The false narrative about personal budgets in England: smoke and mirrors?

Abstract

Successive governments have supported ‘personal budgets’ as the route to transforming social care. However, this article outlines how the evidence has been constructed in a way that creates a narrative about personal budgets which is misleading. It is a narrative that continues to dominate the national strategy. The consequence is that the care system remains set in a dysfunctional, two-tier state. For the bottom tier, comprising over 90%, we argue there has not been, nor will there be under the current strategy, any transformation.