[A version of this item appears in: Dementia: the Latest Evidence Newsletter (RWHT), Volume 2 Issue 4, November 2011].
According to this report, personal budgets may be an effective way of achieving personalisation but they do not guarantee self-directed support in social care for people living with complex needs such as dementia. The Demos report explores how person-centred services can be achieved for those who need them most; i.e. people with multiple and complex needs, and in settings where personalisation is most challenging such as residential care homes and palliative care centres. The importance of co-production and democratic structures are considered as means to the collective empowerment of residents in care homes. Quotation:
“Health and care commissioners, personal budget care planners and social care regulators should all look for the presence of co-production and democratic structures as a mark of quality in residential settings”.
Staff cultures and risk are discussed, as are the integration of housing, health and social care. Contents of this report are structured under the following headings:
- The limitations of personal budgets as a tool for personalisation.
- The barriers to broader personalisation.
- Meeting the challenges of personalisation for those with complex needs.
- Policy and practice recommendations.
Wood, C. (2011). Tailor made. London: Demos, 2011. ISBN 978-1-906693-83-1
A Further Department of Health Report:
58 budget holders were interviewed as part of a pilot study. This report summarises their experiences of personal health budgets after three months and draws some early conclusions (mostly positive).
Irvine, A. Davidson, J. [and] Glendinning, C. [et al] (2011). Personal health budgets: early experiences of budget holders. Fourth interim report. (Personal Health Budgets Evaluation). London: Department of Health, October 2011. DH 2478.