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It's a matter of choice: making direct payments work in Staffordshire
- Author:
- LEECE Janet
- Journal article citation:
- Practice: Social Work in Action, 12(4), December 2000, pp.37-48.
- Publisher:
- Taylor and Francis
This article examines the responses and experiences of service users to evaluate one social services direct payments project. It brings together research findings from other schemes to raise important considerations for practice in the operation of direct payment schemes around the country, whilst revealing some features unique to the Staffordshire scheme. It also has some relevance for policy making. The study highlights the many challenges to direct payment schemes: increasing the take up rate, ensuring all groups are included, making all disabled people aware of the direct payment option, recruitment of personal assistants and training social workers. The article makes suggestions for improvements in practice to ensure greater numbers and diversity of disabled people can enjoy the many benefits of direct payments.
Paying the piper and calling the tune: power and the direct payment relationship
- Author:
- LEECE Janet
- Journal article citation:
- British Journal of Social Work, 40(1), January 2010, pp.188-206.
- Publisher:
- Oxford University Press
This paper provides empirical evidence from original research, which investigated the impact on the support relationship of the direct employment of workers, by direct payment users. The study used a grounded theory approach, with questionnaires to measure job satisfaction and stress, and in-depth interviews with respondents. It explored and compared the experiences of eight direct payment relationships with eight traditional service delivery homecare relationships. The research reveals the importance of the concept of power in helping us to understand the effect of direct employment and, based on this research, makes some suggestions for policy and practice.
Direct payments and user-controlled support: the challenges for social care commissioning
- Author:
- LEECE Janet
- Journal article citation:
- Practice: Social Work in Action, 19(3), September 2007, pp.185-198.
- Publisher:
- Taylor and Francis
Direct payments are high on the agenda for social care with the government keen to radically increase the number of people accessing user-controlled support. Making this a reality presents local authority commissioners with a number of challenges: balancing the required financial flexibility whilst ensuring market stability; planning for the whole community; greater partnership working; developing a new workforce of personal assistants and working with a remodelled social work role. This paper looks at the background to direct payments and considers these challenges.
Money talks, but what does it say?: direct payments and the commodification of care
- Author:
- LEECE Janet
- Journal article citation:
- Practice: Social Work in Action, 16(3), September 2004, pp.211-221.
- Publisher:
- Taylor and Francis
The development of direct payments has been greatly influenced by the combined pressure of governments' determination to create a mixed economy in social care and action from the disability movement in its quest for independent living and social justice. The extent to which the ideals of these perspectives have been realised by the reality of direct payments is unclear. One outcome of the shift to a market economy is that social care provision is treated progressively as a commodity to be bought and sold. Charts the background to cash payments, explores the issues and considers what the future may hold.
The development of domiciliary care: what does the future hold
- Author:
- LEECE Janet
- Journal article citation:
- Practice: Social Work in Action, 15(3), 2003, pp.17-30.
- Publisher:
- Taylor and Francis
Outlines the evolving development of domiciliary care from its beginnings in district nursing and the home help service to the present day. Discusses the important issues likely to affect future provision and considers whether domiciliary care is about to come full circle.
Taking the money
- Author:
- LEECE Janet
- Journal article citation:
- Working with Older People, 8(1), March 2004, pp.36-39.
- Publisher:
- Emerald
Compares systems of direct payments in the UK with other countries. Explores the problems with the UK system and their potential solutions.
Extending direct payments to informal carers: some issues for local authorities
- Author:
- LEECE Janet
- Journal article citation:
- Practice: Social Work in Action, 14(2), June 2002, pp.31-44.
- Publisher:
- Taylor and Francis
The Carers and Disabled Children Act (200) has potential to fundamentally change carers services and the way they are delivered. This article examines the practical issues involved in the implementation of the Act, in terms of providing equitable services, defining terms, young carers and care package limits, local authority eligibility criteria and whether funding is adequate.
Changing direction: direct payments and disabled children
- Author:
- LEECE Janet
- Journal article citation:
- Representing Children, 14(4), 2002, pp.215-225.
- Publisher:
- National Youth Advocacy Service
The Carers and Disabled Children Act 2000 extended the powers of local authorities to make direct payments to the parents of disabled children and to disabled young people aged 16-17 years themselves. This article looks at the background to direct payments and discusses the disadvantages, advantages and potential to improve the lives of disabled young people and their parents. Also explores some important issues as local authorities expand their schemes. Data from a pilot project in Staffordshire Social Services is also used to inform the debate.
Direct support: direct payments and older people
- Author:
- LEECE Janet
- Journal article citation:
- Generations Review, 11(3), September 2001, pp.23-25.
- Publisher:
- British Society of Gerontology
Draws together recent research to consider issues around direct payments that are important to older people. Looks briefly at the background to direct payments, how they work, and whether existing schemes are being made available to older people and if these are appropriate to their needs.
Implementing community care: is there really more choice?
- Author:
- LEECE Janet
- Journal article citation:
- Generations Review, 5(2), June 1995, pp.2-5.
- Publisher:
- British Society of Gerontology
Details findings from a study in 1994, undertaken for an MA in Gerontology at Keele, which looked at the experiences of the reforms, for a group of people in a county in the North West of England. It discusses the issues involved in achieving more choice for older people and concludes that in the county studied, client choice appears not to have increased, and in some areas of provision choice has actually decreased.