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Advocacy on entry to care homes: a scoping review


This study was commissioned to inform planned work on the development of advocacy services for older people considering moving to care homes. Several government departments – the Department of Health, the Department of Work & Pensions and the Office for Disability Issues – have interests in the effectiveness of advocacy in this context. 

Research team

Jill Manthorpe, SCWRU
Stephen Martineau, SCWRU
Jo Moriarty, SCWRU
Shereen Hussein, SCWRU
Michelle Cornes, SCWRU
Martin Stevens, SCWRU


Department of Health


While there is increasing interest in advocacy of all types, little is known about the types, organisation, outcomes, costs and models of advocacy that focus on decisions made when an older person is considering a move to a care home on a permanent basis. Much public money is spent on advocacy, and associated information and advice, but the outcomes envisaged are not always clear and may be contradictory. The impact of advocacy work on social care practitioners are not always clear.


A scoping review of UK literature was undertaken, together with a set of purposive interviews of key informants from care home, advocacy and social care settings. These identified current practice and issues, setting the research literature in the context of services and commissioning.




Manthorpe, J. & Martineau, S., (2009), 'Scoping Review of the Research and Evidence Base Relating to Advocacy Services and Older People's Entry into Care Homes in England' [pdf, 350 KB], London: Social Care Workforce Research Unit, King's College London.
Manthorpe, J. & Martineau, S., (2010), 'Deciding to move to a care home: The shared territory of advocacy and social work support', Practice, 22(4): 217-231.
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