ABSTRACT

This chapter considers the case management responses to client circumstances, particularly those affecting the costs of outputs valued in their own right. It aims to illuminate the results of the analyses of the influence of 'clinically' relevant factors on the costs of outputs by deriving low-level generalisations about practice, processes, input mixes and aspects of the efficiency with which outputs were achieved. The chapter provides evidence about the degree to which this implementation actually applied to the social care model. It also provides evidence for judgements about the degree to which the opportunities were seized and suggests how the model, project experimental inputs, practice and process could be improved. The chapter analyses readers familiar with field operations in British social care a basis for comparing project practice with their experience of practice elsewhere. The management of incontinence at home was an area in which the social workers faced real difficulties due to the unavailability of certain key resources.