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Centre for Policy on Ageing | |
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The domiciliary care market in Scotland
— quasi-markets revisited | | Author(s) | Lisa Curtice, Fiona Fraser |
| Journal title | Health & Social Care in the Community, vol 8, no 4, July 2000 |
| Pages | pp 260-268 |
| Keywords | Domiciliary services ; Social Services Departments ; Expenditure [care] ; Private enterprise ; Voluntary agencies ; Scotland. |
| Annotation | By offering people the choice of care at home, the policy of encouraging local authorities to purchase domiciliary care services from voluntary and private providers was intended to achieve a key part of the community care agenda. A study to establish the extent to which there is a mixed economy in the purchase of domiciliary care in Scotland revealed reluctance by local authority managers to divest provision to voluntary and private agencies. A postal survey of a random sample of one in two providers found that the independent sector's share of the market, measured as the proportion of weekly care hours provided was small in Scotland (15%) compared with 36% in England and Wales. Explanation for this difference may lie in the level of state regulation, for in Scotland there was no compulsion on local authorities to purchase from the independent sector. Paradoxically, the quasi-market in England developed through strong state regulation, whereas in Scotland the strength of policy networks may account for the persistence of a more traditional welfare state model. The paper questions whether incentives for change were sufficient in Scotland under the quasi-market. (RH). |
| Accession Number | CPA-001003001 A |
| Classmark | N: PF: QD: W4D: PK: 9A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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