Journal of Integrated Care, vol. 15, Oct. 2007, p. 3-14
Care management is a central plank of the current health and social care system. This article looks at how the function may change with the introduction of self-directed support. Self-directed support will transform the current social care system to a model where people are put in charge of organising their own support packages. The new system will introduce explicit rationing criteria, so that users will know how much support they are entitled to. Once people know their budget, they will be expected to produce their own support plan. However, the system will also have to accommodate people who do not want to control their own budget, or who are incapable of doing so. Regular reviews will show whether the support package put in place is working properly and whether good outcomes are being achieved.