Ben Goodair
@BenGoodair
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Researcher @CASE_LSE. Identifying the impacts of privatisation in health and social care services. He/him.
Joined May 2011
New paper out today in @TheLancetPH with co-author @aaronsreeves:. 📈 NHS outsourcing on the rise.🏥 For-profit expenditure associated with higher mortality rates.🚩 Declining population health outcomes may be worsened by privatisation. #OpenAccess here:
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New paper, showing inequalities in social care. "The poorest areas have far fewer outstanding rated care homes, despite those areas having higher care needs.". @DHSCgovuk @SocialcareToday @CASE_LSE @BlavatnikSchool @CommunityCare.
England’s two tier system deepens social care inequalities. @AMBachMortensen and colleagues examine how increasing reliance on out-of-pocket payments for adult social care has created a quality divide.
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Many thanks to great co-authors @AMBachMortensen @Michelle_Degli and @DrCNeedham . And many thanks to our funders @NuffieldFound . All feedback welcome :).
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Our case for change is quite simple: the system doesn't function well for anyone. A different funding model can simultaneously provide more equitable outcomes whilst preventing extortionate costs for people self-funding.
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We argue that . "Beyond these statistics lies a profound human impact: those who cannot afford to self-fund from the outset will have often have no choice but to live in struggling homes simply because they cannot afford to pay.".
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We also show that state-funded residents live in worse quality care homes across the board - with largest inequalities in the richest areas.
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We show that in England the best care homes open in the richest places. It's almost exactly the opposite for the worst quality homes.
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Out today in @bmj_latest . What happens in a two-tier care system where some people pay and others don't? . - Care homes give better care for the richest; . - They open in the richest areas; . - Something people learn when their savings run out.
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Funded PhD available to work with @MJWDemography and team answering: "are international migrants living longer lives in worse health than non-migrants in the U.K. are?".
📢 We are hiring! 📢. Are you a UK home student with (or nearing) a Master's degree in Demography, Public Health, Sociology or a related discipline? Do you have a strong interest in ethnicity and inequality? 📈🌍. If so, come and do a PhD @SalfordUni!.
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And happy to share my experiences working with Anders for anyone thinking of applying.
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New Postdoc job!!! Esp for Danish-speaking researchers. To work with @AMBachMortensen at RUC. Answering the 🔥 topic: Why is Denmark outsourcing it's care services. when the for-profit sector are worse?. Please share with colleagues! . Due: 1st June.
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Brand new research reported by @_tomwall this weekend:. Our new article, describing the extent of inequalities in care homes - with better care going to those that can pay for it. For-profit homes delivering poorest care for state-funded residents.
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Published with @AMBachMortensen + @Michelle_Degli + @CorletWalker. At @BlavatnikSchool + @CASE_LSE. cc: @SocialcareToday , @GeriSoc , @natalieben , @CommunityCare , @SKinnock.
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We conclude that the combined system of:. 1) Two-tiered funding.2) Under resourcing of state-funded services.3) Outsourcing of care provision. Means that care is unequally provided between people and areas with wealth vs without. The Casey Commission should consider all three.
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Secondly, we show that the "ownership gap" in care quality - a widely shown phenomenon of for-profit care homes being worse quality than other kinds - is only true in England when care homes are providing care for state-funded residents.
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Firstly, our research reveals a problem area for care quality is for-profit care homes serving state-funded residents. These are the homes most likely to be rated poorly by inspectors - a potential big concern for Local Authorities paying for these services, and the residents.
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We find that the probability of a care home being rated as good or outstanding is dependent on the number of self-funded residents they care for (x axis in figure = % self-funders). This is particularly true in for-profit care homes. This has several large implications.
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We analyse over 350,000 care home residents in England, their funding status, and what that means for the quality of care homes they live in. We show that self-funded residents live in the richest areas, and are disproportionately in for-profit care homes in the richest areas.
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New paper out today reveals scale of inequalities in social care! . 💰 Care homes are better rated with more self-funded residents.👔 But inequalities in care only exist in the for-profit sector.📈 Outsourcing accelerates inequalities of care. Link:
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RT @DanielHewittITV: 🔺Investigation. We have exposed serious neglect of disabled people at multiple homes run by UK’s largest provider of c….
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