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By Joan Orme, Bryan Glastonbury (auth.)

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Extra info for Care Management: Tasks and Workloads

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Like any other system it depends in the last resort on resources being available, and lack of resources will demoralise client and worker alike. In two ways, however, care management seeks to emphasise the value of a full assessment, though both are likely to provoke scathing rejoinders from some professional workers. One is contained in the view that clients may not have a right to service, but do have a right to be assessed. This extends to social work the principle which has always applied to welfare benefits- that you may not qualify for any benefit, but you have a right to have your eligibility fully calculated.

To enable her to continue coping would require major alterations to the council house and a large scale input of domiciliary services. The pressure was very much that she should move to some sort of sheltered accommodation and release the council house. The pressure here was one of expedience as well as economy. There was a pressure on council housing in this area but there were places in the sheltered provision. An individual package of care could be, and ultimately was, provided, but only after some effective advocacy on the part of the woman's son.

The accountancy aspects of care management require fundamental changes in the way social services departments typically handle expenditures and the associated bookkeeping. The usual model is that funds are allocated by the local authority to the social services department, and organised under a range of staffing and non-staffing budgetary categories to meet different sorts of costs. There are categories for different types of staff, for computers and furniture, for building maintenance, and many others.

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