Taking a long-term view
There should be the adoption of an outcomes approach and resource decisions should be assessed for implications of outcomes for service recipients.
The Review recommends in particular the use of generic social care measures, particularly the OPUS project and the work to value preferences as an integral part of resource allocation and policy development.
There should be greater alignment of resources around a value-for-money principle (including how it should be defined in social care) balanced with other principles such as fairness and sustainability, along with appropriateness of cost-outcome thresholds and the valuation of those thresholds in social care.
Standard ways to measure the outcome of preventative services need to be developed to allow comparative studies and a more robust evidence base to be collected.