There has been movement away from a few large services to smaller and more local services, and needs led care planning, as well as improved market diversification and management. Government initiatives have directed resources to the development of services promoting independence, prevention and support for carers through specific grants. Adult Services - People with Physical Disabilities Services to people with physical disabilities are delivered in domiciliary and residential settings according to eligibility criteria disabilities and community care legislation. Specially adapted properties and equipment within the home are provided by occupational therapists. Day Care provides social support and skills training and access to employment.
Direct payments offers independence for service users in managing their own care provision.
The Authority also has a duty to provide approved social workers pursuant to the 1983 Mental Health Act. The Authority is required to provide access directly or indirectly to a range of residential, day care and domiciliary provision to meet the social care needs of people suffering or recovering from mental illness. Home Care Services People needing information should please contact their local Adult Services team in the first instance. It purchases individual services for people with learning difficulties for Lewisham Social Care and Health and Lambeth, Southwark and Lewisham Health Commission and has achieved the intergration of services. Lewisham Partnership has taken a managed market approach, and takes the lead in service developments and strategy.