Personalisation through individual budgets: does it work and for whom?

Ann Netten, Karen Jones, Martin Knapp, Jose-Luis Fernandez, David Challis, Caroline Glendinning, Sally Jacobs, Jill Manthorpe, Nicola Elizabeth Moran, Martin Stevens, Mark Robson Wilberforce

Research output: Contribution to journalArticlepeer-review

Abstract

In England, 'personal budgets' are being implemented at a time of financial austerity. They are part of a growing trend internationally to give users of publicly funded social care and support more choice and control. In the individual budgets' (IB) pilot, people were allocated and had control over the way their IB was managed and spent, offering the opportunity to explore the potential of IBs to deliver better outcomes for people than conventional services and support. We describe the way we measured outcomes, the effects we found and how they varied between and within service user groups. For some groups, there were clear benefits from IBs. However, it should not be a 'one-size-fits-all' approach, and, in taking personal budgets forward, it is important to consider how best to address the particular challenges for older people, effects on social work practice and resource implications if the potential benefits are to be achieved. Social workers may find themselves implementing a policy with considerable potential, but which may prove very difficult to achieve in the current financial climate.
Original languageEnglish
Pages (from-to)1556-1573
Number of pages18
JournalBritish Journal of Social Work
Volume42
Issue number8
DOIs
Publication statusPublished - Dec 2012

Keywords

  • social care
  • personalisation
  • individual budgets
  • outcomes
  • service users
  • older people
  • ill/disabled adults
  • social work

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