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Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data

Ismail, M; Hussein, S; Stevens, M; Woolham, J; Manthorpe, J; Aspinal, FJ; Baxter, K; (2017) Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data. Journal of Social Policy , 46 (2) pp. 291-311. 10.1017/S0047279416000623. Green open access

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Abstract

With the continued implementation of the personalisation policy, Personal Budgets (PBs) have moved to the mainstream in adult social care in England. The relationship between the policy goals of personalisation and safeguarding is contentious. Some have argued that PBs have the potential to empower recipients, while others believe PBs, especially Direct Payments, might increase the risk of abuse. This paper provides empirical evidence about levels of uptake of PBs and safeguarding referrals in England based on in-depth analysis of national data at aggregate, local council level in England, covering 152 Councils. This is complemented by analysis of 2,209 individual referral records obtained from three purposively selected study sites. The aim is to explore whether available data could provide evidence of association between the uptake of PBs and safeguarding referrals. Analysis of the national dataset found no significant relationships between PB uptake and the level and type of alleged abuse. However, analysis of individual-level referral data, from the three selected sites did find some significant associations particularly with financial abuse; and found the main perpetrators of the alleged abuse to be home-care employees. The findings are discussed within the context of current policy and practice.

Type: Article
Title: Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0047279416000623
Publisher version: https://doi.org/10.1017/S0047279416000623
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
URI: https://discovery.ucl.ac.uk/id/eprint/10067609
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