Skip to main content
Article thumbnail
Location of Repository

Safeguarding and system change: early perceptions of the implications for adult protection services of the English individual budgets pilots--a qualitative study

By Jill Manthorpe, Martin Stevens, Joan Rapaport, Jess Harris, Sally Jacobs, David Challis, Ann Netten, Martin Knapp, Mark Wilberforce and Caroline Glendinning


Cash for care or consumer-directed services are increasing in scope and size in Europe and North America. The English Department of Health initiated a pilot form of personalised support for adults (Individual Budgets) in 13 local authorities that aimed to extend opportunities for users of social care services to determine their own priorities and preferences in the expectation that this will enhance their well-being. This article reports on and discusses interviews undertaken with adult protection leads in the 13 Individual Budgets sites about the linkages to their work, their perceptions of the launch of the pilots and the policy s fit with safeguarding and risk agendas. The interviews were undertaken as part of the national evaluation of the pilots, which aims to evaluate outcomes and identify the contexts and mechanisms of those outcomes. Findings of this part of the study were that the adult protection leads were not central to the early implementation of Individual Budgets and that some of their concerns about the risk of financial abuse were grounded in the extent of this problem among current service users. The implications of their perceptions for the roll out of Individual Budgets are debated in this article with a focus on risk and the policy congruence between potentially competing agendas of choice and control and of protection and harm reduction

Topics: RA Public aspects of medicine
Publisher: Oxford University Press
Year: 2009
DOI identifier: 10.1093/bjsw
OAI identifier:
Provided by: LSE Research Online
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • (external link)
  • (external link)
  • Suggested articles

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.