Presentation prepared for IFA 11TH GLOBAL CONFERENCE ON AGEING 28 May – 1 June 2012, Prague, Czech Republic Support for caregivers in Slovenia: Interplay of transition and ageing Valentina Hlebec ([email protected]) University of Ljubljana, Faculty of Social Sciences, Slovenia
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Presentation prepared for IFA 11TH GLOBAL CONFERENCE ON AGEING
28 May – 1 June 2012, Prague, Czech Republic
Support for caregivers in Slovenia: Interplay of transition and ageing
Net pensions and income support for pensioners Average net pensions with income support for pensioners in €, and recipients of income support for pensioners 12/2010 Number Mean Number Mean Old-age pension 376.665 625 14.014 88 Disability pension 90.641 500 14.702 81 Survivor's pension 92.927 430 18.019 107 Total 560.233 577 46.735 93
Source: The Pension and Disability Insurance Institute of Slovenia, 2011
(a) (In)Formal Home care (Leave of absence for family member, Family attendant,
Personal assistant)
1. Leave of absence for employed family member (informal carer)
The Health Care and Health Insurance Act (1992) offers an opportunity for family
members to take care of a close family member. They are eligible for wage
compensation (80%) for 7 days, exceptionally for 14 days, but only for people who are
living in the same household.
2. Family attendant
The Social Security Act (2004; MDDSZ, 2006a; Amendment to the Social Security Act,
1992) defines a possibility for a family member to become a family attendant with the
right to partial payment for lost income at the minimum wage level (521 EUR in 2006;
1.349 cases, 981 family attendants were family members) or to a proportional part of
payment for lost income in the case of part-time work and full pension and disability
insurance contributions covered.
The tasks of the family attendants are:
- personal care, health care, social care, homemaking.
- Evaluation for eligibility is done by the local Centre for social work and Disability
Commission at Pension and Disability Insurance Fund.
- Centre for social work is responsible for monitoring the care provided and has to
prepare annual reports. Social inspection also inspects the work of family
attendants.
- Family attendants are financed through municipality budget. (The Social Security Act (2004; MDDSZ, 2006a; Amendment to the Social Security Act, 1992), Hlebec 2010, Prevodnik Rupel, Ogorevc,
2010: 7-8, 14).
3. Programme of personal assistance
Currently is financed as a project. 70% of organizations used disability status as criteria
for eligibility. Different services were performed.
Financial means are not ensured, most programmes were financed trough Employment
office (80%), some receive support of the municipalities or Ministry for Labour, Family
and Social Affairs.
In the first six months of 2007 there were 705 users of these programs (29% aged 65+).
(Prevodnik Rupel, Ogorevc, 2010: 8, 16).
(b) Home social care
A new service, developed in first half of 1990s. It is a social assistance
service intended to improve the quality of life of older people living at home who
are unable to care for themselves due to old age or illness and whose family cannot
provide them with sufficient care. It was developed to cut the number of waiting
applicants for old people’s homes and to improve the quality of life of those living
at home. Home social care encompasses Homemaking , Help with basic daily tasks
with personal hygiene, Maintaining social contacts
An individual is eligible for up to 4 hours of care per day or a maximum of 20 hours
per week in residential municipality.
Evaluation for eligibility is done by local centre for social work.
The financial burden of the service is carried by the municipality which by law is
obliged to cover at least 50% of the cost of the service. The state reduces the price
of the service by contributing to the labour costs of the service provider. Users pay
the remaining costs of the service (which may be up to 50% of the total costs). In
2010 65% of the costs were covered by municipalities, 22% by users and 13% by
central state budget (active employment policy). The active employment policy
project ended in November 2011.
The number of users is increasing from 2875 in 2003 to 6575 in 2010.
Average price paid by user varies considerably across municipalities (was 4.42 EUR
on average in 2010).
In 2008 the difference in price between private (4.99EUR) and public (4.15EUR)
providers was considerable.
Source: Nagode, Jakob Krejan, Smolej (2010): IZVAJANJE POMOČI NA DOMU. Analiza stanja v letu 2010. Končno poročilo (Home
care. Analysis of 2010 data. Final report). Social Protection Institute of RS.
0
10
20
30
40
50
2007 (Jan-Jun)
2008 (Jan-Jun)
2009 (1. 12. 2009)
2010 (1. 12. 2010)
Providers of help at home regarding the status, in n
Center for Social Services
Home for the elderly and special institutions
Special institutions for help at home (MB, LJ …)
Concessionaires
Source: Nagode, Jakob Krejan, Smolej (2010): IZVAJANJE POMOČI NA DOMU. Analiza stanja v letu 2010. Končno poročilo (Home
care. Analysis of 2010 data. Final report). Social Protection Institute of RS.
13,4
12,8
11,8
12,7
12,4
37,3
38,5
34,8
33,9
31,8
49,3
48,7
53,4
53,4
55,9
0 20 40 60 80 100
2006
2007
2008
2009
2010
The age of users, in percent
64 years old or younger
65 to 79 years old
80 years old or older
Source: Nagode, Jakob Krejan, Smolej (2010): IZVAJANJE POMOČI NA DOMU. Analiza stanja v letu 2010. Končno poročilo (Home
care. Analysis of 2010 data. Final report). Social Protection Institute of RS.
46
48
42,5
45
43
44,8
9
8,9
12,7
0 20 40 60 80 100
2008
2009
2010
The structure of help at home by content, in percent