Risky business – direct payments and lone workers

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

|By LESLEY BELL, Chair, Joint Advisory Group of Domiciliary Care Associations. Director Initiatives in Care. Email: lesley@initiativesin care.co.uk| Direct payments were introduced as a direct response to the disability lobby. Take-up was initially slow but gathered momentum year on year as local authorities found ways of enabling and supporting people to make the most effective use of direct payments, allowing them to make their own decisions and be independent. The nature of care provided to people living in their own homes has changed dramatically since my first involvement more than 25 years ago. For the first 15 years it was a gradual evolution which has escalated since 1993 and the introduction of the NHS and Community Care Act. The emphasis now is on the provision of increasingly personal rather than practical care, working at the interface with health services, supporting people in their own homes who would have previously been in hospital or in long term residential or nursing care, preventing emerge

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