An Outcome‐Based Approach to Domiciliary Care Available to Purchase

The article presents an approach to commissioning and providing domiciliary care on the basis of outcomes, in the context of current policy. It is suggested that this approach may provide a solution to the over‐rigid prescription of time and tasks which has militated against flexibility and responsiveness. It is also a means of ensuring the centrality of service users to the process. The concepts of outcome‐based working are explained, and key steps to implementing an outcome approach are discussed. Early feedback from authorities in the vanguard of this movement are reported.