What is meant by needs-led and service led planning and their relevance for reviewing care plans?

Service led means assessing the service user in respect of the services that are available and would best meet their needs. Needs led means identifying an individual's needs and planning the best way that they can be met irrespective of what is currently available. Care plans should be reviewed on the basis of "does this service meet the needs of the service user or should more appropriate means be considered?" For a more fuller answer, go to: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume/No1June96/CareManagementintheUK.aspx#Braye