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.