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Welfare Reform on the Web (October 2008): Social care - UK - community care

A critical consideration of the cash for care agenda and its implications for social services in Wales

A.N. James

Journal of Adult Protection, vol. 10, Aug. 2008, p. 23-33

Cash for care schemes are based on the concept of the service user receiving cash from the state in order to directly employ their own labour. In the UK, cash for care has been merged with the personalisation of social care agenda. This paper identifies some of the implications of cash for care initiatives in general, and individual budgets in particular, for social workers, carers and individual users. Risks identified include lack of suitably qualified personal assistants, especially in rural areas, lack of recognition of the levels of support provided by family carers, concerns about possible abuse by privately hired helpers, and omission of healthcare needs from self-assessments.

The effectiveness of home care reablement: developing the evidence base

C. Glendinning and E. Newbronner

Journal of Integrated Care, vol.18, Aug. 2008, p. 32-39

English local authorities with responsibility for adult social services are increasingly developing home care reablement programmes, sometimes alone and sometimes jointly with NHS partners. Home care reablement services provide personal care and help with mobility and practical tasks for a time limited period in such a way as to enable users to develop both the confidence and the practical skills to carry out these activities themselves. This paper describes two small studies examining the impact of home care reablement on subsequent service use. Results suggest that home care reablement can reduce the subsequent use of home care services, and that, for some people, these benefits may last for a year or more.

Going for broke

A. Mickel

Community Care, Sept. 11th 2008, p. 26-27

The role of broker is emerging to help clients with individual budgets find the right service providers. This article presents three case studies of the work of brokers.

In Control? Making sure we're not out of control! Some issues for people considering a direct payment or individualised budget


Journal of Adult Protection, vol. 10, Aug. 2008, p. 14-22

Direct payments offer a cash payment in lieu of a community care service. Individualised budgets allocate a given level of resource matched to an individual's needs and allow people to design their own care package without having to take a direct payment (although this remains an option). These developments may transfer responsibility for managing services from public authorities to the individual user or family carers. This article is based on the experience of the author in supporting a son with learning disabilities in moving out of the family home into a supported living scheme, and highlights issues which users and family carers may wish to consider when developing a support package.

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