Exploring the implications for the voluntary sector in rural communities of a changing commissioning environment in mental health

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http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/20695 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/20695 http://eprints.org/relation/isIndexCodesVersionOf http://etheses.bham.ac.uk/id/document/20695 archive 4031 disk0/00/00/34/57 2012-06-22 13:05:36 2019-01-18 12:17:22 2012-06-22 13:05:36 thesis show 0 Elder Keith Sinclair Freeman Tim University of Birmingham Exploring the implications for the voluntary sector in rural communities of a changing commissioning environment in mental health unpub BF HN HV JN101 10col_socs Many small voluntary organisations provide publically funded community mental health services, in rural communities. Changing national policy has led to changes: in the rural definition with 50% of local authorities now rural; in commissioning, including competitive tendering; moves to better integrate service users and to personalise services. This thesis explored the impact of these changes on small local Mind associations in England using quantitative methods and then across two neighbouring midland counties using a qualitative method. A widening gap was confirmed between declining numbers of small local Mind associations and larger associations that had grown in size and number. However the £250,000 threshold used to define small voluntary organisations was found not to be a meaningful measure of an organisations ability to survive. Many small associations were found to lack the capacity to adapt and there was no evidence of increased partnership working in these circumstances despite some key criteria being met. Personalisation underpinned by recovery and well being with competitive tendering is having a significant impact on voluntary organisations that provide public services. More personalised services might provide better access for people in rural communities; however public expenditure reductions would likely adversely impact on the capacity of commissioners. 2012-07 2011-08 graduation eng author unchecked This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder. public 222 University of Birmingham School of Health and Population Sciences m_sc na 2012-07 graduation