Personal budgets in adult social care: the fact and the fiction of the Care Act 2014

ABSTRACT

Personal budgets have been heavily promoted in government policy in England as a means of increasing the personalisation of public services, particularly in the field of adult social care. The Care Act 2014 for the first time creates a statutory requirement for personal budgets to be allocated to all individuals using state funded social care. This article examines how a particular rhetoric has developed in social care policy around personal budgets, which draws freely on the language of the disabled people’s movement and suggests that grassroots ideas are the central purpose for the introduction of personal budgets into policy. It considers whether the promises made in policy are embedded in the 2014 Act and finds that there is a mismatch between claims in social care policy on the one hand and the model of personal budgets created by the 2014 Act on the other. It concludes that the policy rhetoric around personal budgets directly appropriates the language and ideas of the disabled people’s movement while promoting a wholly distinct agenda of public sector marketisation.

KEYWORDS:

• Personal budgets
• adult social care
• personalisation
• Care Act 2014
• disability
• independent living

Acknowledgments

The author gratefully acknowledges the contribution of colleagues who read and commented extensively on earlier drafts of this paper; and of the anonymous external reviewer, whose detailed comments on an earlier draft were invaluable in honing the discussion. Any errors or omissions are entirely the responsibility of the author.

Disclosure statement

No potential conflict of interest was reported by the author.