Self-Funders in England: How much choice and control do they really have?

Choice self funders

Self-funders (or elf-funders) are people who have to pay for their social care using their own finances, as opposed to receiving partial or full funding from their local council’s adult social care department. In England a threshold exists of £23,250, those who have above this amount in savings and sometimes other assets are deemed to [read the full story…]

Direct funding and older people: why are we still talking about choice?

choice-2692575_1280

Francesca Pozzoli considers a qualitative metasynthesis of directly funded home-care programmes for older people and the concept of ‘choice’.

[read the full story...]

Direct payments in residential care: ideas for implementation and some concerns about their value

1. GBP cash in hands - photo by Lara Klass square

Martin Stevens considers the low uptake of direct payments in residential care: an evaluation of the Direct Payments in Residential Care Trailblazers.

[read the full story...]

Power and powerlessness: Mental health practitioner and service user perspectives on personal budgets

7027596629_1b17209fa6_z

Martin Stevens examines a study on mental health service user and practitioner experiences of personal budgets and finds that power and attitudes remain important factors.

[read the full story...]

A Suitable Person: An insider perspective finds conflict between parent-carers and practitioners

shutterstock_117643993

Earlier this year, we posted about a study which showed positive outcomes being achieved by suitable persons for individuals lacking capacity to consent to direct payments.

Here Alex Leeder, who blogged about this study, looks at the views of parent-carers who have fulfilled the role of ‘suitable person’ – an ‘insider’ perspective.

[read the full story...]

Supporting choice? Older people and personal budgets

shutterstock_78736765

Martin Stevens examines research into how councils are implementing personal budgets for older people and has important questions about supporting choice.

[read the full story...]

Direct Payments: Are they working well for people with learning disabilities or dementia who lack mental capacity to consent?

planning_shutterstock_172122455 (2)

Alex Leeder looks at the experiences of using ‘indirect’ payments in a qualitative study of the experiences of practitioners and ‘suitable’ people.

[read the full story...]

Policy impacts on home care services for older people

shutterstock_270528854

Mike Clark provides a timely commentary on research into the impact of personalisation on home care services for older people and finds inherent tensions between choice, competition and the desire for improving the relational aspects of direct care.

[read the full story...]