Strategic planning and progress under the All Wales Strategy: reflecting the perceptions of stakeholders.
Nominated representatives from the various stakeholder interests, i.e. social services, health, education, voluntary organizations, parent groups and self-advocacy groups, involved in the implementation of the All Wales Strategy for the development of services for people with intellectual disability were interviewed 2 years after the end of the initial 10-year phase. Interviewees were asked to reflect on the strengths and weaknesses of policy implementation, including: changing priorities, planning arrangements, agency roles, central guidance and financial mechanisms, consumer participation, and the impact of more recent policy or structural developments. Despite recognition of the leadership of the Welsh Office, the shift in thinking achieved, the developments made in joint agency collaboration and in consumer participation in planning, and an increasing competence to plan effectively over time, the overriding perception was that more could have been made of the opportunity afforded by the clearest and best resourced central government policy within the UK in this area. At the heart of this judgement lay concerns about pragmatic rather than strategic planning, a failure to link annual service developments to a final comprehensive end point and a related failure to integrate planning to meet community needs with hospital resettlement Factors which may have contributed to these weaknesses are discussed, as are lessons for subsequent community care policy.
Todd
S
S
Welsh Centre for Learning Disabilities Applied Research Unit, University of Wales College of Medicine, Cardiff, UK. toddsp@cardiff.ac.uk
Felce
D
D
Beyer
S
S
Shearn
J
J
Perry
J
J
Kilsby
M
M
D018672:Community Health Planning / Q000458:organization & administration* / Q000639:trends; D003156:Community Mental Health Services / Q000458:organization & administration* / Q000639:trends; D004495:Education of Persons with Intellectual Disabilities / Q000458:organization & administration* / Q000639:trends; D006699:Home Care Services / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D017063:Outcome Assessment, Health Care; D011639:Public Opinion; D012041:Regional Medical Programs / Q000458:organization & administration; D011795:Surveys and Questionnaires; D014852:Wales