Evaluation of the individual budgets pilot programme: final report

Document type
Glendinning, Caroline; Challis, David; Fernandez, Jose-Luis
Date of publication
1 October 2008
Social Work, Social Care and Social Services, Disabled people, Mental health services, Older Adults
Social welfare
Material type

Download (5.2MB )

Individual budgets (IBs) were piloted as a new way of providing support for older and disabled adults and people with mental health problems eligible for publicly funded social care. The Department of Health set up IB pilot projects in 13 English local authorities, running from November 2005 to December 2007, and commissioned a national evaluation. This evaluation is the first robust UK study of the implementation and impact of personalisation approaches in social care. The evaluation found that IBs were generally welcomed by users because they gave them more control over their lives, but there were variations in outcomes between user groups. IBs were typically used to purchase personal care, assistance with domestic chores, and social, leisure and educational activities. People receiving an IB were more likely to feel in control of their daily lives, compared with those receiving conventional social care support; satisfaction was highest among mental health service users and physically disabled people and lowest among older people. Little difference was found between the average cost of an IB and the costs of conventional social care support, although there were variations between user groups. IBs appear cost-effective in relation to social care outcomes, but with respect to psychological well-being, there were differences in outcomes between user groups. Staff involved in piloting IBs encountered many challenges, including devising processes for determining levels of individual IBs and establishing legitimate boundaries for how IBs are used; there were particular concerns about safeguarding vulnerable adults. Despite the intention that IBs should include resources from different funding streams, staff experienced numerous legal and accountability barriers to integrating funding streams; at the same time there was frustration that NHS resources were not included in IBs

Related to Social Work, Social Care and Social Services

What's next for the NHS: building the resilience of the health and social care system

Report on the challenges facing the NHS in the coming years

Integrated care: the next steps to build strong and effective integrated care systems across England

Response to consultation highlighting the need to give carers a voice when planning integrated care systems with the NHS…

Resilience in local government: lessons from Covid-19

Report on the resilience of local councils during the pandemic

The financial risk and resilience of English local authorities in the coronavirus crisis

Briefing on the pressures faced by local authorities during the coronavirus pandemic

More items related to this subject

Related to SPRU

Intermediate care, reablement or something else?: a research note about the challenges of defining services

There is substantial confusion about and overlap between health and social care services labelled as ‘intermediate care’ and those labelled as ‘reablement’. This brief research note, explores the policy

Transitions into and out of unpaid care

Around 2,100,000 m adults in the UK take on a caring role each year and a similar number cease care-giving each year. Transitions into and out of unpaid care are key turning points in individuals’ lives

Outcomes assessment for people with long-term neurological conditions: a qualitative approach to developing and testing a checklist in integrated care: summary

People with long-term neurological conditions (LTNCs) argue that receiving integrated services improves their quality of life. This research looked at development of innovative approaches to health

The necessities of life for children: Poverty and Social Exclusion Survey 2012

This paper provides an analysis of questions on attitudes to necessities for the child items and activities in the 2012 PSE Attitudes to Necessities survey. For the purposes of this research, adults

More items related to this publisher