BJSW Advance Access originally published online on November 18, 2005
British Journal of Social Work 2006 36(8):1379-1393; doi:10.1093/bjsw/bch394
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Direct Payments: Creating a Two-Tiered System in Social Care?
David Leece is Professor of Business and Management Studies at Manchester Metropolitan University. He is a financial economist who has published widely in the area of personal finance and more recently in direct payments.
Janet Leece is a registered social worker employed as a Commissioning Officer for Staffordshire Social Services. She is also an honorary research fellow at Staffordshire University. Janet has published extensively in the area of direct payments including the Practitioner’s Guide to Direct Payments, published by Venture Press. She is currently co-editing a new book called Developments in Direct Payments, to be published by Policy Press in January 2006.
Correspondence to Janet Leece, Staffordshire Care and Health Directorate, Commissioning Team, Walton Building, PO Box 11, Martin Street, Stafford ST16 2LH. E-mail: Janet.leece{at}staffordshire.gov.uk
In 2003, the UK government placed a mandatory responsibility on local authorities to offer direct payments to eligible people. Given the extent to which the government is committed to extending the number of people using cash payments and research that shows the enormous benefits to users, then some areas of research into the take up are sadly neglected. For example, is it the case, as some literature suggests, that direct payments are by being disproportionately utilized by middle-class, affluent disabled people, effectively creating a two-tiered system in social care? The research in this paper provides some insight into this question by reporting a unique study to look at statistically significant differences in the financial situation of direct payment users compared with users of traditional services.
Keywords: direct payments, disability, older people, income, wealth
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