accessible via the Journal of Mental Health Policy and Economics's website.
More than 1.7 million people in the UK will have dementia by 2051, according to projections in a new report on the prevalence and cost of dementia in the UK. The work was commissioned by the Alzheimer's Society from the PSSRU at the London School of Economics and the Institute of Psychiatry at King's College London.
The report, Dementia UK, concludes that 'Despite areas of good practice, the UK's current health and social care system is characterised by a widespread failure to support people with dementia and their families [and] a significant lack of evidence on outcomes and the current state of service delivery.'
The authors make seven specific recommendations:
Make dementia a national priority
Increase funding for dementia research
Improve dementia care skills
Develop community support
Guarantee carer support packages
Hold a national debate on who pays for care
Develop comprehensive dementia care models
More information and a summary of the report is available at the Alzheimer's Society website. The BBC website also has an article on the research and reaction to it. Latest issue of the PSSRU bulletin, November 2006
PSSRU Bulletin No 16 is now available to download.
The Bulletin provides information and records recent developments on projects being undertaken across the three branches of PSSRU, as well as Unit publications, news and information on staff.