Flexible Contracting? Economic Cultures and Implicit Contracts in Social Care

2000 ◽  
Vol 29 (1) ◽  
pp. 1-19 ◽  
Author(s):  
MAUREEN MACKINTOSH

Drawing on case studies from two local authorities, this article identifies two distinct economic cultures in social care contracting. An arms-length contracting culture was emerging in interaction with risk-averse commercial suppliers, while a ‘partnership’ contracting culture was developing in association with non-profit providers who actively sought risk and responsibility. The article explores the discursive construction of the distinct implicit contracts associated with the two economic cultures, showing that ‘flexibility’ had become a key trope in contracting debate, carrying complex meanings of both responsiveness and control. The article thus unpacks the notion of ‘soft’ contracting in social care, and argues that social care contracting should be understood as a process of mutual shaping of both a divided care industry and an internally divided local authority economic culture. The article then draws out a series of implications of the research for policy and regulation in care contracting.

Somatechnics ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 74-94 ◽  
Author(s):  
Rae Rosenberg

This paper explores trans temporalities through the experiences of incarcerated trans feminine persons in the United States. The Prison Industrial Complex (PIC) has received increased attention for its disproportionate containment of trans feminine persons, notably trans women of colour. As a system of domination and control, the PIC uses disciplinary and heteronormative time to dominate the bodies and identities of transgender prisoners by limiting the ways in which they can express and experience their identified and embodied genders. By analyzing three case studies from my research with incarcerated trans feminine persons, this paper illustrates how temporality is complexly woven through trans feminine prisoners' experiences of transitioning in the PIC. For incarcerated trans feminine persons, the interruption, refusal, or permission of transitioning in the PIC invites several gendered pasts into a body's present and places these temporalities in conversation with varying futures as the body's potential. Analyzing trans temporalities reveals time as layered through gender, inviting multiple pasts and futures to circulate around and through the body's present in ways that can be both harmful to, and necessary for, the assertion and survival of trans feminine identities in the PIC.


2020 ◽  
Vol 53 (2) ◽  
pp. 11404-11409
Author(s):  
D. Dochain ◽  
C. Casenave ◽  
C. Henri ◽  
L. Noon

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029723 ◽  
Author(s):  
Sofia Kjellström ◽  
Kristina Areskoug-Josefsson ◽  
Boel Andersson Gäre ◽  
Ann-Christine Andersson ◽  
Marlene Ockander ◽  
...  

IntroductionCocreation, coproduction and codesign are advocated as effective ways of involving citizens in the design, management, provision and evaluation of health and social care services. Although numerous case studies describe the nature and level of coproduction in individual projects, there remain three significant gaps in the evidence base: (1) measures of coproduction processes and their outcomes, (2) mechanisms that enable inclusivity and reciprocity and (3) management systems and styles. By focusing on these issues, we aim to explore, enhance and measure the value of coproduction for improving the health and well-being of citizens.Methods and analysisNine ongoing coproduction projects form the core of an interactive research programme (‘Samskapa’) during a 6-year period (2019–2024). Six of these will take place in Sweden and three will be undertaken in England to enable knowledge exchange and cross-cultural comparison. The programme has a longitudinal case study design using both qualitative and quantitative methods. Cross-case analysis and a sensemaking process will generate relevant lessons both for those participating in the projects and researchers. Based on the findings, we will develop explanatory models and other outputs to increase the sustained value (and values) of future coproduction initiatives in these sectors.Ethics and disseminationAll necessary ethical approvals will be obtained from the regional Ethical Board in Sweden and from relevant authorities in England. All data and personal data will be handled in accordance with General Data Protection Regulations. Given the interactive nature of the research programme, knowledge dissemination to participants and stakeholders in the nine projects will be ongoing throughout the 6 years. External workshops—facilitated in collaboration with participating case studies and citizens—both during and at the end of the programme will provide an additional dissemination mechanism and involve health and social care practitioners, policymakers and third-sector organisations.


PCD Journal ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 61
Author(s):  
Zusiana Elly Triantini ◽  
Masnun Masnun

This article seeks to expose incumbents' tendencies and strategies in using charitable alms (zakat) in regional elections in two areas. Strategies identified include determining binding regulations regarding the use of zakat money, as well as the positioning of persons considered loyal and strategic to incumbents within the leadership structures of zakat institutions. Meanwhile, incumbents worked to integrate and interconnect government programmes with local zakat distribution agencies and attracting public sympathies through the sharing of zakat funds. Incumbents benefit from their power and legitimacy, and can thus easily use zakat funds as an economic resource for gathering the support of zakat recipients (mustahiq[1]). With their power and legitimacy, incumbents are able to claim credit and thus enjoy greater popularity in their re-election campaigns. This power and legitimacy, as well as its benefits, are managed strategically and intelligently to avoid giving the impression of illegality and ease social acceptance. The findings of this research are opposite to those of Samantha May; where May has found that state dominance and control of zakat has met widespread resistance, this research has found that state dominance and control of zakat has not only been well-received by society, but has also had implications for politicians' role in zakat management and distribution. This research, conducted through observation and interviews with zakat distributors/recipients, indicates how clientelism is formed through the government zakat distribution agency (Badan Amil Zakat, 'Zakat Distribution Agency'), the structural/instrumental approaches used by incumbents, and the response of zakat recipients. This article takes two elections in two regions as case studies: Kulon Progo in the 2017 regional election and Magelang Regency in the 2013 regional election.


Author(s):  
Elizabeth Fife ◽  
Laura Hosman

This paper analyses the recent phenomenon of private/public partnerships (PPPs) in the ICT sector of the developing world. The partners may come to these projects with divergent motivations: profit on the one hand and the provision of public services on the other, but at the end of the day, the interests of the partners that are symbiotic can – and indeed should – be aligned to ensure successful long-term projects. To investigate what can be done to promote successful and sustainable PPPs, this paper extends the traditional two-actor analysis to include both a third-party non-profit-oriented facilitating organization and the technology recipients that are the targets of these projects. Following an overview of the current state of PPPs in the developing world, the paper provides two case studies, based in Vietnam, where all four of the above-mentioned stakeholders were involved. The cases reveal important success factors that can be applied to future PPPs in the ICT sector.


2014 ◽  
Vol 11 (2) ◽  
pp. 111-128 ◽  
Author(s):  
Enrico Bracci

Purpose – The aim of the paper is to illustrate the changing structure of accountability under a new public governance agenda introduced in England to deliver social care through personal budgets. Design/methodology/approach – The paper draws on accountability and public governance literature, in particular, the accountability framework proposed by Hupe and Hill. The evidence was gathered from exploratory case studies conducted in two English County Councils. Findings – The introduction of personal budgets has modified the roles of the different actors involved in the co-production of social services. The case studies evidence changes in the accountability and governance process, particularly with respect to the personal budget regime that has devolved responsibility and accountability to the customer. Specifically, the customer's role has shifted and expanded in the accountability chain and thus developed into a partnership. Originality/value – This study is one of the first to analyse the relationship between the personalisation agenda in English social services and the relevant accountability mechanisms involved. Moreover, the paper refines the theoretical framework proposed by Hupe and Hill according to the different role the public now plays.


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