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Bridging the gap: using direct payments to purchase integrated care
Author(s)Caroline Glendinning, Shirley Halliwell, Sally Jacobs
Journal titleHealth and Social Care in the Community, vol 8, no 3, May 2000
Pagespp 192-200
KeywordsServices ; Community care ; Social security benefits ; Physical disabilities.
AnnotationThis paper reports on a study of disabled people with receiving Direct Payments who were able to purchase assistance in ways that cross conventional boundaries between health and social care. Most of the users reported purchasing help with aspects of health care through their Direct Payments, including physiotherapy, management of incontinence, and chiropody. They chose to purchase this help from their personal assistants because statutory services were not available, had been withdrawn, or because they were able to retain greater independence and control over their lives compared with receiving conventional services. Many Direct Payment users wanted more opportunities to purchase a range of health-related services, although this also raised questions about training, supervision and the professionalisation of flexible personal assistance. The paper concluded that health purchasers may need to consider contributing to Direct Payments in acknowledgement of the health care which such schemes are currently providing. (AKM).
Accession NumberCPA-000608402 A
ClassmarkI: PA: JH: BN

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