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Centre for Policy on Ageing | |
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Personalised commissioning in adult social care
— report by the Comptroller and Auditor General | | Corporate Author | National Audit Office - NAO |
| Publisher | National Audit Office, 3 March 2016 |
| Pages | 54 pp (HC 883 Session 2015/16) |
| Source | Dopwnload: https://www.nao.org.uk/wp-content/uploads/2016/03/Personal... |
| Keywords | Services ; Social Services Departments ; Contracts ; Policy ; Government publications ; England. |
| Annotation | The National Audit Office (NAO) starts by noting some key facts about adult social care in England in 2014/15. Around 500,000 adults had their social care services paid for through local authority personal budgets (PBs); local authorities spent £6.3 bn on long-term social care for adults in the community; and 26% of long-term social care users said it was difficult to find information about support. There has also been a real-terms reduction of 7% in local authorities' spending on adult social care between 2010/11 and 2014/15. This report is one in a series by the NAO examining adult social care in England. It reviews progress with personalised commissioning; and given the current financial environment and the extension of personal budgets into healthcare, it looks at the practical challenges and opportunities associated with implementing personalised commissioning. It covers only social care that is fully or partly paid for by authorities; and unless otherwise stated, it excludes carers who receive personal budgets in their own right. The NAO found widespread support across local government and the adult care sector for the concept of personalised commissioning. It points to evidence suggesting that personal budgets benefit most, but not all, users; and that the way a personal budget is implemented is key to whether users benefit from it. Local authorities across England report a wide range in the proportions of users taking up personal budgets, including direct payments; however, some are constrained in how and the extent to which they can personalise care by the need to reduce overall spending. However, the Department of Health's (DH) local authority-level data provide no evidence that personalised commissioning improves user outcomes: the Department does not expect substantial financial savings from personalised commissioning, which differs from local authorities' expectations of savings. The report also considers the policy context and users' outcomes, and the capacity of the care market. Appendices give information about the NAO's audit approach and evidence base. (RH). |
| Accession Number | CPA-160315001 B |
| Classmark | I: PF: 6QH: QAD: 6OA: 82 |
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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