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Supporting ‘Needs-Led’ Services: Implications for Planning and Management Systems (A case study in mental handicap services)*

Published online by Cambridge University Press:  20 January 2009

Morag McGrath  and
Gordon Grant
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Abstract

Many of the principles of the Community Care White Paper (DoH, 1989) bear a striking resemblance to the Welsh mental handicap strategy launched six years earlier (Welsh Office, 1983). This paper considers the lessons to be learnt from the Welsh strategy for the development of needs-led services as promulgated by the White Paper. Similarities and differences between the two policy initiatives are first identified before considering the conceptual basis of needs-led services. Attention is drawn to two interdependent dimensions of needs-led services, user participation and management delegation, as a means of depicting three underlying models, each with different value stances. By drawing from a case study of one area in Wales, an attempt is made to test the expectations for needs-led services in terms of local planning and management requirements of the three models against the experiences of those charged with putting them into practice. Implications for the White Paper are explored in connection with user involvement strategies and assessment and care management processes.

Type
Articles
Information
Journal of Social Policy , Volume 21 , Issue 1 , January 1992 , pp. 71 - 97
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

Audit Commission (1989), Developing Community Care for Adults with a Mental Handicap, Occasional Paper No. 9, Audit Commission for Local Authorities in England and Wales.Google Scholar
Beyer, S., Evans, G.. Todd, S. and Blunden, R. (1986). Planning for the All Wales Strategy: A Review of Issues Arising in Welsh Counties, Mental Handicap in Wales, Applied Research Unit, Cardiff.Google Scholar
Blunden, R.. Evans, G. and Humphreys, S. (1987), Planning with Individuals: an Outline Guide, Mental Handicap in Wales, Applied Research Unit, Cardiff.Google Scholar
Booth, T. A. (1981). ‘Collaboration between health and social services’ Part I: ‘A case study of joint care planning’; Part II: ‘A case study of joint finance’, Policy and Politics, 9. 23–49 and 205–226.Google Scholar
Davies, B. and Challis, D. (1986), Matching Resources to Needs in Community Care, Gower. Aldershot, Hants.Google Scholar
Department of Health and Social Security (1980), Mental Handicap: Progress, Problems and Priorities, HMSO, London.Google Scholar
Department of Health (1989), Caring for People. Community Care in the Next Decade and Beyond, HMSO, London, Cm 849.Google Scholar
Department of Health (1990), Community Care in the Decade and Beyond. Policy Guidance, HMSO, London.Google Scholar
Douglas, T. (1985), ‘Change: Implementation of the All Wales Strategy’, Mental Handicap, 13 (1), 14–16.CrossRefGoogle Scholar
Elcock, H. (1986), ‘Decentralisation as a tool for social services management’, Local Government Studies, 12, 35–49.CrossRefGoogle Scholar
Flynn, N. (1987), ‘Delegating financial responsibility and policy-making within social services departments’, Public Money, 6, 41–44.Google Scholar
Grant, G. (1985), ‘Towards participation in the All Wales Strategy: Issues and processes’, Mental Handicap, 13 (2), 51–54.CrossRefGoogle Scholar
Grant, G. (1986). ‘Towards joint teams with joint budgets: the case of the All Wales Strategy’, in Chant, J. et al. , Health and Social Services: Collaboration or Conflict?, Discussion Paper 14, Policy Studies Institute, London.Google Scholar
Griffiths, R. (1988), Community Care: Agenda for Action, HMSO, London.Google Scholar
Hadley, R. and McGrath, M. (1984), When Social Services are Local: The Normanton Experience, Allen and Unwin, London.Google Scholar
Hambleton, R. (1988), ‘Consumerism, decentralisation and local democracy’, Public Administration, 66, 125–147.CrossRefGoogle Scholar
Hoggett, P. and Hambleton, R. (eds). Decentralisation and Democracy: Localising Public Services, School for Advanced Urban Studies, Bristol.Google Scholar
Hoggett, P. (1987). ‘Going beyond a “rearrangement of the deck chairs” some practical hints for councillors and managers’ in Hoggett, P. and Hambleton, R. (eds). Decentralisation and Democracy: Localising Public Services, School for Advanced Urban Studies, Bristol.Google Scholar
Humphreys, S. (1986), ‘Individual planning in NIMROD: Results of an evaluation of the system four years on’, in Grant, G., Humphreys, S. and McGrath, M. (eds), Community Mental Handicap Teams: Theory and Practice, British Institute of Mental Handicap, Kidderminster.Google Scholar
Humphreys, S. (1987). ‘Participation in practice’, Social Policy and Administration, 21 (1), 22–39.CrossRefGoogle Scholar
Humphreys, S., McGrath, M. and Grant, G. (1986), ‘Reflections of the All Wales Strategy Vanguard Area’, Mental Handicap, 14, 143–147.Google Scholar
Hunter, D. J. and Wistow, G. (1987), Community Care in Britain: Variations on a Theme, King’s Fund Publishing Office, London.Google Scholar
McGrath, M. (1989), ‘Consumer participation in service planning — the AWS experience’, Journal of Social Policy, 18 (1), 67–89.CrossRefGoogle ScholarPubMed
McGrath, M. (1991), Multi-disciplinary Teamwork. Community Mental Handicap Teams, Avebury, Aldershot.Google Scholar
Parker, G. (1985), With Due Care and Attention: A Review of Research on Informal Care, Family Policy Studies Centre, London.Google Scholar
Potter, J. (1988), ‘Consumerism and the public sector: How well does the coat fit?’, Public Administration, 66(2), 149–164.CrossRefGoogle Scholar
Seyd, R., Tennant, A., Bayley, M. and Porter, P. (1984), Community Social Work. Neighbourhood Services Project — Dinnington, Paper No. 8, Department of Sociological Studies, University of Sheffield.Google Scholar
Social Services Inspectorate (1991), Caring for Peopole. Community Care Plans — First Steps, Department of Health, London.Google Scholar
Stewart, J. and Clark, M. (1987), ‘The public service orientation: issues and dilemmas’, Public Administration, 65, 161–177.CrossRefGoogle Scholar
Twigg, J. (1989), ‘Models of carers: How do social care agencies conceptualise their relationships with informal carers?’, Journal of Social Policy, 18(1), 53–66.Google Scholar
Welsh Office (1983), All Wales Strategy for the Development of Services for Mentally Handicapped People.Google Scholar
Wistow, G. (1989), ‘Planning and collaboration in a mixed economy of welfare’, in Wolstenholme, E., Wistow, G. and Gilroy, D. (eds). Community Care in a Mixed Economy: Meeting the Challenges, Nuffield Institute for Health Services Studies, Leeds.Google Scholar