Third sector gears up to meet the challenge of personal budgets

Tuesday 31 March 2009

Third sector providers of social care services face a host of new challenges but also opportunities following the Government's commitment to expanding personal budgets [1] in social care. The issues raised for third sector organisations by policies to expand personal budgets are outlined in 'The impact of personal budgets on third sector providers of social care'. This new booklet highlights the views of leading experts on social care and the third sector as presented during a Public Policy Seminar jointly organised by the Economic and Social Council (ESRC) and the Association of Chief Executives of Voluntary Organisations (ACEVO), held in February 2009.

The aim of personal budgets is to enable those who rely on social care services to exercise choice and control over the help they need. However, choice is only a reality if the services and types of support that people choose are available. Are third sector providers of social care well-placed to help those who use social care services including older people, adults with mental health problems and disabled people to enjoy greater choice and control?

In the booklet, seminar speakers Professor David Challis and Professor Caroline Glendinning draw on recent research findings to highlight the perceived threats, barriers and opportunities posed by increased user choice.

Fears over rising costs and loss of care workers and clients due to the expansion of personal budgets are just a few of the concerns expressed by third sector organisations. Says Professor Glendinning: "Agency managers anticipated serious risks to their current client base. Because of their overheads, agencies charged more than self-employed care workers... this was expected to encourage personal budget holders to employ carers privately rather than through agencies. And, opportunities for care workers to earn more per hour by working privately for budget holders suggested that agencies may lose staff."

On the other hand, third sector agencies identify opportunities from the expansion of personal budgets to gain greater independence from local authorities, take on new roles, expand the types of services offered and enjoy increased demand. Professor Challis points out: "Research suggests that substantial potential exists for provider organisations to take on new roles and responsibilities in terms of case management and support planning, as well as in terms of becoming more adaptable and flexible in the services they offer. For example, providers could help service users by taking the role of human resource managers for the personal assistants the users appoint."

Says ESRC Chief Executive, Professor Ian Diamond: To date, by providing access to leading experts and the latest research evidence, our ESRC Public Policy Seminars have offered valuable insight into the potential impact of new government policy and the possible responses. In this, our first joint seminar and subsequent publication with ACEVO, we have enjoyed a really exciting opportunity to bring academic researchers and third sector professionals together to discuss issues of key practical relevance to the third sector."

ACEVO Chief Executive, Stephen Bubb concludes: "For years the basic complaint of third sector organisations providing public services has been that we are good at engaging with service users, but bad at engaging with public sector commissioners... Where we get the chance, we can deliver high-quality services that service users want.

But more often than not commissioners design contracts that practically exclude the third sector, or tie third sector organisations down in a straightjacket of required outputs and processes, backed up with excessive, bureaucratic monitoring... Individual budgets could break that mould.

"ACEVO's job is now to support third sector leaders to adapt to individual budgets, to rise to the challenges and to grasp the opportunities," he continues. "This booklet and the seminar on which it is based explores these opportunities and challenges in more detail. It is a very welcome step on an extremely important journey."

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Notes for editors

  1. The ESRC/ACEVO Public Policy Seminar booklet, 'The impact of personal budgets on third sector providers of social care', highlights some of the key points made by speakers during an afternoon seminar held on this theme in London on 24 February 2009. This seminar was the first one jointly organised by the Economic and Social Council (ESRC) and the Association of Chief Executives of Voluntary Organisations (ACEVO).
  2. We encourage you to make use of these valuable resources, so hard copies are free and available on request. If you would like to receive a free copy of the ESRC/ACEVO Public Policy Seminar booklet, 'The impact of personal budgets on third sector providers of social care' publication please email knowledgetransfer@esrc.ac.uk
  3. The briefing features presentations by the two seminar speakers, David Challis, Professor of Community Care Research and Director of the Personal Social Services Research Unit, University of Manchester, (david.j.challis@manchester.ac.uk), and Caroline Glendinning, Professor of Social Policy in the Social Policy Research Unit, University of York, (cg20@york.ac.uk). Other seminar speakers include Craig Dearden-Philips, CEO of Speaking Up (craig.dearden-phillips@speakingup.org), Lesley Anne Murphy, Chair, ACEVO Health and Social Care Special Interest Group (lesleymurphy@clara.co.uk) and Steven Rose, Chief Executive, Choice Support (steven.rose@choicesupport.org.uk).
  4. The Economic and Social Research Council (ESRC) is the UK's largest funding agency for research and postgraduate training relating to social and economic issues. It supports independent, high quality research which impacts on business, the public sector and the third sector. The ESRC's planned total expenditure in 2008/09 is £203 million. At any one time the ESRC supports over 4,000 researchers and postgraduate students in academic institutions and research policy institutes.

References

  1. Personal budgets aim to give people who use social care services including older people, disabled adults and adults with mental health problems, a greater say in the assessment of their needs and more choice and control over how their needs are met. Personal budgets give individuals the opportunity to use the resources to which they are eligible more flexibly and according to their own priorities and desired outcomes.