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The consequences of implementing a child care voucher scheme: evidence from Australia, the Netherlands and the USA
- Authors:
- WARNER Mildred E., GRADUS Raymond H.J.M.
- Journal article citation:
- Social Policy and Administration, 45(5), October 2011, pp.569-592.
- Publisher:
- Wiley
Publically funded child care vouchers are part of a government response to promote parental labour force participation. This article analyses 3 countries which introduced a voucher for child care, giving parents freedom to choose the provider. Voucher schemes were introduced in the USA in 1996, Australia in 1997, and the Netherlands in 2005. The policy experiments and the outcomes in these 3 countries provide useful information about the consequences of introducing a voucher scheme in the child care market. The article considers: the consequences of the voucher schemes on effective demand; the nature of the response; and the social implications with regard to quality, community organisation and employer involvement. The results show the voucher system can be effective in increasing demand, but there can be uneven supply responses. The structure of the voucher income scheme and quality controls affect the nature of the supply response. The article argues that voucher schemes must take into account the complex nature of the child care market and the substitutability among free public care, private market care and unpaid household care. To secure quality and access, government also must play a coordinating role that vouchers alone cannot supply.
Working for patients? The right approach?
- Authors:
- BARR N., GLENNERSTER H., Le GRAND J.
- Journal article citation:
- Social Policy and Administration, 23(2), August 1989, pp.117-127.
- Publisher:
- Wiley
Discusses the implementation of the White Paper "Working for Patients" and the importance of quality control.
Quality protects: first analysis of management action plans with reference to disabled children and families
- Authors:
- GREAT BRITAIN. Department of Health, COUNCIL FOR DISABLED CHILDREN, NATIONAL CHILDREN'S BUREAU
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2000
- Pagination:
- 24p.,bibliog.
- Place of publication:
- London
Report presenting an initial analysis of local authority responses to the Quality Protects programme, with special reference to disabled children. The analysis is presented under the following headings: information, coordinating and sharing; eligibility criteria, assessment and review; disabled children living away from home; children with challenging behaviour; relationships between services for children with special educational needs and disabled children; consultation with disabled children and young people; consultation with parents; working with disabled children from minority ethnic communities; awareness of the Disability Discrimination Act 1995; and managing transition.
Quality protects and disabled children
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1999
- Pagination:
- 2p.
- Place of publication:
- London
Circular drawing attention to two documents on quality protects: a computer based model for predicting the likely numbers and level of needs of disabled children; and an analysis of Management Action Plans for 1998/99 focusing on services for disabled children and their families.
Changes to the regulatory framework for Social Work England: Government consultation response
- Author:
- GREAT BRITAIN. Department for Education
- Publisher:
- Great Britain. Department for Education
- Publication year:
- 2022
- Pagination:
- 26
- Place of publication:
- London
This report presents the Government response to a consultation on proposed changes to the Social Workers Regulations 2018. The aim of the changes is to support Social Work England to improve its existing flexible model of professional regulation to secure public protection, foster professionalism, and ensure standards of practise. A total of 48 responses have been analysed and given full consideration in preparing this response. In addition to the 48 responses analysed, 3 respondents did not consent to having their data held in accordance with UK GDPR and were not included in the analysis. The majority of respondents supported the proposed changes to Social Work England's regulatory framework which are aimed at further improving the regulator's operational efficiency in support of effective public protection. Having analysed all the responses provided, including a number of concerns raised, the Government intend to take forward all the proposed changes without substantive amendments to the draft legislation. (Edited publisher abstract)
The health and social care white paper explained
- Author:
- McKENNA Helen
- Publisher:
- King's Fund
- Publication year:
- 2021
- Place of publication:
- London
This long read describes the main proposals of the Government’s white paper ‘Integration and innovation: working together to improve health and social care for all’, which sets out legislative proposals for a health and care Bill. The white paper groups the proposals under the following themes: working together and supporting integration; stripping out needless bureaucracy; enhancing public confidence and accountability; and additional proposals to support public health, social care, and quality and safety. The proposals represent a marked shift away from the focus on competition that underpinned the coalition government’s 2012 reforms, towards a new model of collaboration, partnership and integration. At the same time, removing some of the competition and procurement rules could give the NHS and its partners greater flexibility to deliver joined-up care to the increasing number of people who rely on multiple services. At the heart of the changes set out in this section is the proposal to establish integrated care systems (ICSs) as statutory bodies in all parts of England. ICSs will be made up of two parts – an ‘ICS NHS body’ and an ‘ICS health and care partnership’. The dual structure is a new development and recognises the two forms of integration that are needed to adopt a population health approach aimed at improving the health and wellbeing of local populations: integration within the NHS (between different NHS organisations) and integration between the NHS and local government (and wider partners). (Edited publisher abstract)
Improving and safeguarding social wellbeing: putting improvement at the heart of social work proposals paper: stage 2 delivery
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2016
- Pagination:
- 27
- Place of publication:
- Belfast
Based on a review and learning from the first four years of implementation of 'Building on Improving and Safeguarding Social Wellbeing' launched in 2012, this document sets out 10 proposals for the future implementation of the strategy for social work in Northern Ireland. Stage two aims to further embed the strategy into mainstream social work activity. The strategy provides a vision for the whole social work system around three overarching goals: to build trust in the social work profession, to strengthen the capacity of the workforce, and to improve the quality and effectiveness of social work services. The document provides a summary of the current context for delivery; the impact of implementation on social workers, on those who use social work services and on the public; the effectiveness of the approach to implementation in Stage 1; the effectiveness of communication and engagement; the use of resources; the strategic direction and key priorities; and transition arrangement. Based on the analysis of the findings and on evidence of how to achieve and embed sustainable change, the report sets out 10 proposals. (Edited publisher abstract)
Considering the impact of the Education and Adoption Bill provisions
- Author:
- GREAT BRITAIN. Department for Education
- Publisher:
- Great Britain. Department for Education
- Publication year:
- 2015
- Pagination:
- 22
- Place of publication:
- London
Assessment of the Education and Adoption Bill provisions on schools and adoption and of their impact on: the public sector equality duty, the family test, the United Nations Convention on the Rights of the Child (UNCRC), and child poverty. The report suggests that the provisions in the Bill will facilitate more schools becoming academies and that streamlining intervention measures and facilitating swifter transfer of failing and (where appropriate) coasting maintained schools to academies with effective sponsors will ‘advance equality of opportunity’ for affected pupils. The report also argues that the introduction of regional adoption agencies, which will work across local authority boundaries and in partnership with voluntary adoption agencies, will result in a reduction in the number of children waiting to be adopted, especially those waiting over 18 months. (Edited publisher abstract)
The NHS outcomes framework 2013/14
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 20p.
- Place of publication:
- London
The NHS Outcomes Framework and its indicators are intended to provide a national overview of how well the NHS is performing and an accountability mechanism for NHS spending, and to act as a catalyst for improving quality throughout the NHS by encouraging change in culture and behaviour. This document builds on the 2 previous versions and sets out the framework and indicators for 2013/14. The indicators are grouped around 5 domains setting out high-level national outcomes: preventing people from dying prematurely; enhancing quality of life for people with long-term conditions; helping people to recover from episodes of ill-health or following injury; ensuring that people have a positive experience of care; treating and caring for people in a safe environment and protecting them from avoidable harm. The document describes the purpose of the framework and how it is intended to work in the wider system, and highlights and explains main changes to the indicators across each of the 5 domains. A technical appendix provides detailed information about each of the indicators.
Transparency, quality and outcomes in adult social care: impact assessment
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 31p.
- Place of publication:
- London
An impact assessment for the government consultation 'Transparency in outcomes: a framework for adults social care'. The assessment highlights the issue - the variation in the quality and outcomes of adult services, looks at the policy options considered, and provides evidence for each of the policy options. Evidence includes a summary of costs, benefits; economic, environmental and social impacts; and risks.