... a needs assessment for medical respite, or commissioning a new medical respite service, to understand the key issues involved. Social implications This paper challenges the existing status quo regarding the need for a “cost-saving” rationale to set up these services. Originality/value This paper...

... and delivery. Key words service user involvement; commissioning; third sector; needs assessment; power and control; representation; decision-making Background Age Concern London (ACL) undertook research for the Joseph Rowntree Foundation (JRF) in 2008. This research posed the question: What constitutes...

... manner. This can be achieved by modifying existing care pathways, by provision of specialist services or both. Any local solution will depend on the number of people who are homeless and their needs. The undertaking of joint strategic needs assessments offers an opportunity to influence commissioners...