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Welfare Reform on the Web (September 2007): Social care - UK

Building capacity in health and social care partnerships: key messages from a multi-stakeholder network

A. Cook and others

Journal of Integrated Care, vol.15, Aug. 2007, p. 3-10

This paper draws on the views and expertise of a diverse network of stakeholders, and identifies four key issues central to the future development of health and social care partnerships. These are:

  • Adoption by researchers of more flexible, innovative and pragmatic approaches to developing the evidence base and investing in knowledge transfer.
  • User and carer organisations working to develop advocacy services to help the most vulnerable clients access self-directed support.
  • Health and social care services becoming learning organisations.
  • The Scottish Executive and Department of Health to ensure that all policies are driving change in the same direction.

Creating services that deliver better outcomes for adult social care

A. Cozens

Journal of Care Services Management, vol. 1, 2007, p. 374-380

This paper describes the policy context within which a case is being made for additional investment in adult social care as part of the Comprehensive Spending Review 2007. It suggests new approaches to commissioning that could turn the government's vision of services delivered in the community and under the control of users into reality and proposes measures for judging success.

The future direction of social care in the light of the White Paper Our Health, Our Care, Our Say

J. Ross

Journal of Care Services Management, vol.1, 2007, p. 381-388

The White Paper Our Health, Our Care, Our Say promoted the integration of health and social care to offer a joined-up service and promised users easier access and more control. This article reports on progress in implementing the vision set out in the White Paper.

Implementing outcome-based commissioning

C. Paley and C. Slasberg

Journal of Care Services Management, vol. 1, 2007, p. 353-361

In outcome-based commissioning, the commissioner agrees with the service user the issues to be addressed and what difference the commissioned service should make to their lives. The commissioner also decides the volume of service within which the provider should work. It is then for the provider to work with the service user to agree what work will actually be done, when it will be done, and how it will be done. This article explains how an outcome-based approach to social care delivery was implemented by Thurrock Council.

Secrets in the care sector

A.U. Sale

Community Care, Aug. 9th 2007, p. 14-15

Recent research by Stonewall has unearthed discrimination against lesbian, gay and bisexual staff in the social care sector. Forms of homophobia uncovered include lesbian, gay and bisexual staff being excluded from workplace activities by colleagues; career development being hindered; and verbal abuse and harassment from both colleagues and clients.

Voluntary sector faces bidding war


Labour Research, vol.96, Aug. 2007, p. 12-14

The growing trend for commissioning community and voluntary sector organisations to deliver social services on the cheap is worrying the unions. These organisations are increasingly dependent on government contracts which do not cover the full costs of services delivered and are in many cases short term. This is having a detrimental effect on the pay and conditions of the workforce.

Who pays?

C. Score and J. McCabe

Community Care, Aug. 2nd 2007, p. 26-27

Local authority social services are in many cases funding nursing care which should legally be paid for by the NHS. They have, however, been very reluctant to challenge dubious decisions about people's eligibility for NHS funding for continuing nursing care, leading to possible misuse of council tax revenues. This reluctance to pursue cases against local health authorities may stem from lack of expertise, lack of political will, and the prevalence of joint working arrangements.

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