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Under strain? Exploring the troubled relationship between health and social care
- Authors:
- GLENDINNING Caroline, HUDSON Bob, MEANS Robin
- Journal article citation:
- Public Money and Management, 25(4), August 2005, pp.245-251.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Relationships between the NHS and social care services over the past 25 years have a poor history. This article examines the strategies that have been used by central government and by local NHS and social care organizations to overcome difficulties of service co-ordination in relation to services for older people and disabled adults. The article is written from the perspective of the NHS. The authors conclude that policies reflecting 'networked' modes of governance may stand the best chance of success, although evidence of improved impact and outcomes still remains scarce.
People not budgets: valuing disabled children
- Authors:
- HEATH Florence, SMITH Richard
- Publisher:
- Centre for Policy Studies
- Publication year:
- 2004
- Pagination:
- 54p.
- Place of publication:
- London
Nearly half of families with disabled children receive no support from the NHS or social services. The authors found that 48% of families with disabled children received no help from outside the family and a further 30% received less than two hours support per week. Four out of five families (80%) said health and social services were "not properly coordinated". "The level of support given to these families by social services is often extremely poor," the report said. "The system is bureaucratic, has little sense of responsibility and is fuelled by ideological theories that have little relevance to everyday life." The report recommended giving the families of disabled children more control over their own lives. It called for the £140m currently spent on commissioning social services for the disabled to be given directly to the families as a non-means-tested payment in addition to current benefits. The thinktank estimated this extra money would be worth £115 a week.
Direct payments in action: implementation by social services departments in England
- Author:
- JORDAN Claire
- Publisher:
- SCOPE
- Publication year:
- 2004
- Pagination:
- 8p.
- Place of publication:
- London
Direct payments can greatly improve disabled people’s quality of life by offering increased control, flexibility and choice. Despite this, take-up of direct payments has so far been relatively low. Department of Health figures for 2003 show 12,585 people using direct payments, with take-up in some areas much higher than in others. This survey aimed to identify what social service departments saw as the barriers to using direct payments effectively.
Let me be me: a handbook for managers and staff working with disabled children and their families
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2003
- Pagination:
- 192p.
- Place of publication:
- London
The improvement handbook has been designed for managers and staff who work with disabled children and their families, across different agencies and disciplines. Individual services and agencies can use it to improve their own services. But, the most effective way to use the change pack is for managers and professionals from different agencies and disciplines to use it to review and develop services together. Families said that very often it was better co-ordination between different professionals and agencies that would make the biggest difference to the quality of their lives.
Time for an early start
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 12.06.03, 2003, pp.32-33.
- Publisher:
- Reed Business Information
For too long services for very young disabled children have suffered from dislocation between health, social services and education. But now the government is looking to improve early intervention by harnessing the efforts of health, education, social services and the voluntary sector.
Voluntary value added
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 6.4.00, 2000, p.25.
- Publisher:
- Reed Business Information
Reports on a unique respite service for children with learning or physical disabilities, which is being provided by a local authority (Middlesbrough) and a voluntary organisation (Shaftsbury Society).
Making direct payments work: identifying and overcoming barriers to implementation
- Authors:
- HASLER Frances, STEWART Angela
- Publisher:
- Pavilion
- Publication year:
- 2004
- Pagination:
- 84p.,bibliog.
- Place of publication:
- Brighton
Direct payments are a cost-effective way of delivering services to disabled people and their carers. This report explores the barriers to and successes in the delivery of direct payments, based on a project conducted in the North East of England. It concludes that a supportive local authority infrastructure, an understanding of the principles of independent living and a commitment to partnership with users are key to the success of direct payments. The authors suggest that the challenge for local authorities is twofold: to establish strategic frameworks to ensure that the systems, training, understanding, documentation and lines of communication are in place, and to actively seek partnership with users and user organisations in setting up user-led support services for direct payments.
Direct payments: what are the barriers?
- Author:
- COMMISSION FOR SOCIAL CARE INSPECTION
- Publisher:
- Commission for Social Care Inspection
- Publication year:
- 2004
- Pagination:
- 24p.
- Place of publication:
- London
This report includes the findings of a consultation event and follow-up policy seminar that the Commission for Social Care Inspection (CSCI) held in June 2004. The purpose was to collect evidence and opinions about factors that were limiting the successful implementation of direct payments – the policy whereby people receive cash in lieu of social services, which they are assessed as needing, in order to arrange their own care and support. Though growing, the number of people receiving direct payments remains disappointingly low. The barriers are broadly seen to be: lack of clear information for people who might take advantage of direct payments; low staff awareness of direct payments and what they are intended to achieve; restrictive or patronising attitudes about the capabilities of people who might use a direct payment and a reluctance to devolve power away from professionals to the people who use the service; inadequate or patchy advocacy and support services for people applying for and using direct payments; inconsistencies between the intention of the legislation and local practice; unnecessary, over-bureaucratic paperwork; and problems in recruiting, employing, retaining and developing personal assistants and assuring quality.
Supporting people with multiple impairments
- Author:
- MATTINGLY Roger
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2002
- Pagination:
- 68p.bibliog.
- Place of publication:
- York
This monograph summarises the work and conclusions of an exploration into services supporting adults living in the community who have two or more significant impairments. It found that people with multiple impairments are on the margin of service structures and provision,. No professional group has responsibility for meeting their needs comprehensively. Consequently the support is not available, provision inadequate and funding is poorly negotiated between agencies.
Research, the law and good practice in relation to disabled children: an approach to staff development in a local authority
- Authors:
- READ Janet, CLEMENTS Luke
- Journal article citation:
- Local Governance, 25(2), Summer 2000, pp.87-95.
- Publisher:
- University of Birmingham. Institute of Local Government Studies
Describes a staff development consultancy on research, the law and good practice in relation to disabled children and their families. It was provided for Warwickshire Social Services Department by the University of Warwick and piloted an approach which was further developed in subsequent joint work. The consultancy addresses the need for staff to be informed by both their employing authority and external bodies. By tying the work into the system of performance reviews, it also aimed to resolve some problems commonly associated with externally-provided training, namely that it is not sufficiently related to the policy objectives of an organisation or existing mechanisms for achieving them.