Older people with high support needs want greater choice and control over their lives and a wider range of options.
This study identifies the benefits and potential of options based on mutuality (people supporting each other) and / or reciprocity (people contributing to individual and group well-being).
The study found that:
- Spending time identifying and understanding existing local models and arrangements will help commissioners widen their range of options;
- Adapting ways of working from other countries, e.g. Denmark, could stimulate further development in the UK;
- Planning, contracting and procurement rules need to be revised to stimulate the development of different models and ensure smaller-scale, relationship-based services are not damaged; and
- Communicating the range and benefits of different models to older people, their families, the wider public and frontline staff will raise awareness, increase take up, and drive local developments.