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A healthy choice? Direct payments and healthcare in the English NHS

Glasby, Jon, Le Grand, Julian ORCID: 0000-0002-7864-0118 and Duffy, Simon (2009) A healthy choice? Direct payments and healthcare in the English NHS. Policy and Politics, 37 (4). pp. 481-497. ISSN 0305-5736

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Identification Number: 10.1332/030557309X434322


This article reviews the social care evidence concerning direct payments/personal budgets, before arguing for an extension of these concepts to the National Health Service (NHS). Despite a commitment to inter-agency health and social care, direct payments/personal budgets have only been available for the 'social care' part of people's lives. Moreover, many of the challenges faced by the NHS are precisely those which social care has turned to more individualised funding to help resolve. Against this background, the article speculates as to how such a system might work and seeks to address some popular misconceptions and potential objections.

Item Type: Article
Official URL:
Additional Information: © 2010 Ingenta
Divisions: Social Policy
LSE Health
Subjects: R Medicine > RA Public aspects of medicine
JEL classification: I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health
Date Deposited: 29 Jan 2010 11:53
Last Modified: 16 May 2024 00:53

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