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Changes in commissioning home care: an English survey

Sue Davies (Social Care and Society, University of Manchester, Manchester, UK)
Jane Hughes (Institute of Mental Health, University of Nottingham, Nottingham, UK)
Karen Davies (Institute for Health Policy and Organisation, University of Manchester, Manchester, UK)
Elizabeth Dalgarno (Department of Health Organisation, Policy and Economics, University of Manchester, Manchester, UK)
Rowan Elaine Jasper (Department of Social Care and Society, University of Manchester, Manchester, UK)
Helen Chester (Institute of Mental Health, University of Nottingham, Nottingham, UK)
Amy Roberts (Department of Social Care and Society, University of Manchester, Manchester, UK)
David Challis (Institute of Mental Health, University of Nottingham, Nottingham, UK)

Quality in Ageing and Older Adults

ISSN: 1471-7794

Article publication date: 3 February 2020

Issue publication date: 17 April 2020

126

Abstract

Purpose

The purpose of this study is to examine changes in the nature, form and range of commissioning arrangements for home care.

Design/methodology/approach

Data from two discrete national surveys of English local authorities with social service responsibilities were used. In the first, undertaken in 2007, responses from 111 of the 151 local authorities (74%) were received; in the second, undertaken in 2017, responses from 109 local authorities (72%) were received. A combined data set of 79 complete cases, 52% of local authorities, was created. Percentage point differences across the two time periods were calculated and tested to identify significant changes and a systematic analysis of the free-text responses regarding intended changes to the commissioning process in each data set was undertaken.

Findings

Findings identified substantial changes in some aspects of the commissioning of home care in the 2007-2017 decade. Collaboration between stakeholders had increased, particularly regarding the identification of future needs. Improved conditions of service and remuneration for home care workers were evident within the commissioning process. Standardised charges for home care (regardless of time and day) had also become more widespread. Initiatives to prompt providers to deliver more personalised care were more evident.

Originality/value

This paper describes the evolution of commissioning arrangements for home care in localities in response to national policy initiatives. It provides guidance to commissioners in meeting the needs of current service users and emphasises the importance of collaboration with stakeholders, particularly providers, in securing future capacity.

Keywords

Citation

Davies, S., Hughes, J., Davies, K., Dalgarno, E., Jasper, R.E., Chester, H., Roberts, A. and Challis, D. (2020), "Changes in commissioning home care: an English survey", Quality in Ageing and Older Adults, Vol. 21 No. 1, pp. 3-14. https://doi.org/10.1108/QAOA-10-2019-0055

Publisher

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Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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