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A major element of modernising English adult social care is the introduction of individual, user-directed budgets. The Social Policy Research Unit (SPRU) led a major, multi-method and multi-centre research programme evaluating the Individual Budget (IB) pilot projects in England; and a linked study of the impact of IBs on family carers. Through this, SPRU has influenced: the content of the Department of Health's (DH) good practice guidance for personal budgets; the DH's approach to piloting and evaluating NHS Personal Health Budgets; the Department for Work and Pensions (DWP) piloting and evaluation of `Right to Control' trailblazer projects; and, the agenda for an Audit Commission investigation into financial management of personal budgets. Most importantly, it has helped shape the agenda for national and local organisations striving to successfully implement personal budgets, particularly for older people.
Research led by Professor Sue Yeandle at Leeds on working age carers has focused policymakers' attention on carers' contributions to society, their role in the health and social care system, and the issues they confront in reconciling paid work with unpaid care. The research findings have: (a) provided a vital evidence base, shaping policy work of the national charity, Carers UK, (b) influenced Government policy formation and evaluation, including playing a direct role in shaping the Government's National Care Strategy in 2008, and (c) informed wider policy and parliamentary debate supporting carers of working age.
The importance of person-centred social support has been recognised by successive governments as central to the development of effective and supportive social care services. The research led by Brunel and funded by the DoH and the Joseph Rowntree Foundation, made a substantial contribution to the enhancement of UK social care policy and practice in relation to the personalisation agenda. Parliamentary committees and policy consultation used the research to develop new social care policy. Standards of service care delivery were developed and implemented in partnership with service users; these were adopted at a policy and practice level. The development and use of evidence based practice guides, training programmes and web resources facilitated the successful adoption and implementation of person-centred support nationwide. In summary, public debate was influenced, equality and empowerment for service users was advanced, national policy and practice enhanced, health and welfare improved and economic impacts achieved.
Research on the financing of adult social care in England resulted in the development of a full simulation model of the social care economy. This has allowed for the quantification of the costs and benefits of different funding reform options. The research has hence allowed for identification of the limitations of the current financing of social care, and has been relied on by the Government and by the Dilnot Commission in the formulation of new funding policies. It has also been used by social care groups (such as Age UK) to highlight the problems facing the funding of social care.
This research improved policy-makers' and practitioners' understanding of well-being among residents of social care facilities by identifying the factors contributing to residents' quality of life. This research resulted in the development of the Adult Social Care Outcomes Toolkit (ASCOT), whose use is rapidly increasing both in the UK and internationally. Evidence from beneficiaries including policy-makers, experts and service practitioners, as well as interviews with service users, indicates that ASCOT captures aspects of well-being that are highly valued by service users and policy-makers alike.
The research has had significant impact in the UK on the development of social and spiritual support for people at the end of life and their families. With Professor Holloway as Social Care Lead on the National End of Life Care Programme (NEoLCP) since 2009, the research has underpinned the launch of a framework for the delivery of social care at the end of life which is now in its second phase of implementation. The framework is endorsed by the Association of Directors of Adult Social Services and has led to local and regional Action Plans and social care practice initiatives. The research on spirituality has led to scoping and training initiatives in healthcare practice and in the funerals industry within the UK and internationally.
This case study involves the research of Professor John Williams on the law and older people and its impact on health and welfare, practitioners, and public policy, law and services within the UK and his contribution to an international debate on the need for a UN convention on the rights of older people. It demonstrates the impact that his published works and conference presentations have on policy makers and practitioners when responding to cases of suspected elder abuse within domestic and residential settings. It also demonstrates his input into the law reform process through his contributions to policy making bodies nationally and internationally.
The Personal Social Services Research Unit (PSSRU) at the University of Manchester (UoM) has run a programme of research examining community care of older people since 1996. The findings have informed key government decision-making around two important national policy initiatives between 2008 and 2013: (1) the development and implementation of Personal Budgets in Social and Health Care and (2) National Strategies to improve Dementia Services. This has affected the national provision of social care for older people and other adult social care users. In 2011-12, there were over 1.2 million people in England receiving social care affected by these policy changes (over 800,000 aged 65+), with a cost of £6,600m spent on their care (NHS and Social Care Information Centre).
The research has explored the impact of welfare transformations on the activities of social workers on the frontline. A key concern has been to explore the gap between, on the one hand, social work ethical statements and the commitments of practitioners on entering the field and, on the other, the workplace reality of marketization, austerity driven cuts and a range of restrictions placed on workers by new regulatory regimes. The research explores the potential, internationally, for a new `engaged' social work practice that draws service users, carers, academics, and practitioners together in defence of good quality, value driven social work.
Research by the University of Southampton into ageing, intergenerational relations and the life course has influenced policy debate and practice at national and international levels, highlighting the importance of adapting social policy to take account of the changing shape of the life course. Empirical research evidencing the impact of earlier life course events on women's resources in later life informed the UN Committee on the Elimination of Discrimination against Women. Other research has informed the policy work of the European Commission, the UN Economic Commission for Europe and national and local governments, potentially affecting the lives of millions of people.