Can personal budgets really deliver better outcome for all at no cost? Reviewing the evidence, costs and quality

Abstract

Political recognition of the parlous state of English social care and the urgent need for radical reform led to calls for new policy approaches that address the two key problems it faced: inadequate funding and poor quality and inappropriate provision. The New Labour government was convinced that it had found a way of dealing with these two competing problems and it embarked on a policy, which has subsequently gained cross-party support. The centre-piece was the concept of a personal budget, and was introduced with a belief that there would be major cost savings while improving service user satisfaction. This article will critically explore the evidence for whether the strategy is fulfilling that promise.

Keywords:

• personal budgets
• direct payments
• personalisation
• costs
• outcomes