Individual Budgets are central to the implementation of English government policy goals in social care. Like other consumer-directed or self-directed support programmes operating in parts of the developed world, they are envisaged as a way of increasing individuals' choice and control over...

Within the context of modernization, there has been a trend towards ‘cash-for-care' schemes designed to bring choice and control closer to the service user. In England, Individual Budgets (IBs) are being piloted, with the aim of promoting personalized support for disabled people and other...

This paper analyses practitioners' documentation of social care assessments and care plans for disabled adults of working age. The data were collected in the course of an innovative project that introduced new outcome-focused documentation into routine social care assessment, care management and...

Relationships between the NHS and social care services over the past 25 years have a poor history. This article examines the strategies that have been used by central government and by local NHS and social care organizations to overcome difficulties of service co-ordination. The authors conclude...

Individual or personal budgets are part of a growing international trend to encourage greater choice and control over social care services at a time of financial austerity. The authors' evaluation of individual budgets found that levels of allocated resources reflected a range of factors,...

Publicly-funded social care providers are under significant pressure as a consequence of an ageing population, a tight financial climate, and demands for greater quality and dignity in care. Personal budgets have been advocated as a potential solution. However, the implications of personal...

This article uses an analytic framework based on the preconditions for effective markets to consider how the widespread introduction of personal budgets is likely to affect the market for social care. While there are some promising signs of changes that should result in a more responsive market,...