keep PERSONS EXCLUDED FROM DIRECT PAYMENTS
These Regulations govern direct payments under section 57 of the Health and Social Care Act 2001 and section 17A of the Children Act 1989, allowing prescribed persons to receive cash payments to arrange their own community care services, carers' services, or children's services instead of receiving state-provided services. The Regulations specify eligibility criteria, payment mechanisms (gross or net), conditions restricting procurement from related persons, review requirements, termination conditions, and recovery provisions.
While complex, these Regulations represent a market-oriented mechanism that gives individuals control over their own care arrangements rather than having the state dictate provision. Direct payments introduce consumer sovereignty into social care, allowing recipients to choose providers that best suit their needs. Deleting this regulation would force vulnerable people to accept whatever services the state decides to provide, removing their autonomy and introducing monopoly provision. The quasi-market created by direct payments, despite its imperfections, is preferable to command-and-control state provision — it mirrors the voucher principle Friedman advocated and respects individual choice in arranging care. The restrictions present (means-testing, provider restrictions, review requirements) apply to a scheme that still leaves Britons better off than alternatives.