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Expenditure Planning in the Personal Social Services: Unit Costs in the 1980s*

Published online by Cambridge University Press:  12 June 2009

Abstract

During the 1980s, unit cost inflation more than swallowed up all the increased spending on local authority social services, leaving a 10 per cent net reduction in service volumes. This increase can be only partly explained by increased labour prices and increased client needs resulting from the implementation of community care. Explanations in terms of quality and efficiency changes are explored in relation to individual services, and there appears to be a prima facie case that efficiency reduced during the 1980s.

Variation between local authorities in the costs of apparently similar services rose during the 1980s. An analysis of these variations shows that those authorities which experienced the greatest rise in unit costs also had the greatest reduction in service volumes. Unit cost containment has been greatest where there was grant reduction and a declining local tax base, while volume declined most where there was rate-capping. The rising variation in unit costs has been responsible for the widening gap between standard spending assessments and what local authorities have wanted to spend on personal social services. If these increased variations reflect widening efficiency standards, then reversing this trend will require that social services department managements have both the motivation and capacity to implement unit cost monitoring and control.

Type
Articles
Copyright
Copyright © Cambridge University Press 1995

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References

REFERENCES

Audit Commission (1985a), Managing Social Services for the Elderly More Effectively, HMSO, London.Google Scholar
Audit Commission (1985b), Child Care Report, Audit Commission, London.Google Scholar
Audit Commission (1986a), Making a Reality of Community Care, HMSO, London.Google Scholar
Audit Commission (1986b), Managing Social Work More Effectively, HMSO, London.Google Scholar
Audit Commission (1987), The management of London's authorities: preventing the breakdown of services, Audit Commission Occasional Paper 2, London.Google Scholar
Bamett, R. (1986), Local Authority expenditure reactions to losses in grant aid: the case of the metropolitan district councils. Environment and Planning C: Government and Policy 4, pp. 181–43.Google Scholar
Bebblngton, A. C. and Davies, B. P. (1993), ‘The home-help service in 1985’, Journal of Social Policy, 22: 373–91.Google Scholar
Bebbington, A. C. and Kelly, A. (1992), ‘Trends in unit costs among local authority personal social services departments’, Discussion Paper 799, PSSRU, University of Kent.Google Scholar
Bebbington, A. C. and Miles, J. (1988), ‘A need indicator for in-care services for children’, Discussion Paper 574, PSSRU, University of Kent’.Google Scholar
Bebblngton, A. C. and Miles, J. (1989), ‘The background of children who enter local authority care’, British Journal of Social Work, 19: 349–68.CrossRefGoogle Scholar
Bebbington, A. C. and Miles, J. (1990), ‘The supply of foster families for children In care’, British Journal of Social Work 20: 283307.Google Scholar
Bebbington, A. C. and Tong, M. S. (1986), ‘Trends and changes in old people's homes: provision over 20 years’, in Judge, K. and Sinclair, I. (eds.), Residential Care for Elderly People, HMSO, London, pp. 6782.Google Scholar
Central Statistical Office (1991). United Kingdom National Accounts, 1991 edn, HMSO, London.Google Scholar
Cm 1913 (1992) Department of Health Departmental Report 1992 HMSO, London.Google Scholar
Challis, D. and Ferlie, E. (1986), ‘Changing patterns of fieldwork organisation I: the headquarters view’, British Journal of Social Work, 16: 181202.Google Scholar
Challis, D. and Ferlie, E. (1987), ‘Changing patterns of fieldwork organisation II: the team leaders' view’, British Journal of Social Work, 17: 147–68.Google Scholar
Darton, R. and Knapp, M. R. J. (1984), ‘The cost of residential care for the elderly: the effects of dependency, design and social environmentAgeing and Society, 4; 157–83.CrossRefGoogle Scholar
Darton, R. and Wright, K. (1992), ‘Residential and nursing homes for elderly people: one sector or two?’ in Laczko, F. and Victor, C. R. (eds.), Social Policy and Elderly People: The Role of Community Care, Avebury Press, Aldershot.Google Scholar
Darton, R. and Wright, K. (1993), ‘Changes In the provision of long-stay care, 1970–1990’, Health & Social Care, 1: 1125.CrossRefGoogle Scholar
Davies, B. P., Bebbington, A. C., Charnley, H. et al. (1990), Resources Needs and Outcomes In Community Based Care, Avebury Press, Aldershot.Google Scholar
Evandrou, M., Falkingham, J., Glennester, H. (1990), ‘The personal social services: everyone's poor relation but nobody's baby’, in Hills, J. (ed.). The State of Welfare: The Welfare State in Britain since 1974, Clarendon Press. Oxford.Google Scholar
Felce, D., Taylor, D. and Wright, K. (1992). People with learning disabilities. NHS Management Executive: DHA Project on Epidemlologically Based Needs Assessment.Google Scholar
Gibson, J. G., Watt, P. A. and Smith, P. (1987), Measuring the fiscal pressure on English local authorities under the block grant system. Environment and Planning C: Government and Policy 5, 157170.CrossRefGoogle Scholar
Gray, A., Jenkins, B., Flynn, A. and Rutherford, B. (1991), ‘The management of change in Whitehall: the experience of the FMI’, Public Administration, 69: 4151.CrossRefGoogle Scholar
Grundy, E. (1991), ‘Demographic trends and their implications’, in Ebrahim, S. and George, J. (eds.), Health Care of Older Women, Oxford University Press, Oxford.Google Scholar
HM Treasury (1991), The Government's Expenditure Plans 1991–2 to 1993–4: Department of Health and Office of Population Censuses and Surveys Departmental Report, Cm 1513, HMSO, London.Google Scholar
Hoggart, K. and Smith, T. A. (1991), ‘Change in local authority services for the elderly in England. 1979–88Environment and Planning A, 23, pp. 17411757.CrossRefGoogle Scholar
House of Commons Health Committee (1991), Third Report on Public Expenditure on Health and Personal Social Services, HMSO, London.Google Scholar
Kelly, A. (1989), ‘An end to incrementalism? The implementation of expenditure restraint in English social services departments’, 1979–86, Journal of Social Policy, 18.CrossRefGoogle Scholar
Kelly, A. (1991a), ‘Enterprise culture and the welfare state: restructuring the management of health and social services’, in Burrows, R. (ed.), Deciphering Enterprise Culture, Routledge, London.Google Scholar
Kelly, A. (1991b), ‘The new managerialism in the social services’, Social Work and Social Welfare Yearbook, 1992, pp. 179–93.Google Scholar
Kelly, A. and Bebbington, A. C. (1993), ‘Proceed with caution? The use of official sources of cost information in social service departments’, in Netten, A. and Beecham, J. (eds.), Costing Community Care: Theory and Practice, Ashgate Press, Aldershot.Google Scholar
Knapp, M. R. J. (1979), ‘On the determination of the manpower requirements of old people's homes’, Social Policy and Administration, 13; 219–36.CrossRefGoogle Scholar
Knapp, M. R. J. (1987), ‘Wrong numbers’. Social Services Insight, 17 07, pp. 20–3.Google Scholar
Knapp, M. R. J. and Baines, B. (1986), Explaining variations in cost per day and cost per care period for children received Into the care of a local authority. Discussion paper 412, PSSRU, University of Kent.Google Scholar
Niskanen, W. A. (1971), Bureaucracy and Representative Government, Aldine-Atherton. Chicago.Google Scholar
Sheill, A., Pettipher, C., Raynes, N., Wright, K. (1993), ‘A cost function analysis of residential services for adults with a learning difficulty’, Health Economics, 2: 247–56.CrossRefGoogle Scholar
Social Services Inspectorate (1988), From Home Help to Home Care, Department of Health, London.Google Scholar
Social Services Inspectorate (1989), Towards a Climate of Confidence: Report of a national inspection of management arrangements for public sector residential care for elderly people, Department of Health, London.Google Scholar
Wagner, G. (1988), Residential Care: A Positive Choice, HMSO, London.Google Scholar
Webb, and Wistow, (1983), ‘Public expenditure and policy implementation: the case of community care’, Public Administration, 61: 2144.CrossRefGoogle Scholar