(130) Because the CDPAP system gives consumers significant control over their care, it has the potential to be a substantial departure from both the medical model and systems of informal support, under which individuals or entities other than the consumer control the "timing and manner in which services are provided." (131) Indeed, the CDPAP system is in many ways in direct opposition to a paternalistic "medical" or "professional" model, instead emphasizing "individual autonomy and support of individual preference." (132)
(134) Along this "continuum of consumer control," a "pure" CDPAP model would give to the consumer a cash benefit to use as she chooses.
While CDPAP is undoubtedly a more empowering option for care consumers, this may negatively affect workers" ability to unionize and bargain collectively.
is a partnership between Age Concern, Durham County Council Welfare Rights, Carers Support, Derwentside Citizen's Advice Bureau, Derwentside District Council and the Pension Service.
The case involves three types of home care workers: consumer directed personal assistance program aides (CDPAPs
), personal care aides (PCAs), and home health aides (HHAs).