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Welfare Reform on the Web (June 2012): Social care - UK

Celebrating 20 years of the Journal of Integrated Care

P. Thistlethwaite (editor)

Journal of Integrated Care, vol. 20, no.2, 2012, p. 72-131

The articles in this special commemorative issue explore why integrated health and social care has not become the standard model of provision in the UK in spite of 40 years of government encouragement of collaborative working and in the face of mounting evidence of the poor quality and inefficiency of current forms of service delivery. Papers look at: 1) the developing evidence-base supporting integrated care; 2) whether or not the two flagship policies of integration and competition between providers are compatible; 3) the role of UK public sector ombudsmen; and 4) the evolving relationship between local government and the NHS.

Charting our own course

R. Jones

Professional Social Work, Apr. 2012, p. 24-25

This article looks at how children's social work, and other professions such as nursing and occupational therapy, have evolved in recent years, and emphasises the need for adult social work to safeguard its future by carving out its own defined space.

The doubtful joys of joining up

J. Smith

Caring Times, Apr. 2012, p. 14

This comment piece argues that the joining up of health and social care services can best be achieved, not by structural reform, but by the patient construction of better working relationships at the grass roots. The commitment of GPs is essential, financial incentives for parties need to be aligned, and information has to be freely shared. The emphasis needs to be on small-scale community projects that can achieve tangible results.

Personalisation, social justice and social work: a reply to Simon Duffy

I. Ferguson

Journal of Social Work Practice, vol.26, 2012, p. 55-73

In a previous issue of this journal, Simon Duffy argued that personalisation is consistent with a social work based on social justice and that social workers should cast aside their reservations and embrace it. This paper argues that current debates around personalisation need to recognise that different and conflicting political agendas are at play and that in important respects the currently dominant agenda, far from promoting choice, control and social justice for people with disabilities, may do precisely the opposite. It begins by pointing out that the main ideological driver of personalisation in the UK is a neoliberal discourse underpinned by austerity measures introduced by the Coalition government, rather than the progressive agenda of the disability movement. It goes on to explore the tensions to which the 'hybridisation' of the neoliberal and Independent Living models of personalisation are giving rise. It concludes with a critical assessment of Duffy's theory of social justice and suggests that its failure to adequately address issues of redistribution or to locate the experiences of disabled people within the wider framework of neoliberal capitalism limits its usefulness as a basis for progressive social work.

Reforming social care: policy response

A. Charlesworth and R. Thorlby

Nuffield Trust, 2012

The Government is expected to publish a White Paper on the future of social care in 2012. The White Paper will set out the Government's response to the recommendations from the Law Commission on reform of adult social care legislation (Law Commission, 2011) and the Dilnot Commission review of funding for adult social care (Commission on Funding of Care and Support, 2011). There is a risk that reform of funding will be neglected: the forthcoming White Paper is expected to include proposals for the reform of adult social care following the Law Commission's report on modernising the legislative framework, but the Government has only committed itself to 'a progress report on funding reform' (Lansley, 2011). This paper examines the current level of funding of social care and the Dilnot Commission's recommendations and suggests ways of funding a fairer, more sustainable system.


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