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Lost to the system?: the impact of fair access to care
- Authors:
- HENWOOD Melanie, HUDSON Bob
- Publisher:
- Commission for Social Care Inspection
- Publication year:
- 2008
- Pagination:
- 124p.
- Place of publication:
- London
CSCI commissioned this special study to address issues arising from the trend for all councils to raise the threshold for access to social care services. Nearly two thirds of them are setting the Fair Access to Care (FACS) entry point at ‘substantial’ in 2006-07. The core findings are presented as part of the State of Social Care report for 2006-07; however the full details cannot be adequately presented within that limited space, and this is the full report of the study.
Analysis of evidence submitted to the CSCI review of eligibility criteria
- Authors:
- HUDSON Bob, HENWOOD Melanie
- Publisher:
- Commission for Social Care Inspection
- Publication year:
- 2008
- Pagination:
- 94p.
- Place of publication:
- London
The 2008 Commission for Social Care Inspection review asked for views on the current arrangements for Fair Access to Care Services, and on what might be done to improve eligibility arrangements for social care support. This report analyses the findings from both the written submissions (just over 100 written submissions were received) and the online survey (almost 3,000 respondents completed the survey). It looks at views on the current system, proposals for interim change, and proposals for longer-term reform. It concludes that, with few exceptions, the submitted evidence accepts that some form of social care rationing is inevitable, and that the bulk of opinion calls for a radical reappraisal of arrangements. The report notes that any new system will need to demonstrate that it meets the requirements of an outcomes-based framework, compatibility with the personalisation agenda, a focus on prevention and social inclusion, fairness and transparency, and a guaranteed national minimum entitlement.
Autism support in adulthood
- Author:
- HUDSON Bob
- Journal article citation:
- Community Care, 26.11.09, 2009, pp.30-31.
- Publisher:
- Reed Business Information
Three recent developments which should put people with autism at the centre of policy and practice. The National Audit Office (NAO) research report 'Supporting people with autism through adulthood' assessed the range of services that might be needed by people with autism. The government consultation, 'A better future: a consultation on a future strategy for adults with autistic spectrum disorder' have been published by the Departments of Health and the Autism Act, which was passed earlier this month. Themes from these publications that are central to improved policy and practice are discussed.
Glimmers of good news alongside unimaginative services
- Authors:
- HENWOOD Melanie, HUDSON Bob
- Journal article citation:
- Community Living, 22(3), Spring 2009, pp.17-19.
- Publisher:
- Hexagon Publishing
The authors examine some of the obstacles to the widespread introduction of personalised adult social care, especially in relation to people with multiple and complex needs. They draw on the findings of recent evaluations of individual budgets.
Keeping it personal: supporting people with complex and multiple needs
- Authors:
- HENWOOD Melanie, HUDSON Bob
- Journal article citation:
- Journal of Integrated Care, 17(3), June 2009, pp.8-15.
- Publisher:
- Emerald
As the social care system - and potentially the health care system and other public services - move increasingly towards a model of personalised support, questions arise about whether and how it can work for people with multiple and complex needs. The evidence is that it is possible to achieve this, and that the outcomes and quality of life can be dramatically improved, but many councils and their partners have yet to move into this demanding activity, and face considerable obstacles in the form of conventional approaches to policy and practice if and when they do. This article draws on the findings of a special study undertaken for the Commission for Social Care Inspection. Alongside some of the difficulties of personalising support for people with multiple and complex needs are inspirational stories of innovative developments which have transformed the lives of people and their carers. Two illustrative case studies are presented - that of a man with cerebral palsy, learning disability and epilepsy and a mother with Multiple Sclerosis.