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Centre for Policy on Ageing | |
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Commissioning care services for older people in England
— the view from care managers, users and carers | | Author(s) | Tricia Ware, Tihana Matosevic, Brian Hardy |
| Journal title | Ageing and Society, vol 23, part 4, July 2003 |
| Pages | pp 411-428 |
| Keywords | Domiciliary services ; Care homes ; Nursing homes ; Consumer ; Informal care ; Social workers. |
| Annotation | A key objective of the 1990 community care reforms was the development of an independent care sector alongside good quality public services. The study reported here examined - from the perspective of older service users, their carers and care managers - experiences at the operational level of arranging, delivering and receiving care services. Findings are based on data gathered in seven local authorities from reviews of case files, policy documents, and face-to-face, in-depth interviews with 55 users, 37 carers and 28 care managers. There is evidence of a pronounced emphasis on procedure-based systems of care management, which has two significant consequences. First, the fostering of personal relationships may be subordinated to the organisation of short-term tasks, which may threaten patterns of trust and accountability. Second, the associated fragmentation of the assessment and care management process, which in turn can lead to discontinuities of care for users and their carers. The paper concludes that there is still some way to go before care managers as micro-commissioners have sufficient and reliable information or available service capacity to match providers' capabilities with users' and carers' needs. (KJ/RH). |
| Accession Number | CPA-030721202 A |
| Classmark | N: KW: LHB: WY: P6: QR |
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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