This article reports findings from the evaluation of the Direct Payments in Residential Care Trailblazers in England (2014–16). It focuses on the perspective of residential care providers on implementing direct payments, which aimed to improve the level of choice and control over care available to their residents. The article explores the views of providers, using interviews and survey responses of care home managers and owners. Concerns expressed by providers include issues that have arisen in domiciliary care but also issues specific to residential care, especially challenges in facilitating greater choice and control in settings that provide care collectively for substantial numbers of residents.
Andrews, G.J. and Phillips, D.R. (2000) Private residential care for older persons: local impacts of care in the community reforms in England and Wales, Social Policy & Administration, 34: 206–22.
Angeles Tortosa, M. and Granell, R. (2002) Nursing home vouchers in Spain: the Valencia experience, Ageing & Society, 22: 669–87. doi: 10.1017/S0144686X02008942
Arksey, H. and Baxter, K. (2012) Exploring the temporal aspects of direct payments, British Journal of Social Work, 42: 147–64. doi: 10.1093/bjsw/bcr039
Clark, H., Gough, H. and MacFarlane, A. (2004) ‘It pays dividends’: Direct payments and older people, Bristol: Policy Press.
CMA (Competition and Markets Authority) (2017) Care homes market study: Final report, London: Competition and Markets Authority, www.gov.uk/cma-cases/care-homes-market-study
Coughlan, R. and Ward, L. (2007) Experiences of recently relocated residents of a long-term care facility in Ontario: assessing quality qualitatively, International Journal of Nursing Studies, 44: 47–57. doi: 10.1016/j.ijnurstu.2005.11.022
CQC (Care Quality Commission) (2016) The state of health care and adult social care in England 2015/16, London: Care Quality Commission.
CQC (2017) Data for care homes, www.cqc.org.uk/what-we-do/services-we-regulate/care-homes
DH (Department of Health) (2014) Care and support statutory guidance. Issued under the Care Act 2014, London: Department of Health.
Ettelt, S., Perkins, M., Wittenberg, R. and Mays, N. (2013) Direct payments in residential care trailblazer programme evaluation. Preliminary report, London: Policy Innovation Research Unit.
Ettelt, S., Williams, L., Perkins, M., Wittenberg, R., Lombard, D., Damant, J. and Mays, N. (2018) Explaining low uptake of direct payments in residential care: findings from the evaluation of the Direct Payments in Residential Care Trailblazers, Journal of Social Policy, 47: 505–22. doi: 10.1017/S0047279417000794
Ettelt, S., Wittenberg, R., Williams, L., Damant, J., Lombard, D., Perkins, M. and Mays, N. (2017) Evaluation of direct payments in residential care trailblazers. Final report, London: Policy Innovation Research Unit.
Fernandez, J.-L., Kendall, J., Davey, V. and Knapp, M. (2007) Direct payments in England: factors linked to variations in local provision, Journal of Social Policy, 36: 97–121. doi: 10.1017/S0047279406000390
Glasby, J. and Littlechild, R. (2016) Direct payments and personal budgets: Putting personalisation into practice, Bristol: Policy Press.
Glasby, J., Le Grand, J. and Duffy, S. (2009) A healthy choice? Direct payments and healthcare in the English NHS, Policy & Politics, 37: 481–97.
Glendinning, C., Challis, D., Fernandez, J.-L., Jacobs, S., Jones, K., Knapp, M., Manthorpe, J., Moran, N., Netten, A., Stevens, M. and Wilberforce, M. (2008) Evaluation of the individual budgets pilot programme, final report, York: Social Policy Research Unit, University of York.
Law Commission (2011) Adult social care, presented to Parliament pursuant to section 3(2) of the Law Commissions Act 1965, London: The Stationery Office.
Leadbeater, C., Bartlett, J., Gallagher, N. (2008) Making it personal, London: Demos.
Manthorpe, J., Stevens, M., Rapaport, J., Challis, D., Jacobs, S., Netten, A., Jones, K., Knapp, M., Wilberforce, M. and Glendinning, C. (2011) Individual budgets and adult safeguarding: parallel or converging tracks? Further findings from the evaluation of the individual budget pilots, Journal of Social Work, 11: 422–38. doi: 10.1177/1468017310379452
Manthorpe, J., Stevens, M., Rapaport, J., Harris, J., Jacobs, S., Challis, D., Netten, A., Knapp, M., Wilberforce, M. and Glendinning, C. (2009) Safeguarding and system change: early perceptions of the implications for Adult Protection Services of the English individual budgets pilots – a qualitative study, British Journal of Social Work, 39: 1465–80. doi: 10.1093/bjsw/bcn028
Matthews, F.E., Arthur, A., Barnes, L.E., Bond, J., Jagger, C., Robinson, L. and Brayne, C. (2013) A two-decade comparison of prevalence of dementia in individuals aged 65 years and older from three functional geographical areas of England: results of the Cognitive Function and Ageing Study I and II, Lancet, 382: 1405–12. doi: 10.1016/S0140-6736(13)61570-6
McGilton, K.S. and Boscart, V.M. (2006) Close care provider–resident relationships in long-term care environments, Journal of Clinical Nursing, 16: 2149–57. doi: 10.1111/j.1365-2702.2006.01636.x
NAO (National Audit Office) (2014) Financial sustainability of local authorities 2014, London: The Stationary Office and National Audit Office.
NAO (2016) Personal commissioning in adult social care, London: National Audit Office.
Needham, C. (2011) Personalising public services: Understanding the personalisation narrative, Bristol: Policy Press.
NHS (National Health Service) Digital (2017) Adult social care activity and finance report: detailed analysis England 2016–17, https://digital.nhs.uk/data-and-information/publications/statistical/adult-social-care-activity-and-finance-report/adult-social-care-activity-and-finance-report-england-2016–17
SCIE (Social Care Institute for Excellence) (2005) SCIE guide 10. Direct payments: answering frequently asked questions, https://www.scie.org.uk/publications/guides/guide10/
Scourfield, P. (2005) Implementing the Community Care (Direct Payments) Act: will the supply of personal assistants meet the demand and at what price?, Journal of Social Policy, 34: 469–88. doi: 10.1017/S0047279405008871
Talbot, R. and Brewer, G. (2016) Care assistant experiences of dementia care in long-term nursing and residential care environments, Dementia, 15: 1737–54. doi: 10.1177/1471301215576416
Williams, L., Ettelt, S., Perkins, M., Wittenberg, R., Lombard, D., Damant, J. and Mays, N. (2016) Will direct payments make adult residential care more personalized? Views and experiences of social care staff in the Direct Payments in Residential Care Trailblazers, Social Policy & Administration, 51(7): 1060–1078.
Woolham, J., Dalt, G., Sparks, T., Ritters, K. and Steils, N. (2017) Do direct payments improve outcomes for older people who receive social care? Differences in outcome between people aged 75+ who have a managed personal budget or a direct payment, Ageing & Society, 37: 961–84. doi: 10.1017/S0144686X15001531
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