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New kinds of care, new kinds of relationships: how purchasing services affects relationships in giving and receiving personal assistance
Author(s)Caroline Glendinning, Shirley Halliwell, Sally Jacobs
Journal titleHealth and Social Care in the Community, vol 8, no 3, May 2000
Pagespp 201-211
KeywordsServices ; Community care ; Social security benefits ; Physical disabilities.
AnnotationThis paper draws on interviews with users of direct payments and focus group discussions with the personal assistants (PAs) who assist them. It discusses the benefits and the drawbacks of directly employing such assistance, from the perspectives of both the purchasers and the providers of these services. The paper shows that direct payments can enable disabled people to purchase a much wider range of flexible help, better continuity, greater control and an enhanced quality of life, compared with conventional services. PAs also valued the trust and close relationships they developed with their employers. However, these benefits were much less marked when direct payment users recruited and employed PAs through care agencies. On the other hand, both direct payment users and PAs sometimes experienced difficulties in managing the relationships between them. The paper recommends a number of measures which could reduce the risks and vulnerability of both users and PAs, without reducing the enhanced quality of life which direct payments can confer. (AKM).
Accession NumberCPA-000608403 A
ClassmarkI: PA: JH: BN

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