This paper examines the impact of direct payments on social isolation. We define what social isolation means, and then evaluate the role of direct payments in the provision of social services in the United Kingdom. Social isolation is a particular problem for older people. In Australia there are an increasing number of older residents who are isolated, but would benefit from having greater choice in terms of how they access and receive social services. Increased access to direct payments could help to reduce waiting lists for traditional social services and address gaps in service provision.

What is known about the topic? International research indicates that in some cases direct payments or self-directed service provision helps to reduce social isolation.

What does this paper add? The authors argue that based on the available evidence, a system incorporating direct payments would have health benefits for older adults living in the community.

What are the implications for practitioners? The paper concludes by suggesting that directs payments have the capacity to reduce social isolation in Australia.