After a comprehensive and meticulous review, we have recently published an academic paper that looks into efficiency in the provision of social care services for older people in England It is a difficult, technical piece; here we describe what we did and present the main results.
Efficiency denotes ‘doing more with less’ but sometimes is used as a euphemism for cuts. This is not how we approached the issue. Rather, our yardstick was the quality of life of people receiving the services (that is, the users themselves). Higher quality of life equals higher efficiency. Simple.
Even if we focus on quality of life, we could think of efficiency in terms of either how to spend the least to generate a given level of quality of life or how to generate the most quality of life with the given bundle of resources available. We chose the latter approach. Focusing on spending the least would distract efforts away from people in need towards objectives expressed in expenditure items, sterling pounds, delivery contract clauses and the like. Instead, by focusing on making the most with what’s available we can learn about what may be behind that which matters to users of social care services and their families: their quality of life in relation with the care they get. Continue reading