The introduction of Self Directed Support brings about significant changes in the relationships between care managers, service providers, the people who start to exercise greater choice and control over their support, and the other individuals and agencies who support them in this process. The implementation of new policies in health and social care has not always adequately attended to the relationships involved. Costs, risks and outcomes are negatively affected as a result.
This report for the Whole Systems Partnership examines some of the issues arising from changing roles that are associated with the pursuit of choice, independence and control. Anticipating the relational complexity and risks of some of the role changes, understanding the interplay between money and relationships, and paying careful attention to future capacity to develop and sustain new patterns of support relationship will all be essential for successful implementation of this policy.
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