When is a law not a law? And why does that matter to long-term care?  

by Catherine Needham and Emily Burn

When is a law not a law? When it gets passed into statute but never enacted. Lord Norton (a Conservative peer and expert on UK parliament) calls these cases ‘law but not law’. Such cases have been missed in the policy literature to date. Existing literature looks at the difficult process of policy design and policy making, taking it to the moment of legislative approval. Other literature takes it from the point of enactment to see how well the implementation fares. But there has been a failure to acknowledge a slim but important set of cases in which policies which gain legislative endorsement but are never enacted. A review by the UK House of Lords library found 480 such examples in the UK parliament between 1960 and 2020. In a system where the executive usually controls the legislative agenda and is not required to implement legislative mandates that it did not instigate (eg. Westminster in the UK), non-enactment represents a particular puzzle.

In our recent article in Policy and Politics, we explore the phenomenon of non-enacted policy through the example of long-term care funding in England. Two legislative interventions to reform long-term care funding in England have been abandoned prior to enactment. A package of reforms – including a cap on private liability for care costs and an increase in the means-test threshold – was passed into law in the Care Act 2014, but enactment was first delayed and then abandoned. A very similar reform package was then passed into law again in the Health and Care Act 2022, with implementation scheduled for 2023. This too was delayed and then abandoned.

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Who knows best? Understanding older people’s experience of emergency hospital admission

glasby-littlechildJon Glasby and Rosemary Littlechild

An extended version of this post was originally published on 4 October 2016 in the Policy Briefing section of Discover Society which is provided in collaboration with the journal Policy & Politics. The original post is available at http://discoversociety.org/2016/10/04/policy-briefing-who-knows-best-understanding-older-peoples-experience-of-emergency-hospital-admission/.

Every year, the NHS experiences more than 2 million unplanned hospital admissions for people over 65 (accounting for 68 per cent of hospital emergency bed days and the use of more than 51,000 acute beds at any one time).  With an ageing population and a challenging financial context, such pressures show no sign of abating – and the NHS is having to find ways of reducing emergency hospital admissions (in situations where care can be provided as effectively elsewhere).  Often, the assumption in policy and media debates seems to be that potentially large numbers of older people are admitted to hospital without really needing the services provided there, but because there is nowhere else for them to go or because other services are not operating effectively.    Continue reading

Imagining the future: Growing older together?

Alexandra ChapmanAlexandra Chapman

There is a clear divergence emerging between each region in the UK in terms of the nature and pace of implementing a policy framework that supports older service users and promotes a person-centred framework.

Following devolution, Scotland and Wales have developed adult social care strategies underpinned by person-centred principles through divergent policies and provision from each other and England. Meanwhile, in Northern Ireland, policy developments have not progressed at the same pace as the rest of the UK and there has been emphasis on a person-centred policy for adult social care users. The acknowledged shift in dependency ratios and increasing social care projects have emphasised a sense of urgency to reform adult social care policy in Northern Ireland. Continue reading

The role of formal and informal networks in supporting older people’s care during extreme weather events

Jonathan Wistow, Lena Dominelli, Katie Oven, Christine Dunn, and Sarah Curtis, from Durham University, discuss their latest article from EPSRC-funded research, “The role of formal and informal networks in supporting older people’s care during extreme weather events”. This article is now available on fast track.

Image by West Midlands Police [CC-BY-SA-2.0 (http://creativecommons.org/licenses/by-sa/2.0)], via Wikimedia Commons
Local residents and police officers in Balsall Heath clearing snow from the pathway of an older persons home (2013). Image courtesy of West Midlands Police [CC-BY-SA-2.0 (http://creativecommons.org/licenses/by-sa/2.0)%5D, via Wikimedia Commons
Climate change and demographic projections point, respectively, to more frequent occurrences of extreme weather and an ageing population.  Taken together these provide new dynamics to which health and social care systems need to respond.  Firstly, demographic change will lead to a growth in the population group that relies most on services within health and social care systems.  Secondly, the increased frequency of extreme weather events can have serious effects on the services, buildings, communication routes and utilities that are important for health and social care of older people.

This article is an output from an Engineering and Physical Sciences Research Council funded research project under the Adaptation and Resilience in the Context of Change programme, called Built Infrastructure for Older People in Conditions of Climate Change. The project brought together a team of researchers from different disciplines to understand how Continue reading