NIHR SSCR: Personalisation of home care for older people using managed personal budgets

This study aims to explore factors affecting the delivery of personalised support to older service users who opt for managed personal budgets. To achieve this, the study will:
*identify innovative practices in local authority contracts, reimbursement and monitoring, and explore how effective these changes are in enabling choice, control and flexibility
*explore the roles played by care managers and other support planners as intermediaries in shaping the expectations that PB holders have and the demands they make on providers
*explore home care provider responses to changes in contracts and user demand
*assess the effectiveness of new contracting and support planning arrangements in creating opportunities for choice and control, from the perspectives of older managed PB holders.