“…There nevertheless remains considerable variation in take-up between different groups of service users (Leason and Sale, 2004;Vick, 2004, 2005) and within and between different parts of the UK (Priestley et al, 2006). The underlying causes of this slow and patchy growth include local differences in political culture, reluctance on the part of local councils to relinquish control, fears of job losses, concerns about cost, risk-adverse professional practice and uncertainties about the capacities of service users (Commission for Social Care Inspection, 2004;Ellis, 2007;Fernandez et al, 2007;Hasler 2003;Priestley et al, 2006).…”