Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T21:11:06.598Z Has data issue: false hasContentIssue false

A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly

Published online by Cambridge University Press:  10 June 2011

B.D. Rickayzen
Affiliation:
City University, Department of Actuarial Science & Statistics, Northampton Square, London EC1V 0HB, U.K. Tel: +44(0)20-7040-8499; E-mail: b.d.rickayzen@city.ac.uk

Abstract

This paper develops a multiple state model to project the number of people with disabilities in the United Kingdom over the next 35 years, thereby identifying implications for demand for long-term care for the elderly in the future.

The model requires three types of data: prevalence rate data, transition rate data and trends data. Recent trends in healthy life expectancy data are used to frame the assumptions made regarding changes in the disability rates of the U.K. population in the future.

Although there will be a large increase in the number of elderly people in the U.K. over the next 35 years, the projections suggest that the implications for the number of elderly people requiring long-term care could be ameliorated by a reduction in the proportion of older people who are severely disabled.

Type
Sessional meetings: papers and abstracts of discussions
Copyright
Copyright © Institute and Faculty of Actuaries 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bebbington, A.C. & Darton, R.A. (1996). Healthy life expectancy in England and Wales: recent evidence. PSSRU Discussion Paper 1205.Google Scholar
Benjamin, B. & Pollard, J.H. (1993). The analysis of mortality and other actuarial statistics. The Institute and Faculty of Actuaries.Google Scholar
Bone, M. (1995). Trends in dependency among older people in England. London: HMSO.Google Scholar
Bone, M., Bebbington, A.C., Jagger, C., Morgan, K. & Nicolaas, G. (1995). Health expectancy and its uses. London: HMSO.Google Scholar
Darton, R.A. (1994). Review of recent research on elderly people in residential care and nursing homes, with specific reference to dependency. PSSRU discussion paper 1082.Google Scholar
Dullaway, D. & Elliott, S. (1998). Long-term care insurance: a guide to product design and pricing. Paper presented to the Staple Inn Actuarial Society.Google Scholar
Glendinning, C. (1992). The costs of informal care: looking inside the household. London: HMSO.Google Scholar
Goddard, E. (1998). 1994 General Household Survey: follow-up of the health of people aged 65 and over. London: Department of Health.Google Scholar
Government Actuary (1998). 1996-based national population projections. London: The Stationery Office.Google Scholar
Green, H. (1985). Informal carers. (A general household survey supplement) London: HMSO.Google Scholar
Haberman, S. & Pitacco, E. (1999). Actuarial models for disability insurance. Boca Raton: Chapman & Hall/CRC Press.Google Scholar
Martin, J., Meltzer, H. & Elliot, D. (1988). OPCS surveys of disability in Great Britain, Report 1, The prevalence of disability among adults. London: HMSO.Google Scholar
Matthews, A. & Truscott, P. (1990). Disability, household income & expenditure: a follow up survey of disabled adults in the family expenditure survey. London: HMSO.Google Scholar
Netten, A., Darton, R., Forder, J. & Baines, B. (1997). Cross-sectional survey of residential and nursing homes for elderly people. PSSRU discussion paper 1339/2.Google Scholar
Netten, A. & Dennett, J. (1997). Unit costs of health & social care. Canterbury: PSSRU.Google Scholar
Nuttall, S.R., Blackwood, R.J.L., Bussell, B.M.H., Cliff, J.P., Cornall, M.J., Cowley, A., Gatenby, P.L. & Webber, J.M. (1994). Financing long-term care in Great Britain. J.I.A. 121, 153.Google Scholar
Office of Population Censuses and Surveys (1987). English life tables no. 14, OPCS dicennial supplement no. 7. HMSOGoogle Scholar
Rickayzen, B.D. & Walsh, D.E.P. (2000). A model for projecting the number of people who will require long-term care in the future. Part II: The multiple state model. Actuarial research paper no. 124, City University, LondonGoogle Scholar
Society of Actuaries Long-Term Care Valuation Insurance Methods Task Force (1995). Long-term care valuation insurance methods. Transactions of the Society of Actuaries, XLVII, 103271.Google Scholar
Thomas, M., Walker, A., Wilmot, A. & Bennett, N. (1998). Living in Britain: Results of the 1996 general household survey. London: The Stationery Office.Google Scholar
Walsh, D.E.P. & Rickayzen, B.D. (2000a). A model for projecting the number of people who will require long-term care in the future. Part I: Data considerations. Actuarial research paper No. 123, City University, London.Google Scholar
Walsh, D.E.P. & Rickayzen, B.D. (2000b). A model for projecting the number of people who will require long-term care in the future. Part III: The projected numbers and the funnel of doubt. Actuarial research paper no. 125, City University, London.Google Scholar
Wittenberg, R., Pickard, L., Comas-Herrera, A., Davies, B. & Darton, R. (1998). Demand for long-term care: projections of long-term care finance for elderly people. PSSRU.Google Scholar