“…Glendinning (1998) notes the emphasis on assessment and care management as key methods for improving the targeting and coordination of services for older people, the former intended to promote a needs-led rather than service-led approach, the latter to maximise the appropriate tailoring of individualised packages of services to the assessed needs and choices of the older person, but highlights the subsequent use of assessment as a mechanism for prioritising needs and gatekeeping. Payne (2000) argues that the need for cost constraints was so influential that the assessment aspect of care management came to dominate practice, primarily as a way to ration services, suggesting this is the key to understanding how care management became bureaucratised. In this respect, the re-naming of 'case management' as 'care management', ostensibly focusing attention back on the personal nature of the service (Gursansky et al, 2003), or emphasising the management of the care process rather than the individual (Onyett, 1992;Wendt, 2001), was seen as contentious by many (Huxley, 1993;Onyett, 1992;Payne, 1997).…”