scholarly journals Beyond Modernisation? Social Care and the Transformation of Welfare Governance

2008 ◽  
Vol 37 (4) ◽  
pp. 531-557 ◽  
Author(s):  
JANET NEWMAN ◽  
CAROLINE GLENDINNING ◽  
MICHAEL HUGHES
Keyword(s):  
Social Care ◽  
Care Service ◽  
Research Programme ◽  
Service Users ◽  
Social Care Service ◽  
England And Wales ◽  
Distinctive Features ◽  
Care Services ◽  
Department Of Health ◽  
The Future

AbstractThis article reflects on the process and outcomes of modernisation in adult social care in England and Wales, drawing particularly on the recently completed Modernising Adult Social Care (MASC) research programme commissioned by the Department of Health. We begin by exploring the contested status of ‘modernisation’ as a descriptor of reform. We then outline some of the distinctive features of adult social care services and suggest that these features introduce dynamics likely to shape both the experiences and outcomes of policy ambitions for modernisation. We then reflect on the evidence emerging from the MASC studies and develop a model for illuminating some of the dynamics of welfare governance. Finally, we highlight the emerging focus on individualisation and on user-directed and controlled services. We argue that the current focus of modernisation involves a reduced emphasis on structural and institutional approaches to change and an increased emphasis on changes in the behaviours and roles of adult social care service users. This focus has implications for both the future dynamics of welfare governance and for conceptions of citizenship.

scholarly journals Social care, service users and user involvement

2016 ◽  
Vol 28 (2) ◽  
pp. 95 ◽  
Author(s):  
Peter Beresford ◽  
Sarah Carr
Keyword(s):  
New Zealand ◽  
Social Care ◽  
Care Service ◽  
User Involvement ◽  
Service Users ◽  
Social Care Service

Reviewed by Jude Douglas, Open Polytechnic of New Zealand.

Literature on health and social care

2019 ◽  
pp. 103-122
Author(s):  
Sandra Torres
Keyword(s):  
Ethnic Minorities ◽  
Social Care ◽  
Care Service ◽  
Care Staff ◽  
Service Utilisation ◽  
Social Care Service ◽  
Care Services ◽  
The North ◽  
Behavioural Patterns ◽  
Health And Social Care

This chapter focuses on the literature on ethnicity/ race and ageing/ old age that brings attention to issues related to health and social care. Just as it was the case in the previous chapter, this chapter exposes the main trends observed as far as what characterises the literature in focus. Besides being research on the North American context and focusing on very few ethnic minorities, this chapter discusses the fact that this literature takes for granted that ethnicity and race matter for older people’s health and social care service utilisation but does not, in fact, answers why this is the case. In addition, this chapter problematizes the fact that by focusing almost exclusively on older ethnic minorities’ experiences, the literature fails to bring attention to the views of those whose practices are important to the issues being discussed (i.e. health and social care staff). Noted is also that few of the studies reviewed take into account the attitudinal and/or behavioural patterns that are implicitly conveyed to pose a challenge to older ethnic minorities’ access and usage of health and social care services. Thus, by bringing attention to the areas that have received attention (i.e. access and usage/ attitudes, preferences and experiences/ the suitability of different programs, interventions and services and self-care practices), this chapter identifies the array of areas that remain unexplored.

Measuring the Social-Care Service Needs of Impaired Elderly People in Japan

1996 ◽  
Vol 16 (3) ◽  
pp. 315-332 ◽  
Author(s):  
Ikuko Nakano ◽  
Y. Shimizu ◽  
K. Hiraoka ◽  
Y. Nakatani ◽  
J. Wake ◽  
...  
Keyword(s):  
Home Care ◽  
Elderly People ◽  
Social Care ◽  
Care Service ◽  
Nursing Home Care ◽  
Medium Size ◽  
Elderly Persons ◽  
Social Care Service ◽  
Care Services ◽  
Mentally Impaired

ABSTRACTThis study aims to measure objectively and/or estimate the needs of impaired elderly persons and their families for social care services. The research was carried out in Maebashi, a medium size Japanese city. In our study, ‘impaired elderly persons’ included both physically and/or mentally impaired persons. In total, 693 impaired elderly persons and their families were classified according to 20 specific types of need: these ‘need types’ were cross-tabulated with two sets of factors: (1) Severity of impairments and (2) Difficulty of caregivers in providing the required care. A standard model of the service provision necessary for each ‘need type’ was established through group consultation with social care service professionals. Finally, the total amount of each service required in the city was calculated. Major findings are: (1) Our estimates indicate that 7.1 per cent of all persons 65 and over residing in Maebashi City were physically and/or mentally impaired to a certain degree. (2) Forty per cent of these elderly people were being cared for by caregivers who themselves had serious difficulties. (3) The demand for social care services in local Japanese cities is high. In order for this demand to be met a substantial expansion of both nursing home care and in-home care services is required.

The ‘Empowerment Debate’: Consumerist, Professional and Liberational Perspectives in Health and Social Care

2003 ◽  
Vol 2 (4) ◽  
pp. 273-284 ◽  
Author(s):  
Fenella Starkey
Keyword(s):  
Professional Practice ◽  
Social Care ◽  
Care Service ◽  
Service Users ◽  
Policy And Practice ◽  
Social Care Service ◽  
Health And Social Care

This article aims to clarify the meaning of the much-used term ‘empowerment’ in order to contribute to a more theoretically coherent development of policy and practice aimed at facilitating the empowerment of health and social care service users. The liberational and consumerist models of empowerment are highlighted, with the former having a broader emphasis on people's roles within society than the latter. The concept of ‘empowerment as professional practice’ is also critically explored, with the conclusion that professionals can work with people in empowering ways if they recognise and work to address the structural causes of oppression.

scholarly journals PATIENT AND PUBLIC INVOLVEMENT IN HEALTH AND SOCIAL CARE IN ENGLAND

2014 ◽  
Vol 8 (4) ◽  
pp. 39-41
Author(s):  
Jane Randall-Smith ◽  
Catherine Pritchard
Keyword(s):  
Public Involvement ◽  
Social Care ◽  
Care Service ◽  
Local Area ◽  
Patient And Public Involvement ◽  
Consumer Participation ◽  
Social Care Service ◽  
Care Services ◽  
Statutory Authority ◽  
Health And Social Care

Signifcant changes were brought about in health and social care in England in 2013, as a result of the Health and Social Care Act 2012. As part of the changes in 2013, a network of local Healthwatch organisations was set up to act as the people’s champion for health and social care in their local area. Healthwatch Shropshire is one of these local Healthwatch. It gathers experiences and opinions from patients, carers, service users and the wider public about publicly funded health and social care services and uses this information to infuence health and social care service delivery. Healthwatch Shropshire also recruits and trains volunteers to support its work, in particular, specially trained volunteers visit locations where health and social care services are provided and report on their fndings. Healthwatch Shropshire also has information and signposting services, provides volunteering opportunities, and has a statutory authority to visit locations where health and social care services are being delivered.Keywords: patient participation, consumer participation, public opinion

Health and social care services for older people: achievements, challenges, and future directions

2015 ◽  
Author(s):  
Roger Beech
Keyword(s):  
Social Care ◽  
Care Service ◽  
Improve Patient Care ◽  
Evidence Base ◽  
Acute Hospital ◽  
Social Care Service ◽  
Care Services ◽  
Health And Social Care ◽  
Hospital Beds ◽  
Timely Access

Key points• The ageing of the population will increase patient demands for acute hospital beds, a scarce and expensive resource.• Health and social care service options delivered ‘closer to home’ can improve patient care and reduce older people’s demands for acute hospital beds by preventing acute events and providing an alternative.• The growth of such service options has created a more complex health and social care landscape.• Therefore, to improve the patient experience and to ensure their timely access to appropriate care, innovations for improving the integration of services for health and social care need to be developed and evaluated.• Further increasing the evidence base about care closer-to-home service options and ways of improving their integration represents a shared agenda for service commissioners, providers, and academics.

The impact of an integrated care service on service users: the service users’ perspective

2014 ◽  
Vol 28 (4) ◽  
pp. 495-510 ◽  
Author(s):  
Mei Hu
Keyword(s):  
Social Care ◽  
Care Service ◽  
Waiting Times ◽  
Service Users ◽  
Content Type ◽  
Care Services ◽  
Level Of Satisfaction ◽  
Multi Method Approach ◽  
High Level ◽  
The Impact

Purpose – The purpose of this paper is to examine the effects of an integration programme on service users from users’ own perspective. Design/methodology/approach – Multi-method approach was used. Both quantitative and qualitative data collection and analysis were employed to uncover and examine service users’ views of the impact of the integration programme. Findings – An improvement in the physical functioning of one in three occupational equipment users; a rise in the level of satisfaction of 85 per cent of occupational health and 82 per cent of physiotherapy users; older people with complex problems and high-level needs were able to be helped to live at home; and waiting times for both assessment and for services within two weeks and four weeks were below the national achievement and ministerial targets. The impact of the integration programme on users was complex. Positive outcomes were achieved for some user groups and individuals but not for others. A lack of change outcomes in social care, and service users’ low level of satisfaction with social care services appears to be associated with the impact of agency work and the predominant aim in social work of achieving maintenance and prevention outcomes. Originality/value – This paper contributes to knowledge on what and how the total integration in Cambridgeshire has benefited users.

scholarly journals ‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heidi Snoen Glomsås ◽  
Ingrid Ruud Knutsen ◽  
Mariann Fossum ◽  
Kristin Halvorsen
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Health Care Quality ◽  
Care Service ◽  
User Involvement ◽  
Home Care Services ◽  
Care Quality ◽  
Service Users ◽  
Care Services ◽  
Welfare Technology

Abstract Background Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare technology. The aim of this study was to explore elderly service users’ experience of user involvement in the implementation and everyday use of welfare technology in public home care services. Method This qualitative study has an explorative and descriptive design. Sixteen interviews of service users were conducted in five different municipalities over a period of six months. The data were analysed using reflexive thematic analysis. Results Service users receiving public home care service are not a homogenous group, and the participants had different wishes and needs as regards user involvement and the use of welfare technology. The analysis led to four main themes: 1) diverse preferences as regards user involvement, 2) individual differences as regards information, knowledge and training, 3) feeling safe and getting help, and 4) a wish to stay at home for as long as possible. Conclusion The results indicated that user involvement was only to a limited extent an integral part of public home care services. Participants had varying insight into and interest in welfare technology, which was a challenge for user involvement. User involvement must be facilitated and implemented in a gentle way, highlighting autonomy and collaboration, and with the focus on respect, reciprocity and dialogue.

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