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Prior to the launch of Valuing People (DH, 2001), Gordon Grant and Paul Ramcharan were appointed by the Department of Health as co‐ordinators of the Learning Disability Research Initiative (LDRI). The LDRI was a £2m research initiative, funded through the Department of Health's Policy Research Programme, linked to the implementation of Valuing People. The LDRI was brought to a conclusion in November 2007 with a final conference at which an overview report and accessible summary of the findings were launched (Grant & Ramcharan, 2007a, 2007b). In this paper we summarise the main findings of the LDRI with reference to Valuing People's main principles of rights, choice, inclusion and independence. In conclusion we consider how to build on the evidence base.

Prior to the launch of Valuing People, Gordon Grant and Paul Ramcharan were appointed by the Department of Health as co‐ordinators of the learning disability research initiative People with Learning Disabilities: Services, Inclusion and Partnership, which was intended to inform the implementation and outcome of the White Paper Valuing People during its crucial early years. In this paper they describe the genesis of the research initiative, the research commissioning process and intentions for a research communication strategy.

BASED ON TWO POSTAL surveys in 1995 and 1997 of care management practitioners in Wales, this paper examines practitioners' perceptions of change in work roles and tasks over time. Assessment tasks are taking up increasing amounts of care management practitioner time leading to a corresponding decrease in the time set aside for arranging services and for direct work with clients. The results are claims of de‐skilling and the likelihood of a more administrative style of working.

Based on a postal survey in 1995 of all front‐line staff in Wales with an assessment and/or care management role, findings are reported about how tasks and roles were operationalised following the full introduction of the new community care in April 1993. Further information was obtained by interviews with managers in health and social services. Only a fifth of social services posts were designated or titled as care management posts. The majority of these workers were located in services for elderly and physically disabled people. Although few had a specific budget, the majority considered that they had greater control over financial resources than before April 1993. The analysis of tasks undertaken by front‐line staff shows that there remains a broad overlap between the roles of care managers and social workers. The results highlight the nature of increasing demands on staff and raise issues about the impact of increased workloads and administration on service quality. They also highlight tensions between care management and traditional professional roles. Some pointers for continuing debate are provided.

This paper describes how front‐line workers in Wales experience care management. A minority of workers felt that the aims of community care were being achieved whilst few of the core tasks of care management were felt by a majority of respondents to be working well. Lack of time and resources were viewed as major constraints upon good care management practice and infrastructure supports were found to be inadequate. The findings raise key questions over the structure and practice of care (case) management and point to a number of areas in which policy and practice might be improved.