Report into the lived experience of Personal Budgets within Essex with a particular focus on Direct Payments

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Summary of report content

Healthwatch Essex undertook research to inform Essex County Council’s redesign of direct payments for social care.  They spoke to 27 people.

When an individual had a consistent and robust relationship with a dedicated social worker who understood their needs, they were positively satisfied with their Personal Budget. When this relationship was not in place, feelings differed substantially.

Understanding what a personal budget is and how it works can be a challenge for some people. This section focuses on the importance of regular ongoing communication and feedback.

Although a direct payment is intended to increase the flexibility of choice and control, numerous factors suggest this is not always the case and has even been described as an ‘impersonal budget’.

The report contains 4 recommendations.

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General details

Local Healthwatch
Healthwatch Essex
Publication date
Key themes
Communication with patients; treatment explanation; verbal advice
Cost and funding of services
Lifestyle and wellbeing; wider determinants of health
Food, nutrition and catering
Service organisation, delivery, change and closure
Caring, kindness, respect and dignity

Methodology and approach

Was the work undertaken in partnership with another organisation?
Yes
Primary research method used
Interviews
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Adult social care, including care packages and social workers
Home care/domiciliary care including personal assistants and personal budgets

Details of people who shared their views

Number of people who shared their views
27
Age group
Not known
Gender
Not known
Is the gender identity of people in the report the same as the sex they were assigned at birth?
Not known
Sexual orientation
Not known
Pregnancy/maternity
N/A
Does this report feature carers?
Not known
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