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Related Experiment Videos

Bridging the gap: using direct payments to purchase integrated care.

Caroline Glendinning1, Shirley Halliwell, Sally Jacobs

  • 1National Primary Care Research and Development Centre,Health Service Management Unit, University of Manchester.

Health & Social Care in the Community
|September 19, 2001
PubMed
Summary

Disabled individuals receiving Direct Payments often use them for health-related assistance, like physiotherapy, due to unmet needs with traditional services. This highlights a gap in statutory support and the potential for integrated health and social care funding.

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Area of Science:

  • Health Services Research
  • Disability Studies
  • Social Policy

Background:

  • Direct Payments allow disabled individuals to purchase care and support.
  • Conventional divides exist between health and social services.
  • Personal assistants (PAs) provide a range of support to Direct Payment recipients.

Purpose of the Study:

  • To investigate how disabled individuals use Direct Payments for services crossing health and social care boundaries.
  • To understand the motivations behind choosing personal assistants for health-related tasks.
  • To explore the implications of flexible personal assistance for health and social care integration.

Main Methods:

  • Qualitative study involving interviews with Direct Payment recipients.
  • Analysis of how 'personal care' is defined and utilized by users.

Related Experiment Videos

  • Examination of the types of health-related assistance purchased through Direct Payments.

    • Main Results:

    • Most Direct Payment recipients use the term 'personal care' broadly, encompassing health-related tasks.
    • Users reported purchasing services such as physiotherapy, incontinence management, and wound care.
    • Reasons for using PAs included unavailability or withdrawal of statutory services and a desire for greater independence.
    • Many users expressed a desire for expanded access to health-related services via Direct Payments.

    Conclusions:

    • Direct Payments are actively used to fund essential health-related support, blurring traditional service lines.
    • The findings suggest a need for health purchasers to consider contributing to Direct Payments to acknowledge the health services provided.
    • Further consideration of training, supervision, and professionalization is necessary for flexible personal assistance in health contexts.