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BJSW Advance Access originally published online on March 28, 2007
British Journal of Social Work 2007 37(3):459-474; doi:10.1093/bjsw/bcm018
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© The Author 2007. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.

Free Personal Care in Scotland: A Narrative Review

Helen Dickinson, Jon Glasby, Julien Forder and Lucinda Beesley

Helen Dickinson is a Research Associate at the Health Services Management Centre, University of Birmingham. Helen is currently completing a PhD researching health and social care partnerships and their outcomes for service users.

Dr Jon Glasby is a Reader in Health and Social Care at the Health Services Management Centre, University of Birmingham. A qualified social worker by background, he is also a Board member of the Social Care Institute for Excellence (SCIE).

Julien Forder is Professor of the Economics of Social Policy and Deputy Director of PSSRU at the University of Kent and the London School of Economics. He was recently seconded to the King’s Fund, a UK health think-tank, as project lead for the Wanless Social Care Review. Before that Julien had been seconded to the Strategy Unit in the Department of Health. He is an economist and has conducted research in social care for over 10 years. He has mainly written about the organization and finance of the long-term care system.

Lucinda Beesley was part of the Core Team delivering the Wanless Review ‘Securing Good Care for Older People’, including specifically leading on human resources and service supply and delivery content in the main report and background papers. She is currently working within the Advisory practice of Pricewaterhouse Coopers UK. Her experience prior to these includes operational and strategic management and analysis across the health and social care sectors and policy analysis at the DH Strategy Unit.

Correspondence to Helen Dickinson, Park House, 40 Edgbaston Park Road, Birmingham B15 2RT, UK. E-mail: h.e.dickinson{at}bham.ac.uk

The advent of free personal care for older people was a defining moment in the development of UK political devolution. After all the controversy surrounding the 1999 Royal Commission on Long Term Care, Scotland’s decision to implement the main recommendations of the Sutherland Committee was a decisive break from Whitehall’s approach and seemed to offer a key opportunity to learn from the implications of this policy for an English context. Against this background, this paper summarizes the origins, nature and impact of free personal care, providing a narrative review of the policy to date.

Keywords: personal care, policy, Scotland


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