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Patterns of commissioning, contracting and care management in social care services for older people in England
- Authors:
- CHESTER Helen, HUGHES Jane, CHALLIS David
- Journal article citation:
- British Journal of Social Work, 40(8), December 2010, pp.2523-2537..
- Publisher:
- Oxford University Press
A current objective of social care policy in England is to provide more personalised care services. This has implications for the provision of community based care for frail older people. Using data from a national postal survey of local authorities in England, this paper explores whether a typology of commissioning, contracting and care management arrangements, key components in the delivery of social care, can be discerned through the analysis of a series of indicators. Over two thirds of local authorities responded and arrangements were categorised on an empirical basis, resulting in the formulation of seven categories of authority. These were found to vary in the level of activity in three domains: commissioning and contracting arrangements; employment practices; and flexibility in service provision at the level of the service user. The extent to which the typology constitutes a viable ideal type is explored, together with its relevance to the emergent policy agenda.
Making direct payments work for older people
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- York
The scope of the Community Care (Direct Payments) Act was extended to older people in February 2000. However, scepticism remains about older people's desire and ability to use direct payments. A new study examined the way older people use direct payments, how they make them work, and the role of local authority care managers and direct payments support services in making direct payments a real option for older people. The research was conducted in three local authority areas in England.
Emerging patterns of care management: arrangements for older people in England
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Social Policy and Administration, 35(6), December 2001, pp.672-687.
- Publisher:
- Wiley
This article explores whether typologies of care management arrangements for older people can be discerned through the analysis of a series of key indicators. Data were drawn from a survey of all English local authorities, undertaken as part of the PSSRU study 'Mapping and Evaluation of Care Management Arrangements for Older People and those with Mental Health Problems'. Care management arrangements were categorised using a limited number of key indicators chosen on an empirical and an a priori basis. This resulted in the formulation of six categories of care management arrangements of older people, within which approximately 80 per cent of local authorities could be included.
Care management study: report on national data; mapping and evaluation of care management arrangements for older people and those with mental health problems
- Authors:
- CHALLIS David, et al
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1998
- Pagination:
- 74p.,tables,bibliog.
- Place of publication:
- London
Report presenting the findings from part of a national survey of care management arrangements. Forms part of a three-phase programme of research aiming to provide a mapping and evaluation of care management arrangements for older people and people with mental health problems.
Making managed personal budgets work for older people: what older people want, what works and how to achieve the best outcomes
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2013
- Pagination:
- 95
- Place of publication:
- London
A guide for local authorities and other providers to help them ensure that the majority of older people who are on managed personal budgets can benefit from the same level of choice and control as the minority who receive direct payments. The guide highlights research and best practice findings on what older people want and need from a personal budget. It also identifies best practice in the support local authorities should provide and/or commission to help older people achieve the best possible outcomes from their personal budgets. Person-centred practice, Individual Service Funds and Peer Support Networks are also covered. A variety of individual and service case studies are included throughout. (Edited publisher abstract)
Targeting, care management and preventative services for older people: the cost-effectiveness of a pilot self-assessment approach in one local authority
- Authors:
- CLARKSON Paul, et al
- Journal article citation:
- British Journal of Social Work, 40(7), October 2010, pp.2255-2273.
- Publisher:
- Oxford University Press
This paper details a pilot project in a local authority that aimed to target access to assessment for older people with low needs who would normally have failed eligibility thresholds. Self-assessment was used where these older people could identify their preferences for a range of preventative services. The study evaluated the costs and benefits, in terms of reported satisfaction, of the approach compared with the usual care management assessment. Although self-assessed cases were offered more advice as to a wider range of preventative services, which generated greater costs, total costs were lower for this group. This cost saving arose from the use of staff with a lower unit cost who also spent less time on administrative duties and gathering information. Satisfaction with self-assessment was comparable to a professional assessment, therefore representing a cost-effective approach. The project offered evidence of how councils can target resources through assessment and how self-assessment approaches may be appropriately configured to offer value for these users.
Care management arrangements for older people in England: key areas of variation in a national study
- Authors:
- WEINER Kate, et al
- Journal article citation:
- Ageing and Society, 22(4), July 2002, pp.419-439.
- Publisher:
- Cambridge University Press
This article analyses different care management arrangements for older people's services that are now emerging. It has been United Kingdom government policy since 1989 that the providers of social services develop care management systems as confirmed in the White Paper' Modernising social services'. This article examines policy changes, evidence that has emerged from the early phases of care management, and evidence from a national study of care management arrangements.
Recruitment and retention of a social care workforce for older people
- Authors:
- HUGHES Jane, CHESTER Helen, CHALLIS David
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2009
- Pagination:
- 165p., bibliog.
- Place of publication:
- Manchester
This report describes the findings from the first of a three phase research project to identify factors within local authority commissioning, contracting and care management arrangements which influence the recruitment and retention of staff in domiciliary services and care homes. The first chapter outlines the policy context shaping commissioning and contracting arrangements and presents the findings of a selective literature review. Following chapters describe the methodology of the study, which included a postal survey was sent to local authorities with social services responsibilities. Ninety two of a total of 149 were returned. The findings describe the current arrangements and present the findings from the national survey. A typology of local authority and commissioning arrangements for older peoples services are then presented. Includes extensive tables and figures. The study was funded by the Department of Health under the Social Care Workforce Research Initiative.
Care home closures
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2002
- Pagination:
- 32p.
Explains possible reasons why care homes might close, the possible advantages and disadvantages to residents, good practice that home owners and managers should follow, what residents and their supporters can do to influence what happens, and the legal position. Residents in local authority homes potentially have much greater protection than those in independent sector homes.
Resources, needs and outcomes in community-based care: a comparative study of the production of welfare for elderly people in ten local authorities in England and Wales
- Authors:
- DAVIES Bleddyn, BEBBINGTON Andrew, CHARNLEY Helen
- Publisher:
- Avebury
- Publication year:
- 1990
- Pagination:
- 512p.,tables,bibliog.
- Place of publication:
- Aldershot
Based on a large study over 3 years of clients, carers and others. Discusses the extent to which greater public spending on the neediest persons living at home will reduce the need for expenditure on residential care. Looks at targeting of services and discusses how this could be improved. Contains chapters on interagency cooperation, case management, risk and decision making, and innovation. Finally, suggests ways forward, including raising productivities and matching resources to needs.