A new approach to commissioning

Posted on March 1st, by editor in Caring Times. No Comments

|Domiciliary care commentator Lesley Bell calls for an end to the Å’us and them¹ approach| The last copy of Caring Times featured an article on the outcomes of research undertaken by the Social Policy Research Unit at the University of York into the commissioning and contracting of domiciliary care. This is an issue that we were acutely aware of when developing the standards. In 1993, with the implementation of the NHS and Community Care Act, contracting for the provision of domiciliary care was in its infancy. There was a lot of unnecessary suspicion about the independent sector. As a result many local authorities commissioned domiciliary care on the basis of identifying every single activity that needed to be undertaken upon each visit and then allocating a time to undertake that activity. This created a very rigid, inflexible approach which was not replicated in the provision of residential care. It created a “them and us” approach that was not helpful to the development of domiciliary care. The continuat

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