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dc.contributor.authorHughes, Jane
dc.contributor.authorChester, Helen
dc.contributor.authorChallis, David
dc.date.accessioned2020-10-22T15:48:42Z
dc.date.available2020-10-22T15:48:42Z
dc.date.issued2020
dc.identifier.citationDavies, K., Dalgarno, E., Angel, C., Davies, S., Hughes, J., Chester, H., Jasper, R., Roberts, A. & Challis, D. (2020). Home-care providers as collaborators in commissioning arrangements for older people. Health and Social Care in the Community, DOI: 10.1111/hsc.13169en
dc.identifier.other10.1111/hsc.13169
dc.identifier.urihttps://repository.nottinghamshirehealthcare.nhs.uk/handle/123456789/3550
dc.description.abstractIn England, care to support people living at home is largely commissioned by local authorities (statutory organisations with responsibility for social care in specific localities) from non-statutory home-care providers (for-profit, not-for-profit, voluntary). This paper explores how managers of these services perceive commissioning arrangements and their impact on home-care providers, the care workforce and service users. Little formal research of providers' experiences of working with local authorities in a commissioning model is available. A qualitative study employed semi-structured telephone interviews with 20 managers of for-profit home-care providers from 10 selected local authority areas in England. Data were analysed using thematic analysis to identify main and subsidiary themes. Home-care providers reported operating in a complex and changeable partnership with commissioners, characterised by: (a) relationships ranging from transactional to collaborative, (b) providers expressing a strong sense of public service motivation, (c) commissioning practices that were complex to negotiate, time-consuming and overly prescriptive, (d) frequent changes in commissioning practices and a perceived lack of strategic planning, which were reported as contributing to uncertainty and tension for providers and confusion for service users. Attempting to operate a market model with tightly prescribed contracts is likely to be unsustainable. An alternative approach based on a collaborative model of joint responsibility for providing home care is recommended drawing on a conceptual framework of principal-steward relationships in contracting.en
dc.description.urihttps://onlinelibrary.wiley.com/doi/10.1111/hsc.13169en
dc.subjectCarersen
dc.subjectHome care servicesen
dc.subjectAgingen
dc.titleHome-care providers as collaborators in commissioning arrangements for older peopleen
dc.typeArticleen


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