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Welfare Reform on the Web (May 2003): Social Care - UK - Community Care

ANATOMY OF A CARE MANAGER

M. Carey

Work, Employment and Society, vol. 17, 2003, p. 121-135

Article considers the impact of the NHS and Community Care Act 1990 on the role of the care manager using results of a three-year ethnographic study. Describes care managers as battling against the odds to provide services to client groups who appear to be in perpetual need. Such attempts often fail due to the barriers of excessive bureaucracy and lack of financial resources. The bureaucracy has also removed any scope for use of professional skills, or exercise of choice or autonomy.

CHALLENGING PROFESSIONAL ROLES: LAY CARERS' INVOLVEMENT IN HEALTH CARE IN THE COMMUNITY

S. Pickard, S. Jacobs and S. Kirk

Social Policy and Administration, vol. 37, 2003, p. 82-96

Must care in the community is carried out by lay carers supported by professionals. Paper reports results of three studies of lay carers:

  • those caring for older people;
  • carers of technology-dependent children;
  • home-care workers involved in the "direct payments" scheme.

Findings are reported in the areas of decisions about appropriate caring roles, the lay-professional boundary, training and respite opportunities and the expertise of lay carers.

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