Trine P. Larsen and Peter Taylor-Gooby
- Published in print:
- 2004
- Published Online:
- January 2005
- ISBN:
- 9780199267262
- eISBN:
- 9780191602023
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019926726X.003.0008
- Subject:
- Political Science, Political Economy
New social risks are at the forefront of the EU's social policy agenda. In part, this is because a new social risk approach fits with open market policies, which stress constraints on state ...
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New social risks are at the forefront of the EU's social policy agenda. In part, this is because a new social risk approach fits with open market policies, which stress constraints on state interventions and the importance of adapting social provision to meet economic goals; in part because old social risk areas are so heavily occupied by existing national government policies that it is difficult to find support for innovations. During the 1980s and 1990s, a number of attempts to develop international policy harmonization were pursued. These failed due to the difficulty of achieving cross‐national consensus. There are a number of relevant directives, chiefly in the areas of equality of opportunity for men and women and other labour market issues. The most important current developments, however, are in the area of ‘soft law’ through the Open Method of Co‐ordination and the National Action Plans in relation to employment, social exclusion, pensions, health and social care. The European Employment Strategy, with its stress on ‘flexicurity’, is the most advanced of these. It is at present unclear to what extent this process will achieve substantial changes in comparison with the importance of the economic pressures from the Single European Market.Less
New social risks are at the forefront of the EU's social policy agenda. In part, this is because a new social risk approach fits with open market policies, which stress constraints on state interventions and the importance of adapting social provision to meet economic goals; in part because old social risk areas are so heavily occupied by existing national government policies that it is difficult to find support for innovations. During the 1980s and 1990s, a number of attempts to develop international policy harmonization were pursued. These failed due to the difficulty of achieving cross‐national consensus. There are a number of relevant directives, chiefly in the areas of equality of opportunity for men and women and other labour market issues. The most important current developments, however, are in the area of ‘soft law’ through the Open Method of Co‐ordination and the National Action Plans in relation to employment, social exclusion, pensions, health and social care. The European Employment Strategy, with its stress on ‘flexicurity’, is the most advanced of these. It is at present unclear to what extent this process will achieve substantial changes in comparison with the importance of the economic pressures from the Single European Market.
Sarah Harper
- Published in print:
- 2004
- Published Online:
- July 2005
- ISBN:
- 9780199251162
- eISBN:
- 9780191602740
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199251169.003.0009
- Subject:
- Political Science, Comparative Politics
This chapter examines the growth of independent sector provision of eldercare in the UK. It discusses the Labour and Conservative government policies that shaped the provider side of care markets. It ...
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This chapter examines the growth of independent sector provision of eldercare in the UK. It discusses the Labour and Conservative government policies that shaped the provider side of care markets. It highlights some implications of the growth of independent sector provision for the family.Less
This chapter examines the growth of independent sector provision of eldercare in the UK. It discusses the Labour and Conservative government policies that shaped the provider side of care markets. It highlights some implications of the growth of independent sector provision for the family.
Peter Taylor‐Gooby
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780199546701
- eISBN:
- 9780191720420
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199546701.003.0006
- Subject:
- Political Science, Comparative Politics, Political Economy
This chapter examines the arguments about whether social citizenship can be based on an individual rational actor logic or requires a framework of normative principles, embedded in the institutions ...
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This chapter examines the arguments about whether social citizenship can be based on an individual rational actor logic or requires a framework of normative principles, embedded in the institutions of social provision and in policy-making. The arguments of Titmuss, Le Grand, and others about blood donorship, social care, and other areas where altruistic and humane rather than self-regarding values appear to be central are considered. Individual rational actor approaches can explain how reciprocity and a limited social inclusion may be sustained, as Chapter 4 showed. Analysis of social psychological, sociological, and economic evidence shows that a full understanding of trust rests on both the alignment of interest that a rational actor logic can explain and also the recognition of values of commitment and care in the trusted person. These are contradicted when action is driven by externally imposed incentives. The trust deficit is a central issue in rational actor reform of social provision.Less
This chapter examines the arguments about whether social citizenship can be based on an individual rational actor logic or requires a framework of normative principles, embedded in the institutions of social provision and in policy-making. The arguments of Titmuss, Le Grand, and others about blood donorship, social care, and other areas where altruistic and humane rather than self-regarding values appear to be central are considered. Individual rational actor approaches can explain how reciprocity and a limited social inclusion may be sustained, as Chapter 4 showed. Analysis of social psychological, sociological, and economic evidence shows that a full understanding of trust rests on both the alignment of interest that a rational actor logic can explain and also the recognition of values of commitment and care in the trusted person. These are contradicted when action is driven by externally imposed incentives. The trust deficit is a central issue in rational actor reform of social provision.
Peter Taylor‐Gooby
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780199546701
- eISBN:
- 9780191720420
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199546701.003.0003
- Subject:
- Political Science, Comparative Politics, Political Economy
This chapter analyses responses to the pressures on social and public provision among European countries and at the level of the EU. It argues that attempts to develop common EU-wide social provision ...
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This chapter analyses responses to the pressures on social and public provision among European countries and at the level of the EU. It argues that attempts to develop common EU-wide social provision have been largely unsuccessful, while EU monetary and open market policies have transformed the economic context. Social policy reforms have developed mainly at the national level, in the shadow of European economic policies. While major differences remain between groupings of countries, two common directions can be identified. Social security benefit, employment, and labour market reforms strengthen work incentives and increasingly put the responsibility on individuals to pursue opportunities actively. New Managerialist policies in health, social care, and other services impose strict targets on providers and introduce competitive quasi-markets. Taken together these new policy directions imply a shift in the assumptions about social citizenship. Those involved as providers and users are expected to act as deliberative and pro-active rational actors, with individual opportunities and incentives playing a major role. Governments become increasingly concerned with equality of opportunity rather than outcome.Less
This chapter analyses responses to the pressures on social and public provision among European countries and at the level of the EU. It argues that attempts to develop common EU-wide social provision have been largely unsuccessful, while EU monetary and open market policies have transformed the economic context. Social policy reforms have developed mainly at the national level, in the shadow of European economic policies. While major differences remain between groupings of countries, two common directions can be identified. Social security benefit, employment, and labour market reforms strengthen work incentives and increasingly put the responsibility on individuals to pursue opportunities actively. New Managerialist policies in health, social care, and other services impose strict targets on providers and introduce competitive quasi-markets. Taken together these new policy directions imply a shift in the assumptions about social citizenship. Those involved as providers and users are expected to act as deliberative and pro-active rational actors, with individual opportunities and incentives playing a major role. Governments become increasingly concerned with equality of opportunity rather than outcome.
Sheila Payne and Caroline Ellis-Hill (eds)
- Published in print:
- 2001
- Published Online:
- November 2011
- ISBN:
- 9780192631671
- eISBN:
- 9780191730191
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192631671.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Most chronically and terminally ill patients are cared for in their own homes by family and friends, rather than in hospitals or hospices. These carers are an invaluable free resource and there is an ...
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Most chronically and terminally ill patients are cared for in their own homes by family and friends, rather than in hospitals or hospices. These carers are an invaluable free resource and there is an increasing amount of research into their role and the experiences of caring for the terminally ill, patients with cancer, and patients with other chronic diseases. This book provides a critique of the theoretical concept of caring, carers, and caregivers. The material is based on empirical evidence from recent studies of adults with acquired chronic illnesses, including terminal illness. The empirical data within the book has been gathered from the perspective of those providing personal, domestic, or emotional care to others already known to them by virtue of kinship, co-habitation, or friendship, rather than carers organised on a professional or voluntary basis. This new evidence is used to make suggestions about possible ways forward within health and social care practice.Less
Most chronically and terminally ill patients are cared for in their own homes by family and friends, rather than in hospitals or hospices. These carers are an invaluable free resource and there is an increasing amount of research into their role and the experiences of caring for the terminally ill, patients with cancer, and patients with other chronic diseases. This book provides a critique of the theoretical concept of caring, carers, and caregivers. The material is based on empirical evidence from recent studies of adults with acquired chronic illnesses, including terminal illness. The empirical data within the book has been gathered from the perspective of those providing personal, domestic, or emotional care to others already known to them by virtue of kinship, co-habitation, or friendship, rather than carers organised on a professional or voluntary basis. This new evidence is used to make suggestions about possible ways forward within health and social care practice.
Tony Prosser
- Published in print:
- 2010
- Published Online:
- September 2010
- ISBN:
- 9780199579839
- eISBN:
- 9780191594472
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199579839.003.0006
- Subject:
- Law, Public International Law
This chapter applies the arguments developed in Chapter 1 to the regulators in the area of healthcare and social care; the Health Care Commission, the Commission for Social Care Inspection, and the ...
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This chapter applies the arguments developed in Chapter 1 to the regulators in the area of healthcare and social care; the Health Care Commission, the Commission for Social Care Inspection, and the Care Quality Commission which replaced them from 2009. The origins and background of each body are described together with the complex process of reform resulting in the creation of the new Commission. The functions and duties of each body are described, together with their relations with government. There is analysis of their role in consumer protection, and their role in protecting human rights is emphasized, as is their role in promoting social solidarity and social inclusion. Their procedures for deliberation are also described, in particular in relation to user involvement.Less
This chapter applies the arguments developed in Chapter 1 to the regulators in the area of healthcare and social care; the Health Care Commission, the Commission for Social Care Inspection, and the Care Quality Commission which replaced them from 2009. The origins and background of each body are described together with the complex process of reform resulting in the creation of the new Commission. The functions and duties of each body are described, together with their relations with government. There is analysis of their role in consumer protection, and their role in protecting human rights is emphasized, as is their role in promoting social solidarity and social inclusion. Their procedures for deliberation are also described, in particular in relation to user involvement.
David Oliviere, Barbara Monroe, and Sheila Payne (eds)
- Published in print:
- 2011
- Published Online:
- January 2012
- ISBN:
- 9780199599295
- eISBN:
- 9780191731532
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199599295.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
Society has become increasingly diverse: multi-cultural, multi-faith, and wide ranging in family structures. The wealthier are healthier and social inequalities are more pronounced. Respecting and ...
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Society has become increasingly diverse: multi-cultural, multi-faith, and wide ranging in family structures. The wealthier are healthier and social inequalities are more pronounced. Respecting and working with the range of ‘differences’ among service users, families, and communities in health and social care with ill, dying, and bereaved people is a neglected area in the literature. As the principles of palliative and end-of-life care increasingly permeate the mainstream of health and social care services, it is important that professionals are sensitive and respond to the differing needs of individuals from diverse socio-economic backgrounds, ethnicities, beliefs, abilities, and sexual orientations, as well as to the different contexts and social environments in which people live and die. This book explores what underpins inequality, disadvantage, and injustice in access to good end-of-life care. Increasingly clinicians, policy planners, and academics are concerned about inequity in service provision. Internationally, there is an increasing focus and sense of urgency both on delivering good care in all settings regardless of diagnosis, and on better meeting the needs of vulnerable and disadvantaged groups. National initiatives emphasize the importance of resolving disparities in care and harnessing empowered user voices to drive change.Less
Society has become increasingly diverse: multi-cultural, multi-faith, and wide ranging in family structures. The wealthier are healthier and social inequalities are more pronounced. Respecting and working with the range of ‘differences’ among service users, families, and communities in health and social care with ill, dying, and bereaved people is a neglected area in the literature. As the principles of palliative and end-of-life care increasingly permeate the mainstream of health and social care services, it is important that professionals are sensitive and respond to the differing needs of individuals from diverse socio-economic backgrounds, ethnicities, beliefs, abilities, and sexual orientations, as well as to the different contexts and social environments in which people live and die. This book explores what underpins inequality, disadvantage, and injustice in access to good end-of-life care. Increasingly clinicians, policy planners, and academics are concerned about inequity in service provision. Internationally, there is an increasing focus and sense of urgency both on delivering good care in all settings regardless of diagnosis, and on better meeting the needs of vulnerable and disadvantaged groups. National initiatives emphasize the importance of resolving disparities in care and harnessing empowered user voices to drive change.
Jonathan Herring
- Published in print:
- 2009
- Published Online:
- May 2009
- ISBN:
- 9780199229024
- eISBN:
- 9780191705274
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199229024.003.0006
- Subject:
- Law, Family Law
This chapter considers the financial issues facing older people. It examines the issues surrounding the provision of pensions and benefits for older people. The recent changes in pensions law and the ...
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This chapter considers the financial issues facing older people. It examines the issues surrounding the provision of pensions and benefits for older people. The recent changes in pensions law and the broader issues raised in the pensions debate are considered. The current position regarding local authority charging for the care of older people is analysed. The chapter challenges the distinction between health care and social care which at the heart of the current system. It then considers poverty faced by older people and the cost of their care. Finally, the chapter discusses the arguments over whether such costs should fall on their family or on the state.Less
This chapter considers the financial issues facing older people. It examines the issues surrounding the provision of pensions and benefits for older people. The recent changes in pensions law and the broader issues raised in the pensions debate are considered. The current position regarding local authority charging for the care of older people is analysed. The chapter challenges the distinction between health care and social care which at the heart of the current system. It then considers poverty faced by older people and the cost of their care. Finally, the chapter discusses the arguments over whether such costs should fall on their family or on the state.
Jil Manthorpe
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199554133
- eISBN:
- 9780191730269
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199554133.003.0018
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
In England, the Department of Health White Paper, Our Health, Our Care, Our Say declared that personalized services would be the way forward for social care. Indeed, policy in England speaks of the ...
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In England, the Department of Health White Paper, Our Health, Our Care, Our Say declared that personalized services would be the way forward for social care. Indeed, policy in England speaks of the need to transform adult social care. Everyone who receives health and social care support, whether from statutory services or through funding support for themselves, will in theory have choice and control over how that support is delivered. The goal is that they will be confident that services are of high quality, are safe, and promote individuals' independence, wellbeing, and dignity. Central to these aspirations are people with dementia. The National Dementia Strategy reflects this same approach, being produced as part of the Putting People First policy, which is the cross-departmental commitment to this move to personalizing social care. If supportive care is to be at the heart of mainstream social care for people with dementia in England, then its proponents will need to understand this ethos of personalization and to decide whether its value base fits with an orientation to supportive care. Dementia care practitioners have an important role in shaping personalization and responding to its ambiguities. This chapter explores these relationships, and, in doing so, takes a critical look at ideas of ‘supportive care’. Social work and social care have long experience of terminology being used rather indiscriminately and as cloaks to cover substantial changes. Previous policy documents and discussions have used the term ‘community’ to mean a number of things for example. Likewise, ‘care’ too is a term that conveys political and gendered undercurrents and values. Thus the current fashion for the replacement of ‘care’ by ‘support’ may signal shifts in values, responsibilities, and roles of great depth or superficiality.Less
In England, the Department of Health White Paper, Our Health, Our Care, Our Say declared that personalized services would be the way forward for social care. Indeed, policy in England speaks of the need to transform adult social care. Everyone who receives health and social care support, whether from statutory services or through funding support for themselves, will in theory have choice and control over how that support is delivered. The goal is that they will be confident that services are of high quality, are safe, and promote individuals' independence, wellbeing, and dignity. Central to these aspirations are people with dementia. The National Dementia Strategy reflects this same approach, being produced as part of the Putting People First policy, which is the cross-departmental commitment to this move to personalizing social care. If supportive care is to be at the heart of mainstream social care for people with dementia in England, then its proponents will need to understand this ethos of personalization and to decide whether its value base fits with an orientation to supportive care. Dementia care practitioners have an important role in shaping personalization and responding to its ambiguities. This chapter explores these relationships, and, in doing so, takes a critical look at ideas of ‘supportive care’. Social work and social care have long experience of terminology being used rather indiscriminately and as cloaks to cover substantial changes. Previous policy documents and discussions have used the term ‘community’ to mean a number of things for example. Likewise, ‘care’ too is a term that conveys political and gendered undercurrents and values. Thus the current fashion for the replacement of ‘care’ by ‘support’ may signal shifts in values, responsibilities, and roles of great depth or superficiality.
David Field and Katherine Froggatt
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0011
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This chapter aims to identify and discuss the main issues concerned with providing palliative care to older people living in nursing and residential care homes in Great Britain. It reviews the social ...
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This chapter aims to identify and discuss the main issues concerned with providing palliative care to older people living in nursing and residential care homes in Great Britain. It reviews the social and policy context that has made the care of people dying in care homes an important issue and compares the situation in nursing and residential care homes. The findings reveal that the nature of care practices within care homes is largely determined by the particular location of these institutions within the health and social care systems and care homes are positioned on the boundaries of a number of domains. This chapter suggests that palliative care within care homes must be generic in nature and that it can only be delivered effectively by ‘generalists’ who are supported in their care by specialists.Less
This chapter aims to identify and discuss the main issues concerned with providing palliative care to older people living in nursing and residential care homes in Great Britain. It reviews the social and policy context that has made the care of people dying in care homes an important issue and compares the situation in nursing and residential care homes. The findings reveal that the nature of care practices within care homes is largely determined by the particular location of these institutions within the health and social care systems and care homes are positioned on the boundaries of a number of domains. This chapter suggests that palliative care within care homes must be generic in nature and that it can only be delivered effectively by ‘generalists’ who are supported in their care by specialists.
Jo Moriarty
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199580590
- eISBN:
- 9780191595257
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199580590.003.0005
- Subject:
- Economics and Finance, Development, Growth, and Environmental, Public and Welfare
This chapter outlines the extent to which migrant workers have been recruited to meet longstanding recruitment problems in the social care workforce. It describes the importance of social care to the ...
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This chapter outlines the extent to which migrant workers have been recruited to meet longstanding recruitment problems in the social care workforce. It describes the importance of social care to the UK economy and explains how demographic changes and the increasingly blurred boundaries between health and social care have led to increased demand for social care services, with an attendant need for more workers. However, employers have struggled to attract enough staff. For the past ten years, this shortfall has to some extent been met by substantial increases in the proportion of migrant workers, most notably from countries outside the European Economic Area (EEA). The chapter ends by outlining reasons why this trend may not be sustainable in the long term.Less
This chapter outlines the extent to which migrant workers have been recruited to meet longstanding recruitment problems in the social care workforce. It describes the importance of social care to the UK economy and explains how demographic changes and the increasingly blurred boundaries between health and social care have led to increased demand for social care services, with an attendant need for more workers. However, employers have struggled to attract enough staff. For the past ten years, this shortfall has to some extent been met by substantial increases in the proportion of migrant workers, most notably from countries outside the European Economic Area (EEA). The chapter ends by outlining reasons why this trend may not be sustainable in the long term.
Jonathan Wistow, Tim Blackman, David Byrne, and Gerald Wistow
- Published in print:
- 2015
- Published Online:
- May 2016
- ISBN:
- 9781447305286
- eISBN:
- 9781447312031
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305286.003.0006
- Subject:
- Public Health and Epidemiology, Public Health
The chapter begins by summarising evidence about New Labour’s record on heath inequalities and considers the implications of this given the shift from relatively high levels of public expenditure on ...
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The chapter begins by summarising evidence about New Labour’s record on heath inequalities and considers the implications of this given the shift from relatively high levels of public expenditure on services to a programme of austerity that framed much of the Coalition government’s agenda and policies that followed. This programme of austerity was not shared equally across the country with areas with higher levels of health inequalities tending to be most affected by cuts in spending. While the Coalition considered health inequalities to be a concern for government it did so whilst trying to refute that economic inequalities have social effects. The chapter then includes a detailed discussion of the Coalition’s health policy by exploring the Health and Social Care Act 2012; the Marmot Review; the transfer of public health responsibilities to local government; and the localism agenda. The potential implications for health inequalities are considered and the chapter concludes by arguing that immediate prospects for addressing health inequalities effectively seem to be more limited than under the previous New Labour administration.Less
The chapter begins by summarising evidence about New Labour’s record on heath inequalities and considers the implications of this given the shift from relatively high levels of public expenditure on services to a programme of austerity that framed much of the Coalition government’s agenda and policies that followed. This programme of austerity was not shared equally across the country with areas with higher levels of health inequalities tending to be most affected by cuts in spending. While the Coalition considered health inequalities to be a concern for government it did so whilst trying to refute that economic inequalities have social effects. The chapter then includes a detailed discussion of the Coalition’s health policy by exploring the Health and Social Care Act 2012; the Marmot Review; the transfer of public health responsibilities to local government; and the localism agenda. The potential implications for health inequalities are considered and the chapter concludes by arguing that immediate prospects for addressing health inequalities effectively seem to be more limited than under the previous New Labour administration.
Ann Weick
- Published in print:
- 2005
- Published Online:
- April 2010
- ISBN:
- 9780195159226
- eISBN:
- 9780199893843
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195159226.003.0003
- Subject:
- Social Work, Health and Mental Health, Communities and Organizations
This chapter begins with a discussion of the meanings of care, the increasing development of non-family-based systems of care, the nature of social care, and communities of care. It argues that as ...
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This chapter begins with a discussion of the meanings of care, the increasing development of non-family-based systems of care, the nature of social care, and communities of care. It argues that as community-focused initiatives continue, it will be necessary to draw from social work's traditions and understandings a clearer evaluation of the profession's own assets and potential for growth. At what may be optimistically called the eve of a paradigm shift from systems of treatment to communities of care, it will be important to recognize the factors in current social work practice that limit creativity and stunt the capacity for thinking outside the box. Central to this is a searching assessment of beliefs about social work expertise. To the extent that the profession searches for and aligns itself with approaches that appear to make social workers experts on the lives and troubles of others, it will maintain its preoccupation with professional status and role-narrowing self-definitions.Less
This chapter begins with a discussion of the meanings of care, the increasing development of non-family-based systems of care, the nature of social care, and communities of care. It argues that as community-focused initiatives continue, it will be necessary to draw from social work's traditions and understandings a clearer evaluation of the profession's own assets and potential for growth. At what may be optimistically called the eve of a paradigm shift from systems of treatment to communities of care, it will be important to recognize the factors in current social work practice that limit creativity and stunt the capacity for thinking outside the box. Central to this is a searching assessment of beliefs about social work expertise. To the extent that the profession searches for and aligns itself with approaches that appear to make social workers experts on the lives and troubles of others, it will maintain its preoccupation with professional status and role-narrowing self-definitions.
Susan Balloch
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861348715
- eISBN:
- 9781447301608
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861348715.003.0003
- Subject:
- Social Work, Communities and Organizations
This chapter focuses on recent policy developments in the UK that have revived concepts of citizenship and community within the context of care. It identifies positive developments such as the move ...
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This chapter focuses on recent policy developments in the UK that have revived concepts of citizenship and community within the context of care. It identifies positive developments such as the move away from institutional care to home care; the development of more integrated working between health and social care; the increasing emphasis on independence, choice, rights, and citizenship; and the drive to relate local services to local needs. The chapter also identifies the welcome, renewed emphasis in the Green and White Papers on strengthening links between communities and social care. But the picture is very mixed, and the market in social care means that there are not only winners, but losers too. The high costs of care require rationing, with strict criteria to determine eligibility for statutory services and limits on the extent of statutory support. In spite of the move away from residential care towards more intensive home care, there are many in need who cannot benefit from either.Less
This chapter focuses on recent policy developments in the UK that have revived concepts of citizenship and community within the context of care. It identifies positive developments such as the move away from institutional care to home care; the development of more integrated working between health and social care; the increasing emphasis on independence, choice, rights, and citizenship; and the drive to relate local services to local needs. The chapter also identifies the welcome, renewed emphasis in the Green and White Papers on strengthening links between communities and social care. But the picture is very mixed, and the market in social care means that there are not only winners, but losers too. The high costs of care require rationing, with strict criteria to determine eligibility for statutory services and limits on the extent of statutory support. In spite of the move away from residential care towards more intensive home care, there are many in need who cannot benefit from either.
Sheila Payne
- Published in print:
- 2007
- Published Online:
- November 2011
- ISBN:
- 9780199206414
- eISBN:
- 9780191730320
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199206414.003.0006
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter examines the resilience of family carers and caregivers in the palliative care setting. It analyses the impact of caring on caregivers using available data from relevant literature and ...
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This chapter examines the resilience of family carers and caregivers in the palliative care setting. It analyses the impact of caring on caregivers using available data from relevant literature and from the personal accounts of caregivers. It highlights the discrepancies between how caregiving is construed by health and social care practitioners and the representation of the lived experience of caring reported by family members and others concerned.Less
This chapter examines the resilience of family carers and caregivers in the palliative care setting. It analyses the impact of caring on caregivers using available data from relevant literature and from the personal accounts of caregivers. It highlights the discrepancies between how caregiving is construed by health and social care practitioners and the representation of the lived experience of caring reported by family members and others concerned.
Rana Jawad
- Published in print:
- 2009
- Published Online:
- March 2012
- ISBN:
- 9781861349538
- eISBN:
- 9781447303510
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861349538.003.0005
- Subject:
- Sociology, Sociology of Religion
This chapter focuses on social welfare as a system of provision and a measure of outcomes in Lebanon. In this chapter, the focus is on the two types of social programmes: social care and the ...
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This chapter focuses on social welfare as a system of provision and a measure of outcomes in Lebanon. In this chapter, the focus is on the two types of social programmes: social care and the micro-credit/cash benefits. The concern of this chapter is to consider the mechanics and dynamics of service delivery and consumption. Questions on how religious welfare defines the object of its interventions and how it responds to the causes of social problems are discussed in this chapter. It also considers the mechanisms of service evaluation used by religious welfare organisations to evaluate the impact of their work.Less
This chapter focuses on social welfare as a system of provision and a measure of outcomes in Lebanon. In this chapter, the focus is on the two types of social programmes: social care and the micro-credit/cash benefits. The concern of this chapter is to consider the mechanics and dynamics of service delivery and consumption. Questions on how religious welfare defines the object of its interventions and how it responds to the causes of social problems are discussed in this chapter. It also considers the mechanisms of service evaluation used by religious welfare organisations to evaluate the impact of their work.
Susan Balloch and Michael Hill (eds)
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861348715
- eISBN:
- 9781447301608
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861348715.001.0001
- Subject:
- Social Work, Communities and Organizations
This collection focuses on the relationship between social care, community, and citizenship, linking them in a way relevant to both policy and practice. It explores key concepts, policies, issues, ...
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This collection focuses on the relationship between social care, community, and citizenship, linking them in a way relevant to both policy and practice. It explores key concepts, policies, issues, and relationships, and draws on contrasting illustrations from England and Scotland. The authors examine the ethics of care, exploring the theoretical and moral complexities for both those receiving and those delivering it. The book also incorporates practice-based chapters on anti-social behaviour, domestic violence, community capacity to care, black and minority ethnic care, volunteering, befriending, and home care, and provides international comparisons and perspectives, with chapters from Sweden, Germany, and Japan.Less
This collection focuses on the relationship between social care, community, and citizenship, linking them in a way relevant to both policy and practice. It explores key concepts, policies, issues, and relationships, and draws on contrasting illustrations from England and Scotland. The authors examine the ethics of care, exploring the theoretical and moral complexities for both those receiving and those delivering it. The book also incorporates practice-based chapters on anti-social behaviour, domestic violence, community capacity to care, black and minority ethnic care, volunteering, befriending, and home care, and provides international comparisons and perspectives, with chapters from Sweden, Germany, and Japan.
Nicky Stanley
- Published in print:
- 2003
- Published Online:
- March 2012
- ISBN:
- 9781861344274
- eISBN:
- 9781447301707
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861344274.001.0001
- Subject:
- Social Work, Children and Families
Health and social care professionals are constantly exhorted to work collaboratively. This book reports on research which examines inter-professional work with families in which mothers have a mental ...
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Health and social care professionals are constantly exhorted to work collaboratively. This book reports on research which examines inter-professional work with families in which mothers have a mental health problem and where there are also concerns about child protection. Breakdowns in inter-professional collaboration, issues of risk and relevant resources are all addressed. Mothers' views and experiences are contrasted with professional perspectives. The book reports on a survey of 500 practitioners working in health, social services and the voluntary sector, presents data from in-depth interviews with mothers with severe mental health problems, identifies weaknesses in inter-professional coordination in this area of work, and suggests a new model for work with families where mental health problems and child protection concerns co-exist.Less
Health and social care professionals are constantly exhorted to work collaboratively. This book reports on research which examines inter-professional work with families in which mothers have a mental health problem and where there are also concerns about child protection. Breakdowns in inter-professional collaboration, issues of risk and relevant resources are all addressed. Mothers' views and experiences are contrasted with professional perspectives. The book reports on a survey of 500 practitioners working in health, social services and the voluntary sector, presents data from in-depth interviews with mothers with severe mental health problems, identifies weaknesses in inter-professional coordination in this area of work, and suggests a new model for work with families where mental health problems and child protection concerns co-exist.
Peter A. Kemp and Caroline Glendinning
- Published in print:
- 2006
- Published Online:
- March 2012
- ISBN:
- 9781861348562
- eISBN:
- 9781447301615
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861348562.003.0001
- Subject:
- Social Work, Health and Mental Health
This introductory chapter first sets out the purpose of the book, which is to examine the twin issues of cash and care – and the relationships between them – in the contemporary welfare state. It ...
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This introductory chapter first sets out the purpose of the book, which is to examine the twin issues of cash and care – and the relationships between them – in the contemporary welfare state. It discusses the breakdown of the traditional distinction between cash and care, resulting from the social and economic changes that have taken place in recent decades. The chapter considers trends such as the British government's introduction of welfare-to-work initiatives and programmes, which are designed to reduce unemployment and economic inactivity; and the growing penetration of market relationships into hitherto predominantly public sector welfare. An overview of the six parts of the book is also presented.Less
This introductory chapter first sets out the purpose of the book, which is to examine the twin issues of cash and care – and the relationships between them – in the contemporary welfare state. It discusses the breakdown of the traditional distinction between cash and care, resulting from the social and economic changes that have taken place in recent decades. The chapter considers trends such as the British government's introduction of welfare-to-work initiatives and programmes, which are designed to reduce unemployment and economic inactivity; and the growing penetration of market relationships into hitherto predominantly public sector welfare. An overview of the six parts of the book is also presented.
Audrey Leathard and Susan McLaren (eds)
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861347558
- eISBN:
- 9781447302216
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861347558.001.0001
- Subject:
- Social Work, Health and Mental Health
While ethics has been addressed in the health care literature, relatively little attention has been paid to the subject in the field of social care. This book redresses the balance by examining ...
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While ethics has been addressed in the health care literature, relatively little attention has been paid to the subject in the field of social care. This book redresses the balance by examining theory, research, policy, and practice in both fields. The analysis is set within the context of contemporary challenges facing health and social care, not only in Britain but internationally. Contributors from the United Kingdom, United States, and Australia consider ethical issues in health and social care research and governance; inter-professional and user perspectives; ethics in relation to human rights, the law, finance, management, and provision; key issues of relevance to vulnerable groups such as children and young people; those with complex disabilities, older people, and those with mental health problems; and lifecourse issues – ethical perspectives on a range of challenging areas from new technologies of reproduction to euthanasia.Less
While ethics has been addressed in the health care literature, relatively little attention has been paid to the subject in the field of social care. This book redresses the balance by examining theory, research, policy, and practice in both fields. The analysis is set within the context of contemporary challenges facing health and social care, not only in Britain but internationally. Contributors from the United Kingdom, United States, and Australia consider ethical issues in health and social care research and governance; inter-professional and user perspectives; ethics in relation to human rights, the law, finance, management, and provision; key issues of relevance to vulnerable groups such as children and young people; those with complex disabilities, older people, and those with mental health problems; and lifecourse issues – ethical perspectives on a range of challenging areas from new technologies of reproduction to euthanasia.
