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Title: More of the same or a break with the past? : a mixed methods study of the extent, nature and process of innovation in adult social care
Author: Brookes, Nadia
ISNI:       0000 0005 0287 4024
Awarding Body: University of Kent
Current Institution: University of Kent
Date of Award: 2020
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The pressures on the adult social care sector are significant and increasing. Innovation is promoted as one way for adult social care to deal with an unstable environment of limited resources, high demand for services, widespread management reforms and rapid technological advances. Little is known about innovation in this area and the aim of this thesis is to explore the extent, nature and process of innovation in the adult social care sector. One hundred and twenty six adult social care innovations were identified through applying a Literature Based Innovation Output Indicator to the Social Care Online database for the period 2006 to 2015. These were analysed to establish their nature and characteristics. From this sample, six innovation case studies were selected and interviews conducted with key individuals to explore the influencing factors on the process. This was supplemented by the analysis of documentary evidence about each of the cases. The organisation and management literature was the tool used to examine the main influencing factors on each stage of the innovation process. The research identified that the majority of innovation in adult social care is evolutionary, where new services are delivered to existing client groups and that type of innovation can be associated with location in a particular sector and the size of an organisation. The significant influencing factors on the innovation process in adult social care are both external and internal and can occur at more than one stage. For example, management support, funding and structural determinants influence whether innovation takes place and the form it takes. Innovation characteristics (particularly relative advantage and compatibility) influence whether an innovation is adopted. Finally, resources, the attributes of the people involved and institutionalisation for example, influence whether the innovation moves from adoption to implementation. The findings contribute to an area that is under-researched and the thesis concludes by considering what lessons can be learnt about how innovation can be encouraged and supported in adult social care.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available