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Squaring the circle: devising charging policies for domiciliary care services
- Author:
- LUNT Neil
- Journal article citation:
- Research Policy and Planning, 14(1), 1996, pp.85-95.
- Publisher:
- Social Services Research Group
Discusses charging policies for day and domiciliary care services, focusing particularly on how social service authorities grapple with setting charges. This is one of the most difficult tasks facing departments and present as they attempt to ensure the smooth implementation and operation of community care policy. Clearly, levying charges for domiciliary services - home care, meals-on-wheels, day care attendance and so on - is of primary interest to social service departments. Charging, however, also has major implications for health authorities and housing authorities involved in delivering a seamless community care service.
A national evaluation of school breakfast clubs: where does economics fit in?
- Authors:
- SHEMILT I., et al
- Journal article citation:
- Child: Care, Health and Development, 30(5), September 2004, pp.429-437.
- Publisher:
- Wiley
The aim was to describe the economics of UK school breakfast clubs, to estimate costs resulting from clubs and to investigate relationships between costs and outcomes. A postal survey of schools with a 1-year follow-up, a cluster randomized controlled trial, case studies, semi-structured interviews with parents and a secondary econometric analysis. Key economic differences were identified between clubs based in primary schools and those based in secondary schools in terms of both funding levels and cost structures. However, funding levels were not a significant determinant of the observed outcomes in either type of school. For formal economic evaluation to succeed during implementation of a new initiative, a clearer understanding of relevant outcomes and the distinction between short- and long-term outcomes and potential individual, institutional and societal benefits are required from an early stage.
The purchaser/provider partnership: developing the mixed economy in Wigan
- Author:
- WALKER Bernard
- Journal article citation:
- Community Care Management and Planning, 4(3), June 1996, pp.87-93.
- Publisher:
- Pavillion
Presents an historical perspective on the approach adopted by Wigan Social Services Department to the development of a mixed economy of care following the NHS and Community Care Act, 1990. It highlights in particular the opportunities provided by the Special Transitional Grant, and how these were taken in the borough. Details are given of service innovations in residential and nursing home care, meals on wheels, services for carers and learning disability services.