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Debates in personalisation
- Editors:
- NEEDHAM Catherine, GLASBY Jon
- Publisher:
- Policy Press
- Publication year:
- 2014
- Pagination:
- 232
- Place of publication:
- Bristol
This book brings together advocates and critics of the personalisation agenda in English social care services to debate key issues relating to personalisation. Perspectives from service users, practitioners, academics and policy commentators come together to give an account of the practicalities and controversies associated with the implementation of personalised approaches. The book consider personalisation in relation to older people, safeguarding, self-funders, direct payments, the workforce and the NHS, including personal health budgets. The conclusion examines how to make sense of the divergent accounts presented, asking if there is a value-based approach to person-centred care that all sides share. (Edited publisher abstract)
Personalisation and adult social care: future options for the reform of public services
- Authors:
- DUFFY Simon, WATERS John, GLASBY Jon
- Journal article citation:
- Policy and Politics, 38(4), October 2010, pp.493-508.
- Publisher:
- Policy Press
The authors first provide a brief overview of the development of adult social care in order to place the advent of personal budgets in their historical and policy context. They summarise some of the key concerns and criticisms of personal budgets. The main focus of the article is on the concept of personal budgets as a form of ‘conditional resource entitlement’ (CRE), a situation in between direct service provision and income adjustment in which the individual is given direct access to resources, but with conditions attached. The authors suggest a CRE can be defined using a framework that has five main dimensions: autonomy, flexibility, targeting, support, and conditionality. Other examples of CREs are briefly discussed. The authors argue that, by framing personal budgets as a form of CRE, there is scope to place this specific mechanism in the broader context of the differing strategies available to government when seeking to reform welfare services. They argue that, using this approach it is possible to conceive of a future in which current CREs could become a form of income adjustment; or emerge as the optimal approach to meeting the needs of disabled people; or provide a mechanism for making currently individual resources more conditional.