Managed personal budgets for older people: what are English local authorities doing to facilitate personalised and flexible care?

Baxter K, Rabiee P, Glendinning C

Public Money and Management 33, 6: 399—406

Available online 16 Sep 2013

Abstract

This paper explores how three local authorities in England have tried to facilitate personalized home care for older people through changes in commissioning and market development activities; and how these changes have been experienced by support planners and home care agency managers. Two borough council and one county council were selected. One council offered Individual Service Funds (IFS) and one offered ‘virtual budgets’. Overall, it appears that changes are well intended, but the practicalities of implementing them raise some challenges that mean desired objectives may not always be achieved.