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devon.gov.uk

Sunday 12 October 2008
Physical Disability

Physical Disability

Best Value Review for People with Physical Disabilities and/or Acquired Brain Injury

The Review reported in June 2004.

Here is the full report with appendices image - PDF icon (2.95MB - pdf help). A shorter copy without appendices image - PDF icon (611KB - pdf help) is also available.

A summary of findings:

  • A marked inequity and inconsistency of Health and Social Care service provision across Devon localities; some valued services are only available in some localities, not to all people in Devon.

  • Similarly, there is an apparent inequity of resources investment across Devon localities.

  • Specialist services with 'dedicated' staffing are the exception rather than the norm and most services are delivered as part of other services provision (e.g. services developed for older people).

  • There is a lack of joint-agency integrated working in this field in marked comparison with other service user groups.

  • There appears to be no strategy, strategic framework or service standards for this service user group.

  • There is a lack of information re: disability issues for members of the public and staff alike and confusion as to where to access support.

  • There is a general lack of disability awareness amongst Health and Social Care staff.

  • The quality of management information and epidemiological information is poor and offers an unsound basis from which organisations can individually or collectively plan and develop services.

  • Whilst the final consultation demonstrated positive support for the recommendations, there is considerable cynicism re; the organisations' ability to implement these recommendations, particularly given the history of past review processes.

  • There has been a high level of participation from a number of service users and staff, in particular, with an interest and commitment to the development of services.

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