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BASED ON TWO POSTAL surveys in 1995 and 1997 of care management practitioners in Wales, this paper examines practitioners' perceptions of change in work roles and tasks over time. Assessment tasks are taking up increasing amounts of care management practitioner time leading to a corresponding decrease in the time set aside for arranging services and for direct work with clients. The results are claims of de‐skilling and the likelihood of a more administrative style of working.

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