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Personal Budgets
Policy context
The new Conservative/ Liberal Democrat government has confirmed its commitment to the
personalisation of health and social care. The coalition deal, published 20 May 2010,
promises to break down barriers between health and social care and extends the roll-out of
personal budgets to give people and their carers more control and purchasing power1.
The policy context for personal budgets has evolved over the past few years. The previous
government’s 2006 White Paper Our Health, Our Care, Our Say set a new direction for the
whole health and social care system. It confirmed a radical shift in the way services are
delivered, with an emphasis on ensuring they are more personalised, giving people a
stronger voice so they can act as the major driver of service improvement.
In December 2007, the former Government’s vision was set out further in the Putting People
First concordant, where central and local Government, health professional and voluntary
bodies agreed the need for ‘a system focused on prevention, early intervention, re-ablement
and tailored on-going support services’. With the exception of emergency situations, it
requires all local authorities with social services responsibilities to make personal budgets
available to those who are eligible for social care support.
In March this year, following a period of public consultation, the then government launched
the White Paper, Building the National Care Service, which set out proposals to build a
comprehensive National Care Service for all adults in England including personalised care
and support through a personal budget. It was underpinned by six founding principles, one of
which was to ensure choice and control: respecting individual human rights, personal to
every individual's needs, and putting people in charge of their own lives.
1
http://www.direct.gov.uk/en/Nl1/Newsroom/DG_187877
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OPM Public Interest Seminar: The Future of Personal Budgets
authorities, enabling them to purchase services which reflect who they are as an individual.
For others, personal budgets simply give them a greater sense of leverage and control to act
if they feel the services they receive are not delivering what they have promised.
There is also some evidence of wider impact on carers and families, in particular that being
able to choose providers and to change them if there is a problem gives them greater peace
of mind.
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