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Involving older people in commissioning: more power to their elbow?
- Authors:
- WISTOW Gerald, WADDINGTON Eileen, DAVEY Vanessa
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2011
- Pagination:
- 75p., bibliog.
- Place of publication:
- York
This research set out to investigate what happens when older people are given the opportunity to shape service commissioning and delivery. The study also raises wider question of whether it can change the nature of local power relations in the long term. Dorset and Salford were identified as two areas where structures and processes exist which encourage and facilitate the involvement of older people in local decision-making. Through focus groups the research examined: how older people in these areas were involved in commissioning and service delivery; what difference their involvement made; the factors which lead to successful engagement; and the barriers to involving older people. Key findings revealed that public policy has made increasing reference to voice and choice for service users. Yet there were few examples where users have a real say in commissioning and more strategic approaches to service planning. Older people and agencies felt that their local involvement processes were worthwhile and associated with identifiable results. National focus groups were more sceptical about whether outcomes justified the time and resources involved. In conclusion, involvement should concentrate specifically on outcomes more than on processes.
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.