Purpose
The purpose of this paper is to present findings from one element of a study exploring the relationship between personalisation, in the form of personal budgets (PBs) for publicly funded social care and safeguarding.
Design/methodology/approach
Semi-structured interviews were conducted with 12 people receiving PBs who had recently been the focus of a safeguarding investigation. Participants were recruited from two English local authority areas and data were subject to thematic analysis.
Findings
The analysis identified three main themes: levels of information and awareness; safeguarding concerns and processes; and choice and control. Many of the participants in this small study described having experienced multiple forms of abuse or neglect concurrently or repeatedly over time.
Research limitations/implications
This was a small scale, qualitative study, taking place in two local authorities. The small number of participants may have had strong opinions which may or may not have been typical. However, the study provides some rich data on people’s experiences.
Practical implications
The findings suggest that adults receiving PBs may need information on an ongoing and repeated basis together with advice on how to identify and address poor quality care that they are arranging for themselves. Practitioners need to be aware of the influence of the level of information received and the interaction of organisational or legal requirements when responding to safeguarding concerns when care being supplied tries to reflect the benefits of choice and control.
Originality/value
This paper reports original research asking adults with care and support needs about the interaction between two key policies of safeguarding and personalisation.
Aspinal, F., Stevens, M., Manthorpe, J., Woolham, J., Samsi, K., Baxter, K., Hussein, S. and Ismail, M. (2019) Safeguarding and personal budgets: the experiences of adults at risk. Journal of Adult Protection.
Image credit: Clarissa Watson – unsplash.com
Founder and Director
Shereen Hussein is a Health and Social Care Policy professor at the London School of Hygiene and Tropical Medicine (LSHTM), United Kingdom.
Shereen Founded the MENARAH Network in 2019, through an initial grant from the Global Challenge Research Fund, UKRI. She is a medical demographer with expertise in ageing, family dynamics, migration and long-term care systems. Shereen regularly collaborates with the United Nations, the World Health Organisation and the World Bank in policy and research focused on ageing in the Middle East and North Africa Region.
Shereen received her undergraduate degree in statistics and a postgraduate degree in computer science at Cairo University. She completed an MSc in medical demography at the London School of Hygiene and a PhD in quantitative demography and population studies at the London School of Economics and Political Science, United Kingdom.
Director, Analytical Research Ltd, and Affiliate Research Fellow, Oxford Institute of Population Ageing, University of Oxford, United Kingdom
Mohamed Ismail is a quantitative researcher whose work develops mathematical and computational frameworks to better understand ageing dynamics and long-term care systems, with a particular focus on how time spent in care shapes future demand, costs, and system behaviour.
With a background spanning engineering, computer science, and mathematical finance, he brings a structured, model-based perspective to complex social challenges. His recent research focuses on duration-dependent processes, how individual-level dynamics translate into population-level outcomes, and the development of tractable models of ageing and long-term care.
His recent work includes the development of a new index-based framework for estimating long-term care needs in data-scarce settings, with evidence from the Middle East and North Africa, published in Population Health Metrics in 2026. His research also examines long-term care policies and financing in the region, including how care systems can be integrated into broader economic and social development strategies.
Mohamed began his career as a quantitative analyst with global financial institutions, including Merrill Lynch, HSBC, Mizuho Financial Group, and Credit Suisse, before transitioning to quantitative social research. In 2009, he founded Analytical Research Ltd, applying statistical and mathematical modelling to policy-relevant questions in ageing and care.
He has collaborated with academic and policy institutions across the UK, Europe, Australia, and the Middle East on research spanning population ageing, migration, and long-term care systems. His work appears in peer-reviewed journals and international policy reports, including contributions to reports by the U.S. Census Bureau, United Nations, World Bank, and World Health Organization.
Mohamed has been a core member of the MENARAH Network since 2019, contributing quantitative and interdisciplinary perspectives to research on ageing and long-term care in the Middle East and North Africa.
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