29 APR 2018
This paper investigates the effectiveness of local budget planning and management for the provision of adaptations. It examines the extent to which local authorities have sought to implement the ambitions of national policies and strategies in this regard.
Demographic change has imposed accumulated financial strain on the UK’s healthcare system. In response to this challenge, the concept of ageing in place was introduced by the UK government to help older people living independently in their own homes. Housing adaptation was characterised as a powerful tool for enabling independence and has been given greater political priority.
However, the contribution of adaptation services to health outcomes varied regionally, reflecting statutory limits, policy choices and local planning. Mixed methods involving questionnaire survey, semi-structured interviews and focus group were employed.
The results informed that the implementation of government policies was quite limited and issues such as poor budget setting, insufficient funding and ineffective performance management were still common among local authorities.
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