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Independence pays: a cost and resource analysis of direct payments in two local authorities
- Authors:
- STAINTON Tim, BOYCE Steve, PHILLIPS Ceri J.
- Journal article citation:
- Disability and Society, 24(2), March 2009, pp.161-172.
- Publisher:
- Taylor and Francis
Although there is an increasing amount of literature on direct payments (DP), to date there have been few studies which have examined in any detail the costs and resources associated with them. This paper presents findings from a two year study conducted in two Welsh local authorities that jointly fund an Independent Living Support (ILS) scheme. The main study was not designed to provide definitive cost comparisons with conventional services, however, cost and resource implications of DP were considered and an analysis to determine comparative costs between DP and traditional services was undertaken. The study notes the difficulty in identifying the true cost of DP and reasonable comparators with traditional services. A set of four case studies are presented comparing actual costs of DP and in-house and independent sector services in the two local authorities studied. The comparison of costs and resources, which did not include significant costs for traditional local authority services but included the cost of the DP support scheme, found that DP was cheaper than traditional in-house service provision and relatively cost neutral when compared with independent sector provision. User satisfaction, however, was significantly greater with DP than traditional service delivery methods. The paper also examines factors which can potentially influence the cost of DP. The study suggests that DP represent a substantial improvement over traditional arrangements from a cost-benefit perspective. There is strong evidence to suggest that greater 'opportunity cost' savings can be anticipated when DP schemes become more fully integrated into policy, practice and procedures.
Are you listening?: what disabled children and young people in Wales think about the services they use
- Author:
- TURNER Claire
- Publisher:
- Wales. Welsh Assembly Government. Children First
- Publication year:
- 2003
- Pagination:
- 62p., ill.
- Place of publication:
- Cardiff
This consultation was commissioned by the Welsh Assembly Government. It elicited the views of disabled children and young people across Wales about the services they use and their recommendations for change. The findings will be used to inform the Children’s First bjectives, the National Service Framework for Children and wider policy developments. Disabled children and young people’s involvement in making decisions about their own care and treatment is not consistent across services. Whilst disabled children and young people may make small day to day decisions, adults still appear to make the more important decisions on their behalf. There are few examples of disabled children and young people’s involvement in shaping services.
Inter-agency working with disabled children and young people: conference report; Llandudno, 11th April 2002
- Author:
- INTER-AGENCY WORKING WITH DISABLED CHILDREN AND YOUNG PEOPLE
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2002
- Pagination:
- 33p.
The aims of this conference where: to share good practice; to enable policy makers and practitioners to reflect on practice in their own agencies in light of current research on what works, and children and young people's perspectives; and to contribute to the wider issues of policy development in this rapidly changing area of social welfare practice.
'I have got my life back': users' experience of direct payments
- Authors:
- STAINTON Tim, BOYCE Steve
- Journal article citation:
- Disability and Society, 19(5), August 2004, pp.443-454.
- Publisher:
- Taylor and Francis
After years of activism by disabled people's organizations, the Community Care (Direct Payments) Act 1996 made Direct Payment (DP) schemes a reality. Proponents of DP argue that it allows greater freedom and control for those people using it, but as these programmes only came into effect in 1997, few studies have tried to substantiate these claims. This paper reports on a two-year evaluation of two DP schemes in Wales. Using primarily users' feedback the paper focuses on the effects of DP and difficulties encountered, as well as why people chose--or did not choose--DP in the first place. User responses indicate a broad range of beneficial outcomes, including improved self-esteem, increased control over lives, deeper and more lasting relationships, and new interpersonal, vocational and lifestyle opportunities, as a result of the greater flexibility and freedom of choice enabled by DP. Family carers expressed similar satisfaction with DP schemes, also citing greater freedoms as a result of increased flexibility. While some potential users expressed concern over the administration of a DP scheme, users found that, with support from a user driven Independent Living Scheme, the administrative burden was manageable, and that ultimately the DP scheme was a welcome approach to support.
Adapted bikes – what children and young people with cerebral palsy told us about their participation in adapted dynamic cycling
- Authors:
- PICKERING Dawn M., et al
- Journal article citation:
- Disability and Rehabilitation: Assistive Technology, 8(1), 2013, pp.30-37.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Purpose: Children and young people with Cerebral Palsy have limited opportunities for participation and there has been limited research to explore this concept. Adapted dynamic cycling (ADC) is one activity that can enable them to participate in the community. The aim of this paper is to report the views and experiences of children and young people with CP and their families regarding their participation in ADC. Methods: This was part of a mixed methods study of which the qualitative findings are reported here. Iterative creative methods were developed which involved semi-structured interviews and diaries about the ADC experience. Results: The themes that emerged were the staff and the environment at the cycling hire project, the facilitators and barriers to ADC, the technical set up of the bike and the impact on the child and family in terms of developments over time, future aspirations, learning cycling skills, social participation and health benefits. Conclusions: The data showed that children’s experiences of ADC were fun and enjoyable. This fun exercise should be incorporated into a physiotherapy programme as part of the child or young person with CP’s rehabilitation. Policy makers and parents may find the information useful to increase the child’s participation.