Long-term care for older people and EU Law: the position in England and Scotland

Abstract

To what extent, if at all, is the current legal position on long-term care for older people in England and Scotland potentially inconsistent with the UK's obligations in EU law? The implications of EU law for UK healthcare provision have been tracked by the literature, exploited by litigation (Case C-372/04 Watts [2006] ECR I -4325, BetterCare [2002] CAT 7), and covered in EU legislation (Directive 2011/24/EU). However, long-term care for older people involves not only healthcare but also social care. Drawing on significant new empirical data gathered in early 2010 for a European Commission report (European Commission 2011), this article is the first to consider in detail how EU law might apply to the social care aspects of long-term care for older people in England and Scotland. It concludes that EU law is an important element of the long-term care policy context.

Evidence of what works to support and sustain care at home for people with dementia: a literature review with a systematic approach

“…A systematically conducted review of research-based publications identified the current state of scientific knowledge regarding appropriate and effective services for people with dementia and their family caregivers in relation to a set of key outcomes derived from documents detailing recent Scottish policy [ 8 , 9 ] and guiding Scottish inspection practice (including relevant standards [ 10 , 11 ] and Statutory Performance Indicators (SPIs) [ 12 ] (see Table 1 , below). The emphasis on care at home and the reduction in the use of institutional long term care is however common to many welfare regimes and particularly pertinent for the rest of the UK, where the policy emphasis is similar [ 13 ].…”