Principles underlying payment by results can be used to commission personalised learning disability services


Payment by Results (PbR) was introduced into the NHS with the aim of improving efficiency and increasing  value for money. The approach uses a national tariff of agreed fixed prices reflecting average prices for procedures. In this article, the authors argue that given that outcome focused approaches to payment by results will be incrementally introduced [read the full story…]

New employment relationships between with learning disabilities and their paid supporters still to be explored in the literature

chat after meeting

Modernisation of social care and the move towards personalisation have opened up opportunities for people with learning disabilities to take control of their supports through using individual budgets to employ supports. This study set out to look at the impact of this policy change on people with learning disabilities and their families employing their own [read the full story…]

Researchers develop quality framework for personalised support arrangements

Analysis showed significant lack of robust evidence on impact or cost effectiveness

Personalisation is a cornerstone of policy for supporting people with learning disabilities. This study set out to look at the nature, purposes and outcomes of personalised residential supports from the perspectives of people with disabilities, family members and service providers, with a view to developing a quality framework for future evaluation. The researchers identified four [read the full story…]

Nature of support is key in enabling self-determination of people with learning disabilities


Self determination is a key thrust of current learning disability policy and indeed sits at the heart of the personalisation agenda in adult social care. This study worked with 17 people with learning disabilities, using interviews to help gather information to help improve our understanding of what impact self determination was having on their lives. [read the full story…]