The Costs and Benefits of Personal Budgets for Older People: Evidence from a Single Local Authority

Woolham, John; Benton, Chris

doi:10.1093/bjsw/bcs086

Cited by 39 publications

(67 citation statements)

References 12 publications

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“…This is consistent with findings from other studies examining the association of different outcomes from PBs; such as Activities of Daily Living and General Health Questionnaire (Woolham and Benton, 2012); and other measures of wellbeing particularly for older people. A more recent study revealed that people with DPs and MPBs, when compared with non-DP holders, experience little difference in relation to other outcomes including health, stress and quality of life .…”

Section: Discussionsupporting

confidence: 91%

Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data

Ismail¹,

Hussein

Stevens

et al. 2016

J. Soc. Pol.

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With the continued implementation of the personalisation policy, Personal Budgets (PBs) have moved to the mainstream in adult social care in England. The relationship between the policy goals of personalisation and safeguarding is contentious. Some have argued that PBs have the potential to empower recipients, while others believe PBs, especially Direct Payments, might increase the risk of abuse.This paper provides empirical evidence about levels of uptake of PBs and safeguarding referrals in England based on in-depth analysis of national data at aggregate, local council level in England, covering 152 Councils. This is complemented by analysis of 2,209 individual referral records obtained from three purposively selected study sites. The aim is to explore whether available data could provide evidence of association between the uptake of PBs and safeguarding referrals. Analysis of the national dataset found no significant relationships between PB uptake and the level and type of alleged abuse. However, analysis of individual-level referral data, from the three selected sites did find some significant associations particularly with financial abuse; and found the main perpetrators of the alleged abuse to be home-care employees. The findings are discussed within the context of current policy and practice.terms of use, available at https://www.cambridge.org/core/terms. https://doi

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Section: Discussionsupporting

confidence: 91%

Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data

Ismail¹,

Hussein

Stevens

et al. 2016

J. Soc. Pol.

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“…In some cases, the personal budget is not a regular financial allocation but a one-off payment for equipment such as a washing machine or respite care. However, there are concerns that the benefits for older people may be limited in comparison with other user groups,27,28 and that for older people with dementia, there may be particular complexities or reluctance to change the basis of their care.…”

Section: Introductionmentioning

confidence: 99%

Person-centered dementia care: current perspectives

Manthorpe¹,

Samsi²

2016

CIA

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Person-centered dementia care is widely accepted as a value-based commitment to supporting people with dementia and is a guiding principle in care services. Policy ambitions to put people at the center of their own care are being developed internationally. These may be seen as part of the evolution of person-centered care which has its origins in critical perspectives on practice and social responses to people with dementia. In England, one further development of person-centered care has been personalization – a government policy to extend individuals’ choice and control over their social care and, latterly, ways to meet their health care needs. This paper charts the evolution of the concept of person-centered care to the policy of personalization (which has international comparators) and summarizes emerging and conflicting evidence about the implications of personal budgets in England on older people with mental health problems such as dementia and their families. It focuses on the evidence base of personalization and on emerging lessons for practice, drawing from the implementation of personalization and the adoption of personal budgets by this group. While personalization may be one policy initiative, the values and practices of person-centered dementia care remain fundamental to practice and are inspiring new ideas related to rights and justice for people with dementia.

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“…Studies have included major national trials (see Glendinning et al, 2008), local evaluations (Woolham and Benton, 2012), and qualitative explorations (Newbronner et al, 2011). A range of studies has also focused on implementation of government policy and used personalization of an example of complexity and nonlinear development.…”

Section: Methodsmentioning

confidence: 99%

“…These highlighted the need to ensure that older people are not disadvantaged by the very policies intended to foster better care and lead to better outcomes. Woolham and Benton (2012), for example, concluded from their detailed study of the impact and outcomes of personal budgets (termed SDS) in the county of Northamptonshire that there were limited benefits and great costs for older people of these new arrangements. Older people receiving SDS in their study were less likely to feel in control; to feel empowered; to feel they were getting the right type of support than other age groups; to feel they had the final say about how the money should be spent and displayed less evidence of positive impact.…”

Section: Evidence and Evaluationsmentioning

confidence: 99%

Self-Directed Care and Individual Budgets for Older People: Lessons from the UK

Manthorpe

2015

International Encyclopedia of the Social &Amp; Behavioral Sciences

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The Costs and Benefits of Personal Budgets for Older People: Evidence from a Single Local Authority

Cited by 39 publications

References 12 publications

Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data

Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data

Person-centered dementia care: current perspectives

Self-Directed Care and Individual Budgets for Older People: Lessons from the UK

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