SCIE Report 36: Enabling risk, ensuring safety: Self-directed support and personal budgets

Studies

'...arrangements leads to more independence. There are no detectable increases in risk to quality, trustworthiness, reliability and safety when compared with agency-directed services.' (Ottmann et al 2009).

The IBSEN study: main findings

The IBSEN study (Glendinning C et al, 2008a) is the main piece of UK research piloting a version of personal budgets (then known as individual budgets). This was undertaken in 13 English local authorities, with 959 participants from all groups of people using adult social care.

The research gives a clear indication of particular concerns surrounding personal budgets and risk. Staff highlighted concerns about the following areas of potential risk:

One specific area of risk highlighted by adult safeguarding staff was the lack of means to enforce Criminal Record Bureau checks on people (such as personal assistants) employed directly by personal budget holders.

The study authors note that:

As with the traditional approach, unstable or complex situations were likely to remain the responsibility of a named care manager. The development of appropriate monitoring and review systems for personal budgets was seen as essential and further exploration indicated that the following could help with managing risk in the context of personal budgets:

Further reading

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