Needs-led assessment
The challenges and the reality
Bibliographic Data
| ID | 12287887 |
|---|---|
| Authors | Beth Parry‐Jones (corresponding author), Beth Parry-Jones, Judith G Soulsby (Bangor University), Judith Soulsby |
| Year | 2001 |
| Volume | 9 |
| Issue | 6 |
| Pages | 414-428 |
| Publication date | 2001-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1046/j.0966-0410.2001.00316.x |
| PMID | 11846821 |
| OpenAlex | W2079868680 |
| Language | EN |
| Citations received | 18 |
| References cited | 12 |
The NHS & Community Care Act 1990 heralded a new era in community care in the UK. Needs-led assessment and case management were to form the cornerstone of high quality care. Practitioners were challenged to alter their attitudes and practice to accommodate the needs-led approach. Previously they had assessed need to ascertain eligibility for statutory services, now they were required to identify "need" per se. The pivotal role given to assessment meant the success, or otherwise, of the reforms lay in part on the ability of practitioners to make this transition. However, to make needs-led assessment a reality, practitioners would have both to overcome conceptual barriers--need being an unclear concept, with no clear framework existing to assess need--and also to deal successfully with the conflicting requirement to ration services. In order to investigate whether the shift to needs-led practice had been possible, the opinions of social and healthcare practitioners providing services for older people in North Wales were sought through semi-structured interviews in 1994-1995 and 1998-1999. Supports and constraints to practice were also explored. Practitioners indicated that whilst they welcomed the needs-led philosophy, putting it into practice was difficult, if not impossible. The main constraints were a lack of resources (financial, service provision and staffing) and the conceptual difficulty of separating "need" from the "need for a particular service". Ever-tightening budgets and service eligibility criteria over the period of the study indicate that a shift of focus from assessment of need to rationing has taken place
Business · Cornerstone · Health care · Needs assessment · Political science · Public relations · Quality (philosophy · Rationing · Service (business · Staffing · Statutory law · Geriatric Care and Nursing Homes · Healthcare innovation and challenges · Medicine · Mental Health and Patient Involvement · Nursing · Marketing
Assessment Frameworks
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Stratified structural and epistemic aspects of the care manager's discretion—a theoretical approach to social work related to older people's potential relocation to a residential home
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The effect of a designated tool on person-centred goal identification and service planning among older people receiving homecare in New Zealand
An evaluation of the new home-care needs assessment policy in the Netherlands
A new vision for adult social care? Continuities and change in the care of older people
Modernising social care services for older people
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How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home
Social Workers in Community Care Practice
There Are Wonderful Social Workers but it's a Lottery
Balancing the good - a critical discourse analysis of home modification services
Have They Done what They Should? Moral Reasoning in the Context of Translating Older Persons' Everyday Problems into Eligible Needs for Home Modification Services
Handbook of qualitative research
Disabling professions
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Stress and job satisfaction among social workers, community nurses and community psychiatric nurses
Identifying needs and setting priorities
Working together
Early steps in implementing the new community care
A preliminary study of changes in assessment
Dimensions of choice in the assessment and care management process
Redefining community care social work
Beliefs and behaviour
| Unique citing works | 18 |
|---|---|
| Citations per year | 0.78 |
| Citation span | 2003 - 2026 (24) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 18 |