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Risk, Safeguarding and Personal Budgets

Purpose

To investigate the consequences for practice, and the outcomes for service users and carers, of Personal Budgets (PBs), particularly Direct Payments, in respect of safeguarding.

Timescale

2012 - 2014

Research team

Martin Stevens, Jill Manthorpe, Shereen Hussein and Kritika Samsi (SCWRU); John Woolham (Coventry University); Kate Baxter/Fiona Aspinal (University of York); Mohamed Ismail (Analytical Research Ltd).

Funding

NIHR School for Social Care Research

SSCR summary

NIHR School for Social Care Research project summary

Background

Personalisation has been a policy aspiration of the Department of Health for over 25 years. However, many practitioners and managers had concerns about increased risks arising from the use of PBs, particularly as Direct Payments (the main vehicle for personalisation). This study aims to find evidence to support or counter these fears.

Methods

A mixed methods approach was taken. Analysis of Annual Reports of 20 Adult Safeguarding Boards; secondary analysis of the Abuse of Vulnerable Adults and Social Services Activity national datasets. In three research sites, analysis of data on personal budget use and safeguarding alerts, referrals, investigations and outcomes; and interviews with a sample of personal budget holders and those who manage personal budget holders on behalf of family members and professional stakeholders.

Outputs

Research Findings

Stevens, M., Manthorpe, J., Hussein, S., Ismail, M., Woolham, J., Samsi, K., Baxter, K. & Aspinal, F. (2014) 'Risk, Safeguarding and Personal Budgets: exploring relationships and identifying good practice', London: NIHR School for Social Care Research.

And see the blog post: Stevens, M. (2014) 'Risk, Safeguarding and Personal Budgets: exploring relationships and identifying good practice', Social Care Workforce:, 12 December.

Articles

Ismail, M., Hussein, S., Stevens, M., Woolham, J., Manthorpe, J., Aspinal, F., Baxter, K. & Samsi, K. (2017) 'Do Personal Budgets Increase the Risk of Abuse? Evidence from English National Data', Journal of Social Policy, 46(2): 291-311.

Stevens, M., Woolham, J., Manthorpe, J., Aspinal, F., Hussein, S., Baxter, K., Samsi, K. & Ismail, M. (2016) 'Implementing safeguarding and personalisation in social work: findings from practice', Journal of Social Work. 10.1177/1468017316652001

Manthorpe, J., Stevens, M., Samsi, K., Aspinal, F., Woolham, J., Hussein, S., Ismail, M. & Baxter, K. (2015) 'Did anyone notice the transformation of adult social care? An analysis of Safeguarding Adult Board Annual Reports', Journal of Adult Protection, 17(1).

Presentations

Stevens, M., Hussein, S., Samsi, K., Manthorpe, J., Woolham, J., Aspinal, F. & Ismail, M. (2015) 'Risk, Safeguarding and Personal Budgets', University of Portsmouth seminar, Portsmouth, 16 April.

Stevens, M., Hussein, S., Samsi, K., Manthorpe, J., Woolham, J., Aspinal, F. & Ismail, M. (2015) 'Risk, Safeguarding and Personal Budgets', NIHR School for Social Care Research Annual Conference, London, 24 March.

Stevens, M. (2015) 'Risk, Safeguarding and Personal Budgets', Seminar, Kingston University, 12 February.

Stevens, M. (2014) 'Risk, safeguarding and Personal Budgets', Lunch and learn seminar, King's College London, 6 November.

Stevens, M. & Aspinal, F. (2014) 'Risk, safeguarding and Personal Budgets – Do Personal Budgets increase the risk of abuse?', Making Research Count Seminar, York, 9 July.

Stevens, M., Woolham, J., Aspinal, F., Manthorpe, J., Hussein, S. & Ismail, M. (2013) 'Risk, safeguarding and personal budgets: exploring relationships and identifying good practice', Insights from Research on Personalisation, London, 12 June.

Impact

The study is relevant to practitioners, PB holders and carers making decisions about use of PBs and managing risks. The project has added to knowledge about the overall impact of PBs on safeguarding, and informed the development of social care policy and practice.

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