Beyond direct payments: making the case for microenterprise, Individual Service Funds and new forms of commissioning in health and social care

DUFFY Simon, CATLEY Angela
Think Local Act Personal
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This guidance shows that direct payments are not the only way to give people choice and control over their lives and makes the case for new approaches to support people, should a direct payment not be the preferred option. It makes the case for the following alternatives: micro-enterprises - funding a local person, family or small business to develop a good support solution with the person; Individual Service Funds – having a flexible budget which is managed for you by a local support organisation or person; and new models of commissioning – where funders organise their systems differently to enable choice, flexibility or reduce the complexity of personal budgets. It suggests three new approaches of commissioning: community sourcing, place-based working, and a modernised infrastructure which uses the internet to make it easy to individualise funding and widen support options. The guidance includes examples of good practice and advice to help implement these approaches. (Edited publisher abstract)

Subject terms:
models, commissioning, personalisation, SMEs, choice;
Content type:
practice guidance
United Kingdom
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