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Welfare Reform on the Web (May 2002): Social Care - UK - Community Care

RATIONED CARE: ASSESSING THE SUPPORT NEEDS OF INFORMAL CARERS IN ENGLISH SOCIAL SERVICES AUTHORITIES

H. Arksey

Journal of Social Policy, vol. 31, 2002, p. 81-101

Article discusses the impact of the Carers (Recognition and Services) Act 1995 on local authority social services departments. The analysis draws on the framework of service rationing strategies elaborated by Klein and colleagues in 1996 to demonstrate that different forms of rationing of social care take place at national government, local authority and front-line practitioner levels. Evidence is also presented to show that some carers choose to impose rationing on themselves by reducing their demands.

WHERE BETTER TO CARE?

R. Winchester

Community Care, Mar. 7th - 13th 2002, p. 26-28

Domiciliary care is being upgraded so that people who would formerly have had to go into residential homes are now able to stay in their own houses with packages of care that may include significant medical or skilled tasks being performed by home care staff. Home care is now delivered to a small number of clients with high support needs. Its role in the provision of low level support to lots of people has been lost. It is also facing a recruitment crisis as pay remains low in spite of the upskilling of the home care work force. Article goes on to discuss the impact of the new minimum standards on domiciliary care.

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