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Implementing consumer choice in long-term care
— the impact of individual budgets on social care providers in England |
| Author(s) | Mark Wilberforce, Caroline Glendinning, David Challis |
| Journal title | Social Policy & Administration, vol 45, no 5, October 2011 |
| Pages | pp 593-612 |
| Source | http://www.wiley.com/bw/journal.asp?ref=0144-5596&... |
| Keywords | Finance [care] ; Social security benefits ; Independence ; Consumer choice ; Services ; Pilot ; Long term ; Management [care] ; Evaluation. |
| Annotation | England has increasingly relied on consumerist principles to deliver greater quality and improved efficiency in the long-term care system. The Individual Budget (IB) pilots marked a step in this direction, with people eligible for state-funded support being granted direct control over the resources available for their care. This article explores the early impact of IBs on providers' services, on their workforces, and on the administrative implications for providers of managing IBs. Interviews were conducted with a sample of 16 social care providers spread across four IB pilot sites and with commissioning managers in each of seven pilot sites. The study found that providers were positive about the opportunities for better quality services that IBs can bring about. However the participants highlighted a number of obstacles to their effectiveness, and reported a range of potentially adverse administrative and workforce consequences which have the potential to jeopardise the consumerist policy objectives of increased choice and efficiency. (JL). |
| Accession Number | CPA-111214003 A |
| Classmark | QC: JH: C3: WYC: I: 4UC: 4Q: QA: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |