Choice and control: a rapid evidence assessment (REA) for the Office of Disability Issues: executive summary: summary

Document type
Priestley, Mark; Woodin, Sarah; Matthews, Bryan
Office for Disability Issues
Date of publication
1 November 2009
Disabled people, Health Services, Social Work, Social Care and Social Services
Social welfare
Material type

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Summary of an evidence review covering definitions of choice and control in research, institutional living, choice in community living, the benefits of budgetary control, take-up of direct payments and personal budgets, user control in the provision of equipment and support for choice and control. The review found that disabled people describe choice and control both in terms of outcomes and processes. Much depends on the way questions about choice and control are framed, and the context in which they are asked, and more outcome-oriented approaches generate the expression of choices beyond the narrow confines of existing services and support. Further the study raised concerns about eligibility, equity and fairness in the allocation of resources within the personalisation agenda, which are likely to increase in a period of economic downturn and spending review. In order to counteract this the review considers that accessible information about choices is a key driver for increasing control, including the role of user-led organisations

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