Balance of care--a user's view of a new approach to joint strategic planning

Planning for care of the Elderly has to face the problems of an increasing elderly population; a wide range of alternative ways of caring for them (at widely differing costs); the fact that services are provided by several different organisations all facing difficult financial constraints; a range of professional opinion about the desirability or otherwise of alternative patterns of care and use of resources; a lack of data on how care is at present distributed; the lack of a structure for organising such data as are available; and the lack of an appropriate computer-based model for manipulating the large number of data elements necessary to describe and help to evaluate alternative plans for the future. The Balance of Care approach to the Joint Strategic Planning of Health and Social Services provision for the Elderly, is being used in pilot applications in two Areas in the UK. Its contribution to the solution of the problems outlined above is described by authors from the two Areas. The approach and the underlying model can be extended to strategic planning for other client groups requiring non-acute care.