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Sue Tucker; Jane Hughes; Judy Scott; David Challis; Alistair Burns
2007 Journal of Integrated Care
doi: 10.1108/14769018200700010
UK policy seeks to shift commissioning of services ‘closer to the people’ with a view to establishing shared visions of local care services grounded in the opinions and priorities of the public. The participation of older people with mental health problems and their carers in the strategic planning process has been patchy, however. This article compares practitioner and public perspectives of the services that should be provided for older people with mental health problems in an area of North West England. Significant differences were found in the services the various stakeholder groups prioritised for development, and in their views on how they should be organised. The implications for commissioning are discussed.
Tucker, Sue ; Hughes, Jane ; Scott, Judy ; Challis, David ; Burns, Alistair
2007 Journal of Integrated Care
UK policy seeks to shift commissioning of services ‘closer to the people’ with a view to establishing shared visions of local care services grounded in the opinions and priorities of the public. The participation of older people with mental health problems and their carers in the strategic planning process has been patchy, however. This article compares practitioner and public perspectives of the services that should be provided for older people with mental health problems in an area of North West England. Significant differences were found in the services the various stakeholder groups prioritised for development, and in their views on how they should be organised. The implications for commissioning are discussed.
Slater, Beverley ; White, Jacquie
2007 Journal of Integrated Care
This paper describes the first year of a national programme supporting implementation of one of the key policy initiatives forming part of the programme of health reform in England, practice-based commissioning (PBC). The paper presents an audit of service redesign initiatives based on the first six months' work of 27 sites in the first wave of the programme, and discusses the early practical learning about the implementation of PBC by both participants and stakeholders. The role of the programme in facilitating two-way links between policy development and practical implementation is highlighted, and the development of the programme, and other parallel learning routes, to meet the emerging needs of particular groups in relation to practice-based commissioning is described.
Beverley Slater; Jacquie White
2007 Journal of Integrated Care
doi: 10.1108/14769018200700011
This paper describes the first year of a national programme supporting implementation of one of the key policy initiatives forming part of the programme of health reform in England, practice‐based commissioning (PBC). The paper presents an audit of service redesign initiatives based on the first six months' work of 27 sites in the first wave of the programme, and discusses the early practical learning about the implementation of PBC by both participants and stakeholders. The role of the programme in facilitating two‐way links between policy development and practical implementation is highlighted, and the development of the programme, and other parallel learning routes, to meet the emerging needs of particular groups in relation to practice‐based commissioning is described.
2007 Journal of Integrated Care
There has been growing international interest in the idea that social care would be better organised as a system of self-directed support, where people control their own budgets for their own support. While there is significant evidence that this approach brings benefits to disabled people and those older people who need support, there is still an active debate about the efficiency and affordability of this approach. In Control has led work in England on piloting this approach, and has gathered some early evidence on the economic sustainability of self-directed support. This article outlines the economic case for self-directed support and some of the practical issues that will need to be confronted in order to implement self-directed support successfully in the UK. In particular, it argues that the current service-focused system of social care is structurally inefficient, and that self-directed support makes much better use of the resources committed through public taxation. Finally, it contends that a rethink of the health and social care boundary will inevitably follow.
2007 Journal of Integrated Care
doi: 10.1108/14769018200700012
There has been growing international interest in the idea that social care would be better organised as a system of self‐directed support, where people control their own budgets for their own support. While there is significant evidence that this approach brings benefits to disabled people and those older people who need support, there is still an active debate about the efficiency and affordability of this approach. In Control has led work in England on piloting this approach, and has gathered some early evidence on the economic sustainability of self‐directed support. This article outlines the economic case for self‐directed support and some of the practical issues that will need to be confronted in order to implement self‐directed support successfully in the UK. In particular, it argues that the current service‐focused system of social care is structurally inefficient, and that self‐directed support makes much better use of the resources committed through public taxation. Finally, it contends that a rethink of the health and social care boundary will inevitably follow.
2007 Journal of Integrated Care
The article describes the Five Dimensions of Person-Centredness, an evaluation tool developed specifically to explore supported living and inclusion-orientated organisations. It explores some of the learning gained from using the evaluation process with four organisations in Scotland, and includes identification of common themes that make the difference when personalising support.
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