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Dimensions of choice in the assessment and care management process: the views of older people, carers and care managers
- Authors:
- HARDY Brian, YOUNG Ruth, WISTOW Gerald
- Journal article citation:
- Health and Social Care in the Community, 7(6), November 1999, pp.483-491.
- Publisher:
- Wiley
The aim of promoting choice for service users and carers is, together with the goal of greater independence, central to recent community care policies. This article sets out a typology of those key choices which users and carers are expected to be able to make within each stage of the assessment and care management process. The article goes on to describe the extent to which such choices have increased or decreased in practice. The evidence confirms that of other recent studies that the gap between the 'ideal' or user and carer involvement and the 'reality' of everyday practice is still considerable.
The development of domiciliary care: mission accomplished?
- Authors:
- WISTOW Gerald, HARDY Brian
- Journal article citation:
- Policy and Politics, 27(2), April 1999, pp.173-187.
- Publisher:
- Policy Press
The development of domiciliary care through the independent sector was central to the successful implementation of the 1993 community care changes. A considerable degree of success has been achieved: there has been substantial growth in the volume of home care hours funded by local authorities, and all of it concentrated in the independent sector. However, purchaser-provider relationships have created some provider instability and threatened continuity of care for users. Argues that the continuing task for local authorities as purchasers is to develop relationships with their providers which ensure that the quality of care services, and the way they are delivered, are consistent with user-defined standards.