“…Where people participated in the design of their care package, this was often reported as being limited to refusing the services or providers offered (Allen et al, 1992;Baldock and Ungerson, 1994). Moreover, while research shows that flexibility is an important aspect of care valued by older people (Henwood et al, 1998;Patmore, 2001;Raynes et al, 2001;Francis and Netten, 2004), evidence suggests a history of low flexibility in home care services for this group, with some home care services strictly limiting activities to those tasks specified by care managers on older people's care plans (Patmore and McNulty, 2002). Francis and Netten (2004) found that among older people using home care services, many could not request help with tasks beyond those specified on their care plan because they were not on care workers' "job sheet".…”