Ann Netten
Biographic Data
| ID | 376508 |
|---|---|
| NAME | Ann Netten |
| GIVEN NAMES | Ann |
| FAMILY NAME | Netten |
| SIGNATURE | NETTEN A |
| AFFILIATIONS | University of Kent |
| VERIFIED | No |
| TOTAL WORKS | 38 |
| TOTAL CITATIONS | 197 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 1 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2018 |
| H-INDEX | 7 |
Long-Term Care: Matching Resources and Needs
Improving equity and efficiency in the long-term care of older people is an international concern, with governments attempting to ensure that policies and practice develop so that resources are used to best effect. This requires good quality evidence founded on sound theory. This volume honours the outstanding contribution of Bleddyn Davies to this field, bringing together perspectives of scholars and practitioners from many countries including t…
Factor structure and construct validity of the Adult Social Care Outcomes Toolkit for Carers (Ascot-Carer)
The results provide evidence to support the construct validity, factor structure, internal reliability and feasibility of the ASCOT-Carer INT4 as an instrument for measuring social care-related quality of life of unpaid carers who care for adults with a variety of long-term conditions, disability or problems related to old age
Personalisation and Innovation in a Cold Financial Climate
There are many drivers for change and innovation in adult social care and one of the most significant is the personalisation agenda; however, whilst resources are always limited, this does have its roots in a more relaxed financial climate than currently prevails. This article draws on findings from a scoping study which aimed to identify future areas for research to assist councils in developing and commissioning personalised services. Twenty lo…
What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey
Can individual budgets have an impact on carers and the caring role
The introduction of cash-for-care schemes such as individual or personal budgets in England has been seen as central to the personalisation agenda for reforming the delivery of adult social care. However, despite there being 5.2 million carers in England and Wales, the initiative concentrates predominantly on the needs of the service user. The implementation of individual budgets (IBs) was piloted within 13 local authorities during 2005–2007 and …
Revisiting the Causes of Stress in Social Work
Social workers in adult social care are at particular risk of job-related stress, although the contribution of different organisational and policy changes to this phenomenon is subject to debate. This paper explores a theoretical framework from the occupational psychology literature (the Job Demand/Control Model) to identify the characteristics of those most at risk of stress, in a sample of 249 social workers and other care managers working in E…
The relationship between building design and residents’ quality of life in extra care housing schemes
Outcomes of social care for adults
OBJECTIVE: The aim of this study was to develop a measure of social care outcome, an equivalent to the quality-adjusted life year (QALY) in health, which could be used in a range of circumstances. DESIGN: The project drew on previous and parallel work developing the Adult Social Care Outcome Toolkit and the national Adult Social Care Survey. We developed and tested an instrument designed to reflect service users' social care-related quality of li…
Deciding to move into extra care housing
Extra care housing aims to meet the housing, care and support needs of older people, while helping them to maintain their independence in their own private accommodation. In 2003, the Department of Health announced capital funding to support the development of extra care housing, and made the receipt of funding conditional on participating in an evaluative study. Drawing on information collected directly from residents in 19 schemes, this paper p…
Does the design of extra-care housing meet the needs of the residents? A focus group study
The study objective was to explore the views of residents and relatives concerning the physical design of extra-care housing. Five focus groups were conducted with residents in four extra-care schemes in England. One focus group was carried out with relatives of residents from a fifth scheme. Schemes were purposively sampled to represent size, type, and resident tenure. Data were analysed thematically using NVivo 8. Two over-arching themes emerge…
The Costs of Qualifying a Social Worker
Cost containment is a priority in most social care systems and there is an increasing importance in using staff in the most effective way within available resources. Previous work has revealed that the social worker does not remain in the profession for as long as health professionals and this situation has far-reaching consequences for workforce planners. Given that a major overhaul in social work is underway, it is important to address question…
Personalisation through Individual Budgets
In England, ‘personal budgets’ are being implemented at a time of financial austerity. They are part of a growing trend internationally to give users of publicly funded social care and support more choice and control. In the individual budgets' (IB) pilot, people were allocated and had control over the way their IB was managed and spent, offering the opportunity to explore the potential of IBs to deliver better outcomes for people than convention…
Personalisation and Partnership
As in other countries, improving collaboration between health and social care services is a long-established objective of English social policy. A more recent priority has been the personalisation of social care for adults and older people through the introduction of individualised funding arrangements. Individual budgets (IBs) were piloted in 13 English local authorities from 2005 to 2007, but they explicitly excluded NHS resources and services.…
Improving housing with care choices for older people
Purpose This paper describes an evaluation of 19 extra care schemes allocated funding from the Extra Care Housing Fund. Design/methodology/approach Interviewers collected information about the expectations and experiences of 1,182 new residents, and demographic and care needs information for those who received a care assessment (817 individuals) to correspond to previous surveys of care homes. Follow‐up information was collected at six, 18 and 30…
The characteristics of residents in extra care housing and care homes in England
Extra care housing aims to meet the housing, care and support needs of older people, while helping them to maintain their independence in their own private accommodation. It has been viewed as a possible alternative, or even a replacement for residential care. In 2003, the Department of Health announced capital funding to support the development of extra care housing and made the receipt of funding conditional on participating in an evaluative st…
Best–worst scaling vs. discrete choice experiments
Implementing Consumer Choice in Long‐term Care
In common with many advanced welfare states, England has increasingly relied on consumerist principles to deliver both greater quality and improved efficiency in the long‐term care system. The Individual Budget (IB) pilots marked the next step in this process, through a new system of funding whereby greater control of resources is given to service users, in lieu of direct in‐kind care provision. IBs have the potential to transform the market for …
Assessing the Role of Increasing Choice in English Social Care Services
This article aims to explore the concept of choice in public service policy in England, illustrated through findings of the Individual Budgets (IB) evaluation. The evaluation tested the impact of IBs as a mechanism to increase choice of access to and commissioning of social care services around the individual through a randomised trial and explored the experiences and perspectives of key groups through a large set of interviews. The article prese…
Evolve
EVOLVE is a tool for evaluating the design of housing for older people. It is used to assess how well a building contributes to the physical support and personal well-being of older people. Developed from research into extra care housing, it can be used for a variety of building types, including sheltered housing and individual private houses. The tool can be used by architects, housing providers, commissioners, researchers and individual tenants…
Slicing Up the Pie
The allocation of central government funds is a critical element in the equitable provision of local authority-commissioned and -provided services. A variety of approaches to allocating funding for social services for older people have been used over the years, most recently founded on ‘needs-based’ formulae. In 2004, the Department of Health for England commissioned research to help inform the improvement and updating of the formula. The results…
The Expected Working Life of a Social Worker
This article reports on an innovative way to measure the expected working life of social workers and social care professionals using a methodology already developed in studies of health care professionals. Previous work has estimated that the expected working life of a doctor is 25 years compared with 15 years for nurses and 28 years for pharmacists. In this work an estimate of the number of years a social worker uses his or her qualification is …
Measuring social care outcomes
The objectives of improving effectiveness and efficiency require that we understand the impact of interventions but measuring and monitoring outcomes in social care presents particular challenges
The costs of change
Individual budgets form a key element in the objective of the English Government to promote independence among people with needs for social care support. The initiative was designed to provide greater user control but the wider consequences, in terms of the implications for local authorities and their other responsibilities, remain to be addressed. An evaluation of the implementation of individual budgets in 13 local authorities was funded by the…
Safeguarding and System Change
Cash for care or consumer-directed services are increasing in scope and size in Europe and North America. The English Department of Health initiated a pilot form of personalised support for adults (Individual Budgets) in 13 local authorities that aimed to extend opportunities for users of social care services to determine their own priorities and preferences in the expectation that this will enhance their well-being. This article reports on and d…
Training for Change
Individual Budgets are central to the implementation of English government policy goals in social care. Like other consumer-directed or self-directed support programmes operating in parts of the developed world, they are envisaged as a way of increasing individuals' choice and control over social care resources provided by the public sector. While the opportunities they provide for people using services have been identified prospectively in the E…
Personalisation through Individual Budgets
In England, ‘personal budgets’ are being implemented at a time of financial austerity. They are part of a growing trend internationally to give users of publicly funded social care and support more choice and control. In the individual budgets' (IB) pilot, people were allocated and had control over the way their IB was managed and spent, offering the opportunity to explore the potential of IBs to deliver better outcomes for people than convention…
Assessing the Role of Increasing Choice in English Social Care Services
This article aims to explore the concept of choice in public service policy in England, illustrated through findings of the Individual Budgets (IB) evaluation. The evaluation tested the impact of IBs as a mechanism to increase choice of access to and commissioning of social care services around the individual through a randomised trial and explored the experiences and perspectives of key groups through a large set of interviews. The article prese…
The characteristics of residents in extra care housing and care homes in England
Extra care housing aims to meet the housing, care and support needs of older people, while helping them to maintain their independence in their own private accommodation. It has been viewed as a possible alternative, or even a replacement for residential care. In 2003, the Department of Health announced capital funding to support the development of extra care housing and made the receipt of funding conditional on participating in an evaluative st…
The Expected Working Life of a Social Worker
This article reports on an innovative way to measure the expected working life of social workers and social care professionals using a methodology already developed in studies of health care professionals. Previous work has estimated that the expected working life of a doctor is 25 years compared with 15 years for nurses and 28 years for pharmacists. In this work an estimate of the number of years a social worker uses his or her qualification is …
Best–worst scaling vs. discrete choice experiments
The relationship between building design and residents’ quality of life in extra care housing schemes
Deciding to move into extra care housing
Extra care housing aims to meet the housing, care and support needs of older people, while helping them to maintain their independence in their own private accommodation. In 2003, the Department of Health announced capital funding to support the development of extra care housing, and made the receipt of funding conditional on participating in an evaluative study. Drawing on information collected directly from residents in 19 schemes, this paper p…
Revisiting the Causes of Stress in Social Work
Social workers in adult social care are at particular risk of job-related stress, although the contribution of different organisational and policy changes to this phenomenon is subject to debate. This paper explores a theoretical framework from the occupational psychology literature (the Job Demand/Control Model) to identify the characteristics of those most at risk of stress, in a sample of 249 social workers and other care managers working in E…
Evolve
EVOLVE is a tool for evaluating the design of housing for older people. It is used to assess how well a building contributes to the physical support and personal well-being of older people. Developed from research into extra care housing, it can be used for a variety of building types, including sheltered housing and individual private houses. The tool can be used by architects, housing providers, commissioners, researchers and individual tenants…
Raising the Quality of Home Care
Raising standards is one of the key objectives of the British government's Modernizing Agenda. The quality of life of vulnerable older people who are being maintained at home is fundamentally dependent on the quality of the home‐care services they receive, so raising standards of home care is clearly central to this agenda. This paper draws on a small‐scale study of service users and providers to examine the aspects of quality of home care of imp…
What can local authorities do to improve the social care-related quality of life of older adults living at home? Evidence from the Adult Social Care Survey
Personalisation and Partnership
As in other countries, improving collaboration between health and social care services is a long-established objective of English social policy. A more recent priority has been the personalisation of social care for adults and older people through the introduction of individualised funding arrangements. Individual budgets (IBs) were piloted in 13 English local authorities from 2005 to 2007, but they explicitly excluded NHS resources and services.…
Improving housing with care choices for older people
Purpose This paper describes an evaluation of 19 extra care schemes allocated funding from the Extra Care Housing Fund. Design/methodology/approach Interviewers collected information about the expectations and experiences of 1,182 new residents, and demographic and care needs information for those who received a care assessment (817 individuals) to correspond to previous surveys of care homes. Follow‐up information was collected at six, 18 and 30…
Implementing Consumer Choice in Long‐term Care
In common with many advanced welfare states, England has increasingly relied on consumerist principles to deliver both greater quality and improved efficiency in the long‐term care system. The Individual Budget (IB) pilots marked the next step in this process, through a new system of funding whereby greater control of resources is given to service users, in lieu of direct in‐kind care provision. IBs have the potential to transform the market for …
Safeguarding and System Change
Cash for care or consumer-directed services are increasing in scope and size in Europe and North America. The English Department of Health initiated a pilot form of personalised support for adults (Individual Budgets) in 13 local authorities that aimed to extend opportunities for users of social care services to determine their own priorities and preferences in the expectation that this will enhance their well-being. This article reports on and d…
Using older home care user experiences in performance monitoring
Home care services play a fundamental role in England in supporting older and disabled people in their own homes. In order to identify and monitor the degree to which these services are providing good quality services, in 2003 the government required all councils with social services responsibilities (CSSR) to undertake user experience surveys among older service users. The questionnaire was required to include four questions, two of which were d…
The Costs of Qualifying a Social Worker
Cost containment is a priority in most social care systems and there is an increasing importance in using staff in the most effective way within available resources. Previous work has revealed that the social worker does not remain in the profession for as long as health professionals and this situation has far-reaching consequences for workforce planners. Given that a major overhaul in social work is underway, it is important to address question…
Care-home closures in England
In the United Kingdom, as in many other developed countries, there is an established market in the provision of long-term care-homes for older people. Implicit in the market mechanism is the assumption that homes will close, but it was not until 1999–2000 that closures of care-homes received widespread public attention. This paper draws on a multi-method study that investigated home closures in England from several perspectives. The rate of home …
The Social Production of Welfare and Consumption of Social Services
The social production of welfare provides a theoretical framework for the analysis of the consumption of social services and the impact of welfare policies. Based on the new home economics, it represents the unit of consumption as a unit of production of commodities. With the advent of disability this unit extends from the household to the informal care network. Social care agencies become involved when the production of basic commodities, such a…
Training for Change
Individual Budgets are central to the implementation of English government policy goals in social care. Like other consumer-directed or self-directed support programmes operating in parts of the developed world, they are envisaged as a way of increasing individuals' choice and control over social care resources provided by the public sector. While the opportunities they provide for people using services have been identified prospectively in the E…
Elderly People with Advanced Cognitive Impairment in England
This paper describes where elderly people with moderate to severe (‘advanced’) cognitive impairment are living, what resources they use and the costs of these services to different funding agencies. It operationally defines dementia in terms of cognitive impairment and uses the OPCS disability surveys to estimate the prevalence of moderate to severe cognitive impairment in England. The paper goes on to describe services received by this client gr…
Does the design of extra-care housing meet the needs of the residents? A focus group study
The study objective was to explore the views of residents and relatives concerning the physical design of extra-care housing. Five focus groups were conducted with residents in four extra-care schemes in England. One focus group was carried out with relatives of residents from a fifth scheme. Schemes were purposively sampled to represent size, type, and resident tenure. Data were analysed thematically using NVivo 8. Two over-arching themes emerge…
Elderly people with cognitive impairment
The objective of this paper is to investigate the service needs and support costs of elderly people with cognitive impairment on hospital and community health services, primary health care, social services, and informal carers in England. It examines the resource consequences of major changes in the provision of care, exploring the implications for both cost and effectiveness. The study was designed to provide a secondary analysis of the OPCS dis…
The Effect of Financial Incentives and Access to Services on Self‐funded Admissions to Long‐term Care
With the growth in the numbers and proportion of older people in the population the funding and incentive structures around long‐term care are of international concern. A study of the circumstances of self‐funded admissions to care homes allowed the comparison of self‐funders with publicly funded admissions to care homes in the UK, the influences on self‐funders in their decision to move into a care home and resources on which they were able to d…
Personalisation and Innovation in a Cold Financial Climate
There are many drivers for change and innovation in adult social care and one of the most significant is the personalisation agenda; however, whilst resources are always limited, this does have its roots in a more relaxed financial climate than currently prevails. This article draws on findings from a scoping study which aimed to identify future areas for research to assist councils in developing and commissioning personalised services. Twenty lo…
The Social Production of Welfare and Consumption of Social Services
The social production of welfare provides a theoretical framework for the analysis of the consumption of social services and the impact of welfare policies. Based on the new home economics, it represents the unit of consumption as a unit of production of commodities. With the advent of disability this unit extends from the household to the informal care network. Social care agencies become involved when the production of basic commodities, such a…
Elderly People with Advanced Cognitive Impairment in England
This paper describes where elderly people with moderate to severe (‘advanced’) cognitive impairment are living, what resources they use and the costs of these services to different funding agencies. It operationally defines dementia in terms of cognitive impairment and uses the OPCS disability surveys to estimate the prevalence of moderate to severe cognitive impairment in England. The paper goes on to describe services received by this client gr…
Residential or nursing home care? The appropriateness of placement decisions
Routinely-collected statistics show considerable variation between local authorities in Great Britain, in the proportions of supported residents placed in nursing and residential care. This raises the question of whether this is due to variations in demand (the type of resident approaching authorities), supply (the level and type of provision available for local authorities to purchase), or policy (in terms of eligibility criteria or interpretati…
The Effect of Financial Incentives and Access to Services on Self‐funded Admissions to Long‐term Care
With the growth in the numbers and proportion of older people in the population the funding and incentive structures around long‐term care are of international concern. A study of the circumstances of self‐funded admissions to care homes allowed the comparison of self‐funders with publicly funded admissions to care homes in the UK, the influences on self‐funders in their decision to move into a care home and resources on which they were able to d…
Raising the Quality of Home Care
Raising standards is one of the key objectives of the British government's Modernizing Agenda. The quality of life of vulnerable older people who are being maintained at home is fundamentally dependent on the quality of the home‐care services they receive, so raising standards of home care is clearly central to this agenda. This paper draws on a small‐scale study of service users and providers to examine the aspects of quality of home care of imp…
Care-home closures in England
In the United Kingdom, as in many other developed countries, there is an established market in the provision of long-term care-homes for older people. Implicit in the market mechanism is the assumption that homes will close, but it was not until 1999–2000 that closures of care-homes received widespread public attention. This paper draws on a multi-method study that investigated home closures in England from several perspectives. The rate of home …
Extra care housing
Extra care housing enables older people to remain in their ‘own home’, while providing appropriate housing and access to health and social care services that are responsive to their needs. This type of provision is very much in line with the government policy of fostering people's sense of control and independence, and is a priority area for expansion. We explored the current levels of development and expansion of extra care housing in terms of t…
Managing the Care Home Closure Process
This paper reports case study research that set out to identify what care managers do during independent care home closures. Little research has focused on the way in which care homes for older people are closed in England, or what those involved think about the process. This paper reports the activities and views of care managers directly involved in helping older people relocate from care homes that were closed by their owners. During such clos…
The Costs of What? Measuring Services and Quality of Care
If we are to be able to reflect the cost implications of changes in the nature, quality and productivity of long-term care interventions in future projections, we need an approach to measurement that reflects the value and quality of care. This paper describes a theoretically based but pragmatic approach to identifying the welfare gain from government expenditure on social care and illustrates an application in projecting the costs of long-term c…
Using older home care user experiences in performance monitoring
Home care services play a fundamental role in England in supporting older and disabled people in their own homes. In order to identify and monitor the degree to which these services are providing good quality services, in 2003 the government required all councils with social services responsibilities (CSSR) to undertake user experience surveys among older service users. The questionnaire was required to include four questions, two of which were d…
Elderly people with cognitive impairment
The objective of this paper is to investigate the service needs and support costs of elderly people with cognitive impairment on hospital and community health services, primary health care, social services, and informal carers in England. It examines the resource consequences of major changes in the provision of care, exploring the implications for both cost and effectiveness. The study was designed to provide a secondary analysis of the OPCS dis…
Towards a Preference-Based Measure of the Impact on Well-Being Due to Victimisation and the Fear of Crime
If the resources devoted to dealing with crime are to be used in ways that bring about the most benefits, it will be important to know something about how much better or worse one crime is compared to another. Ideally, one would like to describe the effects of all crimes — and possibly even the fear of crime as well — in terms of their effect on key elements of a person's life, such as her mental health and the degree to which she feels vulnerabl…
Measuring and monitoring outputs in social care
The focus of this article is the measurement of quality within the context of a new approach to measuring government-funded social care services. The approach builds on principles set out in a UK review led by Professor Sir Tony Atkinson. At its heart are the concepts of capacity for benefit, describing the potential benefit to users from services, and quality, reflecting the extent to which the benefit is realized. We report on a study designed …
Measuring social care outcomes
The objectives of improving effectiveness and efficiency require that we understand the impact of interventions but measuring and monitoring outcomes in social care presents particular challenges
The costs of change
Individual budgets form a key element in the objective of the English Government to promote independence among people with needs for social care support. The initiative was designed to provide greater user control but the wider consequences, in terms of the implications for local authorities and their other responsibilities, remain to be addressed. An evaluation of the implementation of individual budgets in 13 local authorities was funded by the…
Safeguarding and System Change
Cash for care or consumer-directed services are increasing in scope and size in Europe and North America. The English Department of Health initiated a pilot form of personalised support for adults (Individual Budgets) in 13 local authorities that aimed to extend opportunities for users of social care services to determine their own priorities and preferences in the expectation that this will enhance their well-being. This article reports on and d…
Training for Change
Individual Budgets are central to the implementation of English government policy goals in social care. Like other consumer-directed or self-directed support programmes operating in parts of the developed world, they are envisaged as a way of increasing individuals' choice and control over social care resources provided by the public sector. While the opportunities they provide for people using services have been identified prospectively in the E…
Evolve
EVOLVE is a tool for evaluating the design of housing for older people. It is used to assess how well a building contributes to the physical support and personal well-being of older people. Developed from research into extra care housing, it can be used for a variety of building types, including sheltered housing and individual private houses. The tool can be used by architects, housing providers, commissioners, researchers and individual tenants…
Slicing Up the Pie
The allocation of central government funds is a critical element in the equitable provision of local authority-commissioned and -provided services. A variety of approaches to allocating funding for social services for older people have been used over the years, most recently founded on ‘needs-based’ formulae. In 2004, the Department of Health for England commissioned research to help inform the improvement and updating of the formula. The results…
The Expected Working Life of a Social Worker
This article reports on an innovative way to measure the expected working life of social workers and social care professionals using a methodology already developed in studies of health care professionals. Previous work has estimated that the expected working life of a doctor is 25 years compared with 15 years for nurses and 28 years for pharmacists. In this work an estimate of the number of years a social worker uses his or her qualification is …
Personalisation and Partnership
As in other countries, improving collaboration between health and social care services is a long-established objective of English social policy. A more recent priority has been the personalisation of social care for adults and older people through the introduction of individualised funding arrangements. Individual budgets (IBs) were piloted in 13 English local authorities from 2005 to 2007, but they explicitly excluded NHS resources and services.…
Improving housing with care choices for older people
Purpose This paper describes an evaluation of 19 extra care schemes allocated funding from the Extra Care Housing Fund. Design/methodology/approach Interviewers collected information about the expectations and experiences of 1,182 new residents, and demographic and care needs information for those who received a care assessment (817 individuals) to correspond to previous surveys of care homes. Follow‐up information was collected at six, 18 and 30…
The characteristics of residents in extra care housing and care homes in England
Extra care housing aims to meet the housing, care and support needs of older people, while helping them to maintain their independence in their own private accommodation. It has been viewed as a possible alternative, or even a replacement for residential care. In 2003, the Department of Health announced capital funding to support the development of extra care housing and made the receipt of funding conditional on participating in an evaluative st…
Best–worst scaling vs. discrete choice experiments
Implementing Consumer Choice in Long‐term Care
In common with many advanced welfare states, England has increasingly relied on consumerist principles to deliver both greater quality and improved efficiency in the long‐term care system. The Individual Budget (IB) pilots marked the next step in this process, through a new system of funding whereby greater control of resources is given to service users, in lieu of direct in‐kind care provision. IBs have the potential to transform the market for …
Medicine (29 works) · Business (26 works) · Nursing (22 works) · Geriatric Care and Nursing Homes (21 works) · Psychology (21 works) · Economics (18 works) · Political science (18 works) · Healthcare innovation and challenges (17 works) · Computer Science (14 works) · Migration, Aging, and Tourism Studies (13 works)