Jon Glasby
Dados Biográficos
| ID | 358752 |
|---|---|
| NOME | Jon Glasby |
| PRENOMES | Jon |
| SOBRENOME | Glasby |
| ASSINATURA | GLASBY J |
| AFILIAÇÕES | University of Birmingham |
| ORCID | 0000-0003-3960-7988 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 65 |
| TOTAL DE CITAÇÕES | 158 |
| TOTAL COMO AUTOR | 62 |
| TOTAL COMO EDITOR | 3 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2000 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 7 |
‘It Was About as Far at Odds With Our Provider Failure Protocol…as You Can Get’. Untangling Care Policy When Care Homes Close
This article takes an extreme case ‐ the emergency closure of a care home on a Friday evening ‐ to explore how a lack of coordination between national and local stakeholders led to a brutalising experience for frail residents and social care staff. Care home closures sit at the interface of multiple policy domains including funding, infrastructure, staffing, quality assurance and regulation. Drawing on interviews with managers and wider stakehold…
Understanding older people’s experiences of care home closure through the lenses of precarity and transition
This article addresses a gap in current evidence by examining the experiences of older people and families when care homes close. We adopt the dual lenses of the precarity of ageing and adaptation to transition to facilitate understanding of the structural and experiential dimensions of care home closure. We argue that the experiences of older people and their families of care home closure are a largely hidden example of the increasing precarity …
Out of Sight, Out of Mind-Explaining and Challenging the Re-Institutionalisation of People With Learning Disabilities and/or Autistic People
During the twentieth century, many countries underwent processes of 'de-institutionalisation'-closing 'asylums' for people with mental health problems, learning disabilities and dementia. Despite this, the UK has witnessed a subsequent process of 're-institutionalisation' with the creation of new public/private sector facilities providing 'secure' care to large numbers of people, who can be residents for many years with no sense of when they may …
What happens when care homes close? A review of the literature
In a fraught fiscal and post-pandemic context, English adult social care is likely to see further care home closures. To make sure that closures minimise distress and potentially negative outcomes for residents, this article reports findings from an analytical narrative review of the existing research evidence about the process and outcome of such closures in the UK. Despite the importance of these issues, there is little underpinning research to…
Who decides ‘what works’, and how does it get implemented? Insights from the UK’s new centre for implementing evidence in adult social care
The UK’s adult social care system faces severe challenges, including funding shortages, unmet needs and an overburdened workforce. Resultantly, there is a push for high-quality evidence in service enhancement and resource allocation. Using evidence to improve services is essential, but questions arise about best practices for identifying ‘what works’, integrating evidence into everyday practice and addressing resource constraints. Findings from a…
“Trying to Find People to Fit the Tech…”
Digital technology is expected to improve care and address significant service pressures within the National Health Service and social care though evidence on how their implementation might be optimised is lacking. This study explores how one such example, home-based sensors with artificial intelligence capabilities, was implemented in English social care to identify changes in behaviour that indicate the onset of potentially more serious issues.…
A Scoping Review of the Costs, Consequences, and Wider Impacts of Residential Care Home Closures in a UK Context
Background. Between 2015 and 2020, 1,578 care homes in the UK closed, displacing nearly 50,000 older and disabled people with very significant care and support needs. It is widely thought that relocation can have a significant impact on the health and well-being of older people. Yet, evidence is limited due to sensitivity and logistical difficulties with data collection. This study aimed to review the published literature in order to (i) identify…
Introduction
For anyone working in or receiving adult social care services, the personalisation agenda is of fundamental importance. Different people may love it or loathe it – may be fully supportive, completely opposed and/or just confused – but the shifts in policy and practice that personalisation might imply are potentially far-reaching and certainly hard to ignore. Of all the changes that have taken place in adult social care (and increasingly in other …
Conclusion
Throughout history, most revolutions fail in the first instance. Some never really ignite and others end with a whimper in a short space of time. However, even revolutions that seem to be ‘successful’ at the time often fail to bring about anticipated results. Sometimes this is because previous elites are unwilling to give up power and find ways of going with the flow in the short term, but quietly re-emerge near the top of the new system. ‘Turkey…
Taking stock of personalisation
There has been growing interest in narrative approaches to policy that focus on how policies are framed as stories in order to build coalitions of support (Hajer, 1995; Yanow, 1996, 2000; Fischer, 2003). Such interpretive approaches to policy have also drawn attention to the ways in which academics themselves offer narrative interpretations of those policies: ‘stories about stories’ (Yanow, 1996). This layering of interpretation is very evident i…
‘Localism and intimacy, and… other rather imponderable reasons of that sort’
Debates over the value and contribution of community hospitals are hampered by a lack of empirical assessment of the experience of patients using these services. This paper presents findings from a study which included a focus on patient and family-carer experiences of community hospitals in England. We adopted a qualitative design involving nine case study hospitals. Data collection included interviews with patients (n = 60), carers (n = 28) and…
Why are we stuck in hospital?’ Understanding delayed hospital discharges for people with learning disabilities and/or autistic people in long‐stay hospitals in the UK
Despite longstanding efforts at de-institutionalisation, around 2000 people with learning disabilities and/or autistic people in England currently live in hospital settings, amidst reports of protracted stays, limited progress towards living more ordinary lives and scandals of abuse and poor care. Yet, there is relatively little research on why people with learning disabilities and/or autistic people are delayed in hospitals, and what exists has …
Integrated Health and Social Care in England
The experience of England suggests that greatest progress is made when integrated care focusses on tangible issues and when there is a clear understanding of how success will be measured. Even with considerable investment and intent progress should be expected to be slow and difficult. Layering of numerous policy initiatives provides confusion and can distract from the important work of relationship building. And ultimately, integrated care canno…
A lost decade? A renewed case for adult social care reform in England
Drawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. In the process, it identifies a 'lost decade' in …
Self-funders
The Care Act 2014 gave local authorities in England broad duties around wellbeing, and responsibility to ensure the availability of good quality, personalised social care and support services for people who need them. These responsibilities are for all people needing support, whether that is publicly or privately funded. In exercising their duties, councils have a responsibility for ‘market-shaping’: that is, understanding the supply and demand f…
If telecare is the answer, what was the question? Storylines, tensions and the unintended consequences of technology-supported care
Telecare – services employing technology to monitor people’s movement, medication and home environment at a distance – has emerged as a key component of global social care and health policies. The relationship between policies about telecare and the experiences and aspirations of service users has been under-interrogated. This article draws on findings from an organisational case study involving people living with complex conditions using various…
A game of two halves?” Understanding the process and outcomes of English care home closures
With care services increasingly delivered via a market there is always a risk that care homes could fail financially or struggle in terms of quality, ultimately having to close. When this happens, the received wisdom is that subsequent relocation can be detrimental to the health and well‐being of older residents (possibly even culminating in increased mortality). However, there is very little formal evidence in the United Kingdom (UK) or beyond t…
The Goldilocks question
Here, we apply the ‘Goldilocks’ question to social care: what size of care provider is ‘just right’? Empirical research to date has struggled to find evidence for an optimal size for public service providers, although policymakers remain keen to suggest that size is a key aspect of organisational performance. The article makes an innovative contribution to this literature, drawing on empirical research with care providers and people who use their…
Taking stock of personalisation
Conclusion
Room for one more? A review of the literature on ‘inappropriate’ admissions to hospital for older people in the English NHS
This paper reports the findings of a review of the literature on emergency admissions to hospital for older people in the UK, undertaken between May and June 2014 at the Health Services Management Centre, University of Birmingham. This review sought to explore: the rate of in/appropriate emergency admissions of older people in the UK; the way this is defined in the literature; solutions proposed to reduce the rate of inappropriate admissions; and…
If Integration Is the Answer, What Was the Question? What next for English Health and Social Care Partnerships
‘Integrated care’ has been a key policy priority in English health and social care in recent years – although the extent to which this commitment is real rather than rhetorical remains open to debate. While everyone working in health and social care knows that single agency responses are insufficient when trying to support people with complex needs, there is a danger that ‘integrated care’ becomes a buzzword, apparently capable of resolving a ran…
You don't know what you are saying ‘Yes’ and what you are saying ‘No’ to”
Improving responsiveness to the needs of older people from minority ethnic communities has been emphasised as a goal in England since the publication of the National Service Framework for Older People in 2001. Despite this, people from minority ethnic groups consistently give poorer ratings of their health services than ‘majority’ populations, both in England and across many other health-care systems. Language barriers have been shown to play a p…
Understanding and Improving Older People's Experiences of Service Transitions
This paper examines the concept of transition and its centrality to later life experiences. It considers how an enhanced and more user-centred understanding of transitions can be harnessed to improve older people's experiences of moving into and between health and social care services. It focuses, in particular, on the neglected dimension of subjective experiences of transition and considers how social workers can engage with older people's emoti…
Conclusion
Throughout history, most revolutions fail in the first instance. Some never really ignite and others end with a whimper in a short space of time. However, even revolutions that seem to be ‘successful’ at the time often fail to bring about anticipated results. Sometimes this is because previous elites are unwilling to give up power and find ways of going with the flow in the short term, but quietly re-emerge near the top of the new system. ‘Turkey…
Commentary and Issues
This paper reviews the assumptions underlying traditional medical research and critiques the concept of ‘evidence-based practice’. In particular, it identifies and counters three basic tenets of this approach: the alleged need for objectivity in research, the notion of hierarchies of evidence and the primacy of systematic reviews. Instead, the paper argues for a new emphasis on ‘knowledge-based practice’, recognizing that the practice wisdom of h…
Debates in personalisation
Part 1: Introduction and Overview Introduction ~ Catherine Needham and Jon Glasby Taking Stock of Personalisation ~ Catherine Needham and Jon Glasby Making it Real: from Putting People First to Think Local, Act Personal ~ Sarah Carr Part 2: The Challenges of Personalisation Resource Allocation Systems: complex and counterproductive? ~ Lucy Series Safeguarding, risk and personalisation ~ Jill Manthorpe Can personalisation work for older people? ~ …
Challenges, benefits and weaknesses of intermediate care
The authors explore the views of practitioners and managers on the implementation of intermediate care for elderly people across England, including their perceptions of the challenges involved in its implementation, and their assessment of the main benefits and weaknesses of provision. Qualitative data were collected in five case study sites (English primary care trusts) via semistructured interviews (n = 61) and focus group discussions (n = 21) …
A lost decade? A renewed case for adult social care reform in England
Drawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. In the process, it identifies a 'lost decade' in …
A healthy choice? Direct payments and healthcare in the English NHS
This article reviews the social care evidence concerning direct payments/personal budgets, before arguing for an extension of these concepts to the National Health Service (NHS). Despite a commitment to inter-agency health and social care, direct payments/personal budgets have only been available for the ‘social care’ part of people's lives. Moreover, many of the challenges faced by the NHS are precisely those which social care has turned to more…
Partnership working in England—where we are now and where we’ve come from
Despite a tendency to focus on structural 'solutions', evidence and experience suggests a series of more important processes, approaches and concepts that might help to promote more effective inter-agency working-including a focus on outcomes, consideration of the depth and breadth of relationship required and the need to work together on different levels
Debate
In the early 21st century, elements of the English welfare state are in the middle of a ‘transformation’ process based on the concepts of personalisation and self-directed support (HM Government, 2007; Glasby and Littlechild, 2009; Carr, 2010; Needham, 2010). Beginning in adult social care, these approaches seek to recast users of state welfare away from being passive recipients of prepurchased services towards a situation where they are active c…
Self-funders
The Care Act 2014 gave local authorities in England broad duties around wellbeing, and responsibility to ensure the availability of good quality, personalised social care and support services for people who need them. These responsibilities are for all people needing support, whether that is publicly or privately funded. In exercising their duties, councils have a responsibility for ‘market-shaping’: that is, understanding the supply and demand f…
Making ‘what works’ work
Decision-makers in UK health and social care are routinely asked to draw on evidence of ‘what works’ when designing services and changing practice. However, this paper argues that too much focus to date has been placed on a narrow definition of what constitutes valid ‘evidence’ (and one that privileges particular approaches and voices over others) and a simplistic conception of the decision-making function. As a result, policy and practice have t…
If telecare is the answer, what was the question? Storylines, tensions and the unintended consequences of technology-supported care
Telecare – services employing technology to monitor people’s movement, medication and home environment at a distance – has emerged as a key component of global social care and health policies. The relationship between policies about telecare and the experiences and aspirations of service users has been under-interrogated. This article draws on findings from an organisational case study involving people living with complex conditions using various…
Integrated Health and Social Care in England
The experience of England suggests that greatest progress is made when integrated care focusses on tangible issues and when there is a clear understanding of how success will be measured. Even with considerable investment and intent progress should be expected to be slow and difficult. Layering of numerous policy initiatives provides confusion and can distract from the important work of relationship building. And ultimately, integrated care canno…
Incremental change without policy learning
This paper reviews recent policy changes in English mental health services and the nature of the evidence base that has guided these changes. In particular, the paper focuses on different groups within mental health policy and practice, citing examples of information rejection by each of the key stakeholders. Drawing on a neo-Durkheimian institutionalist framework, the paper argues that each group classifies the world, remembers and forgets, and …
Integrating Health and Social Care Services for Older Persons
“Providing Integrated Health and Social Care for Older Persons (PROCARE)” is a \nproject in the EU Fifth Framework Programme (Quality of Life and Management of \nLiving Resources, Area “The Ageing Population and Disabilities”) which aims to help \nin defi ning the new concept of an integrated health and social care for older persons \nin need of care by comparing and evaluating different modes of care delivery. \nFollowing the publication of a fi…
A game of two halves?” Understanding the process and outcomes of English care home closures
With care services increasingly delivered via a market there is always a risk that care homes could fail financially or struggle in terms of quality, ultimately having to close. When this happens, the received wisdom is that subsequent relocation can be detrimental to the health and well‐being of older residents (possibly even culminating in increased mortality). However, there is very little formal evidence in the United Kingdom (UK) or beyond t…
Personalisation and adult social care
This article reviews the advent of personal budgets in English social care. While debate has tended to focus on the processes/outcomes associated with personal budgets, this article conceptualises this way of working as a form of ‘conditional resource entitlement’ (a situation in between direct service provision and income adjustment in which the individual is given direct access to resources, but with conditions attached). Viewing personal budge…
Greater than the sum of our parts? Emerging lessons for UK health and social care
Rather than assume that integration is automatically a 'good thing', the frameworks presented in this paper suggest a more critical approach in which policy makers, managers and practitioners focus in more detail on what they are trying to achieve for the people they serve, viewing integration as a means to an end and never an end in itself
If Integration Is the Answer, What Was the Question? What next for English Health and Social Care Partnerships
‘Integrated care’ has been a key policy priority in English health and social care in recent years – although the extent to which this commitment is real rather than rhetorical remains open to debate. While everyone working in health and social care knows that single agency responses are insufficient when trying to support people with complex needs, there is a danger that ‘integrated care’ becomes a buzzword, apparently capable of resolving a ran…
Understanding and Improving Older People's Experiences of Service Transitions
This paper examines the concept of transition and its centrality to later life experiences. It considers how an enhanced and more user-centred understanding of transitions can be harnessed to improve older people's experiences of moving into and between health and social care services. It focuses, in particular, on the neglected dimension of subjective experiences of transition and considers how social workers can engage with older people's emoti…
The Controversies of Choice and Control
With successive English governments extolling the virtues of greater choice and control within welfare services, there is growing debate about concepts such as direct payments and personal budgets (in the UK and in many developed countries). With the evidence base inevitably patchy and incomplete, there have been increasing criticisms of these approaches from the social care trade press and from academic policy commentators alike. Against this ba…
It ain't what you do it's the way that you do it’
Public sector organisations are facing one of the most difficult financial periods in history and local decision-makers are tasked with making tough rationing decisions. Withdrawing or limiting services is an emotive and complex task and something the National Health Service has always found difficult. Over time, local authorities have gained significant experience in the closure of care homes - an equally complex and controversial issue. Drawing…
Making evidence fit for purpose in decision making
English As a conclusion to this special edition, this article explores discussions at the final seminar in the series. Focusing on a case study topic (hospital discharge), participants were provided with six sources of evidence chosen to illustrate six very different approaches to generating valid knowledge. Participants then explored a series of questions about each (including reliability/validity, key limitations and contributions to new knowle…
Part of the Problem or Part of the Solution? The Role of Care Homes in Tackling Delayed Hospital Discharges
As part of current UK policies to reduce the number of delayed hospital discharges, a number of commentators have identified an alleged crisis in the care home market as one of key contributing factors. With local authorities under pressure to cut costs, it is argued, the number of care homes is reducing, and delays in hospital can often result. Behind this diagnosis is a series of assumptions about the role and nature of care home provision, the…
Discharging Responsibilities? Delayed Hospital Discharges and the Health and Social Care Divide
With the introduction of the Community Care (Delayed Discharges etc.) Act 2003, delayed discharges from hospital have become a key area of government concern within UK health and social services. Under the Act, social services departments will be fined for any patient who remains in hospital when they are medically fit to leave but are unable to do so due to a delay in arranging a social care package. Against this background, this article reviews…
Who decides ‘what works’, and how does it get implemented? Insights from the UK’s new centre for implementing evidence in adult social care
The UK’s adult social care system faces severe challenges, including funding shortages, unmet needs and an overburdened workforce. Resultantly, there is a push for high-quality evidence in service enhancement and resource allocation. Using evidence to improve services is essential, but questions arise about best practices for identifying ‘what works’, integrating evidence into everyday practice and addressing resource constraints. Findings from a…
You don't know what you are saying ‘Yes’ and what you are saying ‘No’ to”
Improving responsiveness to the needs of older people from minority ethnic communities has been emphasised as a goal in England since the publication of the National Service Framework for Older People in 2001. Despite this, people from minority ethnic groups consistently give poorer ratings of their health services than ‘majority’ populations, both in England and across many other health-care systems. Language barriers have been shown to play a p…
Taking the stress out of social work
Social work is an inherently pressured occupation, and a series of empirical studies have begun to identify the many stresses experienced by front-line practitioners. Despite this, social services departments have typically been slow to take positive action to reduce the pressures faced by their employees and to implement effective stress management measures. This is exacerbated by a pathological understanding of the issue at stake which views st…
Social work and direct payments
Independence pays? - barriers to the progress of direct payments
Despite the empowering nature of direct payments, progress has often been slow and uneven, with different areas of the country responding less enthusiastically than others to the new reforms and with different user groups getting less access to payments than others. While numerous barriers have been identified, a key factor is the ignorance and anxieties of front-line social work practitioners, who may sometimes be suspicious of the way in which …
Redesigning mental health services
Objectives To explore the involvement of mental health service users in the redesign of in‐patient mental health services in six Trusts participating in a multi‐regional NHS modernization programme. Design Semi‐structured interviews and observation of team meetings undertaken as part of an action research study. Participants and setting Users, clinical, medical and managerial staff from six mental health trusts which participated in the Northern …
Who knows? the provision of information to the carers of people with dementia
Although support and information for carers are key features of UK government policy, information is not always effectively disseminated and many carers feel uninformed and unsupported. This is particularly the case for the carers of people with dementia, who have suggested that some social services departments do not produce any information that is specific to older people with dementia as distinct from older people generally. Specialist volunta…
Bringing down the 'Berlin Wall
Journal Article Bringing down the ‘Berlin Wall’: the Health and Social Care Divide Get access Jon Glasby Jon Glasby Dr Jon Glasby is a lecturer at the University of Birmingham's Health Services Management Centre. Correspondence to Jon Glasby, HSMC, Park House, 40 Edgbaston Park Road, Birmingham B15 2RT, UK. E‐mail: [email protected] Search for other works by this author on: Oxford Academic Google Scholar The British Journal of Social Work, Volu…
Delayed Hospital Discharge and Mental Health
In 2003, the Community Care (Delayed Discharges etc.) Act introduced charges for social services departments unable to discharge patients from hospital within agreed timescales. As details of this reimbursement policy have begun to emerge, it has become apparent that the new system may also be extended to mental health services. In response, this narrative review of the literature on delayed hospital discharges and mental health reports findings …
Discharging Responsibilities? Delayed Hospital Discharges and the Health and Social Care Divide
With the introduction of the Community Care (Delayed Discharges etc.) Act 2003, delayed discharges from hospital have become a key area of government concern within UK health and social services. Under the Act, social services departments will be fined for any patient who remains in hospital when they are medically fit to leave but are unable to do so due to a delay in arranging a social care package. Against this background, this article reviews…
Direct payment is a healthy option
Delayed discharge from mental health hospitals
This paper reports findings from a postal survey conducted by the UK's NHS Confederation to explore the rate and cause of delayed hospital discharges in mental health inpatient services. With delayed discharges the subject of considerable UK government activity in general hospital settings, there has been debate about extending recent financial penalties to mental health, fining social services departments for delayed discharges (a system known a…
Integrating Health and Social Care Services for Older Persons
“Providing Integrated Health and Social Care for Older Persons (PROCARE)” is a \nproject in the EU Fifth Framework Programme (Quality of Life and Management of \nLiving Resources, Area “The Ageing Population and Disabilities”) which aims to help \nin defi ning the new concept of an integrated health and social care for older persons \nin need of care by comparing and evaluating different modes of care delivery. \nFollowing the publication of a fi…
Commentary and Issues
This paper reviews the assumptions underlying traditional medical research and critiques the concept of ‘evidence-based practice’. In particular, it identifies and counters three basic tenets of this approach: the alleged need for objectivity in research, the notion of hierarchies of evidence and the primacy of systematic reviews. Instead, the paper argues for a new emphasis on ‘knowledge-based practice’, recognizing that the practice wisdom of h…
Part of the Problem or Part of the Solution? The Role of Care Homes in Tackling Delayed Hospital Discharges
As part of current UK policies to reduce the number of delayed hospital discharges, a number of commentators have identified an alleged crisis in the care home market as one of key contributing factors. With local authorities under pressure to cut costs, it is argued, the number of care homes is reducing, and delays in hospital can often result. Behind this diagnosis is a series of assumptions about the role and nature of care home provision, the…
In Whose Interests? Local Research Ethics Committees and Service User Research
In recent years, the United Kingdom has witnessed a growing emphasis on service user involvement in health and social care research as well as on the governance and ethical conduct of research. Despite this, these two developments often seem to have taken place in isolation from each other, and very few commentators to date have sought to explore the relationship between involvement and research ethics. Against this background, this paper reports…
What counts as ‘evidence’ in ‘evidence-based practice’
Making evidence fit for purpose in decision making
English As a conclusion to this special edition, this article explores discussions at the final seminar in the series. Focusing on a case study topic (hospital discharge), participants were provided with six sources of evidence chosen to illustrate six very different approaches to generating valid knowledge. Participants then explored a series of questions about each (including reliability/validity, key limitations and contributions to new knowle…
Incremental change without policy learning
This paper reviews recent policy changes in English mental health services and the nature of the evidence base that has guided these changes. In particular, the paper focuses on different groups within mental health policy and practice, citing examples of information rejection by each of the key stakeholders. Drawing on a neo-Durkheimian institutionalist framework, the paper argues that each group classifies the world, remembers and forgets, and …
The Essentials of Community Care (2nd edition) - by Peter Sharkey
Health and social care
Irrespective of national context and the precise nature of local services, most developed nations are currently exploring different ways of developing more integrated health and social care. Responding to demographic changes, advances in medicine and technology, and rising public expectations, health and social care systems are increasingly recognising that greater partnership working is one of the only ways forward. In the UK, this is summed up …
Greater than the sum of our parts? Emerging lessons for UK health and social care
Rather than assume that integration is automatically a 'good thing', the frameworks presented in this paper suggest a more critical approach in which policy makers, managers and practitioners focus in more detail on what they are trying to achieve for the people they serve, viewing integration as a means to an end and never an end in itself
Co-production and Personalisation in Social Care
Challenges, benefits and weaknesses of intermediate care
The authors explore the views of practitioners and managers on the implementation of intermediate care for elderly people across England, including their perceptions of the challenges involved in its implementation, and their assessment of the main benefits and weaknesses of provision. Qualitative data were collected in five case study sites (English primary care trusts) via semistructured interviews (n = 61) and focus group discussions (n = 21) …
International Perspectives on Health and Social Care
Community Care Practice and the Law (4th Edn)
A healthy choice? Direct payments and healthcare in the English NHS
This article reviews the social care evidence concerning direct payments/personal budgets, before arguing for an extension of these concepts to the National Health Service (NHS). Despite a commitment to inter-agency health and social care, direct payments/personal budgets have only been available for the ‘social care’ part of people's lives. Moreover, many of the challenges faced by the NHS are precisely those which social care has turned to more…
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