Public and Private Welfare Activity in the United Kingdom, 1979 to 1999

This paper analyses the shifting balance between public sector and private sector welfare provision in the United Kingdom over the past two decades. Five sectors - education, health, personal social services, housing, and income maintenance and social security - are examined over three time points, 1979/80, 1995/96, and 1999/2000. Burchardt's (1997) typology is used to classify welfare activities according to who funds them, who provides them, and who decides on the provider and/or amount of service. It is found that shifts in the composition of welfare activity have been relatively small and gradual: around half of all welfare activity, dropping from 52 percent to 49 percent, is entirely public; around a quarter, rising from 24 percent to 29 percent, is entirely private; and the remainder involves a mixture of both sectors. Within the latter group, there was a notable increase over time in the contracting-out of public services, which rose from 6 percent to 10 percent of all welfare activity.welfare, social spending, privatisation, contracting-out, public provision, private provision

A Map of Mental Health

This paper provides a comprehensive picture of mental health services in England, including staffing and expenditure, and the number of people in need and the number treated. Historically, this information has been split across sub-sections of the health and social services; and the readily available information often appeared to give inconsistent answers. This paper brings together and interprets the available evidence to provide a single coherent map of mental health need and services, from children to older adults and across both health and social care services, in England.mental health, NHS, mental health services, mental health staff, public health, expenditure

Improving Access to Psychological Therapy: Initial Evaluation of the Two Demonstration Sites

The Government's Improving Access to Psychological Therapy (IAPT) programme aims to implement NICE Guidance for people with depression and anxiety disorders. In the first phase of the programme, two demonstration sites were established in Doncaster and Newham with funding to provide increased availability of cognitive-behaviour therapy-based (CBT) services to those in the community who need them. The services opened in late summer 2006. This paper documents the achievements of the sites up to September 2007 (roughly their first year of operation) and makes recommendations for the future roll out of IAPT services.Cognitive Behavioural Therapy, CBT, Psychological therapy, Evaluation, Cost benefit analysis, IAPT

Public and private welfare activity in the United Kingdom, 1979 to 1999

This paper analyses the shifting balance between public sector and private sector welfare provision in the United Kingdom over the past two decades. Five sectors – education, health, personal social services, housing, and income maintenance and social security – are examined over three time points, 1979/80, 1995/96, and 1999/2000. Burchardt’s (1997) typology is used to classify welfare activities according to who funds them, who provides them, and who decides on the provider and/or amount of service. It is found that shifts in the composition of welfare activity have been relatively small and gradual: around half of all welfare activity, dropping from 52 percent to 49 percent, is entirely public; around a quarter, rising from 24 percent to 29 percent, is entirely private; and the remainder involves a mixture of both sectors. Within the latter group, there was a notable increase over time in the contracting-out of public services, which rose from 6 percent to 10 percent of all welfare activity

A map of mental health

This paper provides a comprehensive picture of mental health services in England, includingstaffing and expenditure, and the number of people in need and the number treated.Historically, this information has been split across sub-sections of the health and socialservices; and the readily available information often appeared to give inconsistent answers.This paper brings together and interprets the available evidence to provide a single coherentmap of mental health need and services, from children to older adults and across both healthand social care services, in England

Improving access to psychological therapy: initial evaluation of the two demonstration sites

The Government’s Improving Access to Psychological Therapy (IAPT) programme aims to implement NICE Guidance for people with depression and anxiety disorders. In the first phase of the programme, two demonstration sites were established in Doncaster and Newham with funding to provide increased availability of cognitive-behaviour therapy-based (CBT) services to those in the community who need them. The services opened in late summer 2006. This paper documents the achievements of the sites up to September 2007 (roughly their first year of operation) and makes recommendations for the future roll out of IAPT services