University of Manchester. Personal Social Services Research Unit
Publication year:
2016
Pagination:
41
Place of publication:
Manchester
... included in the review (publication 1991- 2012). The studies were separated into two groups: those conducted early in the review period where the assessment and care management process was largely led by professionals and those conducted more recently in response to self-directed support initiatives within the personalisation agenda. The results are discussed in the following areas: the quality this to be especially true for studies conducted in response to self-directed support initiatives as part of the personalisation agenda.
(Edited publisher abstract)
This scoping review provides an overview of the range of resource allocation approaches that have been adopted in adult social care since the community care reforms of the 1990s, with a particular focus on more recent developments. For the review systematic searches were conducted in Social Care Online, PsycINFO, Medline, Cochrane, OpenGrey, Embase and HMIC. A total of thirty two documents were included in the review (publication 1991- 2012). The studies were separated into two groups: those conducted early in the review period where the assessment and care management process was largely led by professionals and those conducted more recently in response to self-directed support initiatives within the personalisation agenda. The results are discussed in the following areas: the quality of the evidence; perspectives on the principal approaches to resource allocation; the needs and contribution of carers; the role of discretion; the management of finite resources, and long-term prospects are discussed. The review indicates that there is a lack of empirical evidence in terms of both quantity and quality with respect to resource allocation processes and approaches at the micro level. It found this to be especially true for studies conducted in response to self-directed support initiatives as part of the personalisation agenda.
(Edited publisher abstract)
Subject terms:
resource allocation, social care, needs, needs assessment, outcomes, personalisation;
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.
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.
Subject terms:
local authorities, older people, personalisation, adult social care, care management, commissioning, contract procedures;
Research Policy and Planning, 30(1), 2013, pp.51-64.
Publisher:
Social Services Research Group
This paper explores local authority commissioning and contracting arrangements for home care, staff training opportunities and the range of services provided for older people utilising data from a national postal survey with a 74 per cent response rate. Local authority provision focused on intermediate care services. Joint commissioning of this with health was common but less likely for specialist mental health services. Most home care was commissioned from and provided by independent sector providers with contractual requirements identified as a means of influencing and monitoring training opportunities. A range of services were provided for users, additional to personal care. Local authority training was sometimes available to independent providers, focused on statutory requirements rather than user needs. Implications for the development of high quality services are discussed in terms of user need, service flexibility and training for staff providing direct care. It is suggested that within the commissioning process key drivers of the development of more personalised high quality home care services are: regular dialogue with service providers; greater health and social care involvement in a joint commissioning process; alignment of contracting arrangements to reflect service outcomes; and specification of training requirements within the setting and monitoring of home care contracts.
(Publisher abstract)
This paper explores local authority commissioning and contracting arrangements for home care, staff training opportunities and the range of services provided for older people utilising data from a national postal survey with a 74 per cent response rate. Local authority provision focused on intermediate care services. Joint commissioning of this with health was common but less likely for specialist mental health services. Most home care was commissioned from and provided by independent sector providers with contractual requirements identified as a means of influencing and monitoring training opportunities. A range of services were provided for users, additional to personal care. Local authority training was sometimes available to independent providers, focused on statutory requirements rather than user needs. Implications for the development of high quality services are discussed in terms of user need, service flexibility and training for staff providing direct care. It is suggested that within the commissioning process key drivers of the development of more personalised high quality home care services are: regular dialogue with service providers; greater health and social care involvement in a joint commissioning process; alignment of contracting arrangements to reflect service outcomes; and specification of training requirements within the setting and monitoring of home care contracts.
(Publisher abstract)
Subject terms:
home care, older people, commissioning, personalisation, quality assurance, contract procedures, training, local authorities;
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the delivery of quality care services. Using both primary and secondary data, this paper explores commissioning and contracting arrangements for domiciliary care and care home provision in England and their influence on the recruitment and retention of staff in these services. The implications of the findings are discussed in the context of two factors which influence continuity of care, a proxy for quality services for older people: training opportunities for staff and factors affecting the supply of labour from which direct carers are traditionally recruited. It is suggested that some of the drivers of quality in the provision of care may not be susceptible to the influence of commissioners and providers. Nevertheless, training may aid the recruitment and retention of care workers and provide one way in which they can promote a higher standard of care for older people.
(Publisher abstract)
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the delivery of quality care services. Using both primary and secondary data, this paper explores commissioning and contracting arrangements for domiciliary care and care home provision in England and their influence on the recruitment and retention of staff in these services. The implications of the findings are discussed in the context of two factors which influence continuity of care, a proxy for quality services for older people: training opportunities for staff and factors affecting the supply of labour from which direct carers are traditionally recruited. It is suggested that some of the drivers of quality in the provision of care may not be susceptible to the influence of commissioners and providers. Nevertheless, training may aid the recruitment and retention of care workers and provide one way in which they can promote a higher standard of care for older people.
(Publisher abstract)
Subject terms:
personalisation, vulnerable adults, older people, standards, commissioning, social care provision, staff, staff retention, recruitment, residential care;
... current areas of concern about the development of services and the implementation of policy: sustainability of innovatory service models, personalisation and the deployment of personal budgets, and the roll out of the National Dementia Strategy. The authors believe that the findings will be of particular value to those commissioning services.
Providing integrated and co-ordinated community-based care for older people with dementia has gained prominence against the background of an aging population and financial constraint in national budgets. This study of an intensive case management scheme designed for older people with dementia at risk of entry to residential care uses a quasi-experimental approach, where individuals in one community mental health team for older people received case management and were matched to those in a similar community mental health setting without such a service. The Lewisham Case Management Scheme is described in detail. The evidence was analysed in relation to the eventual placement of the older person, their quality of care, quality of life and overall needs, and the needs of their carers. Detailed analyses were carried out of the costs of care, the ways in which case managers undertook their work and how they addressed the problems and needs of the older people and carers in the study. The book offers evidence about the factors which can maximise the independence and well being of older people with dementia from the perspective of older people and their carers. It provides insights into three current areas of concern about the development of services and the implementation of policy: sustainability of innovatory service models, personalisation and the deployment of personal budgets, and the roll out of the National Dementia Strategy. The authors believe that the findings will be of particular value to those commissioning services.
Subject terms:
needs, older people, outcomes, personal budgets, personalisation, quality of life, carers, case management, community care, community mental health teams, cost effectiveness, dementia;