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A systems approach to direct payments: a response to Friend or foe? Towards a critical assessment of direct paymentsUniversity of Derby, janelyon{at}aol.com Spandler (2004) identifies the need to move from reactionary to progressive arguments about direct payments in the UK to enable progress towards a critical assessment of direct payments to users of care services. This reply advocates a strategic view of direct payments within the social care system, by looking at the context within which direct payments operate and system issues that affect the whole social care sector. The discussion advances the hypothesis that critical assessment of direct payments needs to recognize their impact on the whole social care sector and not just on those people who elect to receive them.
Key Words: community care service development strategic planning user satisfaction
Critical Social Policy, Vol. 25, No. 2,
240-252 (2005) This article has been cited by other articles:
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