Click here to skip to content

Welfare reform on the Web (February 2007): Social care - UK - Community care

Direct payments: creating a two-tiered system in social care?

D. Leece and J. Leece

British Journal of Social Work, vol.36, 2006, p.1379-1393

Disabled people in England have been able to receive direct payments from local authorities to purchase their own support since 1997. It has been suggested that direct payments may be taken up disproportionately by well educated, affluent middle class people, who are seen and feel able to take advantage of the opportunities offered by arranging their own support as opposed to accepting traditional service provision. This article reports the findings of a study which tested this hypothesis by looking at the financial characteristics (income and financial wealth) of a group of direct payments users and compared them with a group of people using traditional services.

Direct payments: freedom from abuse?

P. Madden

Journal of Adult Protection, vol.8, Dec. 2006, p.32

The author argues that people who receive direct payments to purchase their own care services may still be at risk of abuse. They should have access to vetting systems such as the Criminal Records Bureau checks and the POVA list so that they can confirm the suitability of carers they employ.

(For comment see Journal of Adult Protection, vol.8, Dec. 2006, p.33-38)

Direct payments: what needs to change?

I. Speed

Journal of Integrated Care, vol.14, Dec. 2006, p. 19-22

A disabled user of direct payments identifies some problems with the system from personal experience. These include: the burden assuming the role of employer places on recipients; competition for scarce personal assistants; the need for carers to work unsocial hours; and the ban on paying family and friends for care.

Extending direct payments to those who lack capacity

J. Dow

Journal of Integrated Care, vol.14, Dec. 2006, p.32-33

This article looks at the government’s proposals for extending direct payments to those who lack capacity.

How home care can help

P. Cotterell and others

Community Care, Jan. 18th-24th 2007, p.30-31

This article explores the views of a sample of people with life-limiting conditions on how home care services should be delivered. Participants were critical of the services they had received, which they found inflexible, lacking in respect, and not focused on individual needs. Experience of home care was positive when regular workers were involved and when these workers showed a genuine and respectful concern for their clients.

Individual budgets: on the launch pad

M. Stevens

Journal of Integrated Care, vol.14, Dec. 2006, p.23-31

The individual budgets pilots were launched in 13 English local authorities in November 2005. This article describes plans for their evaluation. The evaluation aims to assess the impact of individual budgets on 500 people in all the pilot sites. It will: 1) describe the process of implementing individual budgets; 2) assess the effectiveness of different implementation models; 3) assess the experience of individual budgets among different groups of users and carers, especially the most disadvantaged; and 4) assess the wider consequences of individual budgets for social care and other services.

Search Welfare Reform on the Web