Exploring the role of independent organisations in care coordination for older people in England

Abstract

Summary Social care policies advocate the provision of coordinated care and the involvement of the independent sector in service planning and delivery. This study explores the characteristics of the independent organisations involved in care coordination for older people, the tasks undertaken, and management of the interface between the commissioning authorities and these organisations. The findings are based on semistructured telephone interviews conducted in 2009 with representatives from 25 local authorities in England regarding 40 organisations. Findings All organisations identified are voluntary in nature. They were diverse in terms of size, staffing, and history, typically undertaking care coordination for discrete user groups but few exclusively for older people. A range of care coordination activities were reported: assessment, brokerage, support planning, and monitoring and review. The extent of their involvement in these activities varied markedly. Commissioning and contracting arrangements differed; most organisations had short-term contracts. The main mechanism of contract monitoring was activity data returns; there was a lack of more detailed service evaluation. Both opportunities and challenges exist with regard to the future role of voluntary organisations in care coordination. Applications This study highlights the potential for voluntary organisations to undertake care coordination activities. To achieve this, partnership working between service commissioners and these organisations is required, and funding and support are essential for provider organisations to develop appropriate infrastructures. Information governance arrangements are required to facilitate information sharing. The potential expansion of the role of voluntary organisations and the implications for practitioners with respect to their employment prospects are explored.