Title Clients, consumers or citizens? : the privatisation of adult social care in England / Bob Hudson

Published Bristol, UK : Policy Press, an imprint of Bristol University Press, 2021

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Description 1 online resource (188 pages) Contents Front Cover -- Clients, Consumers or Citizens?: The Privatisation of Adult Social Care in England -- Copyright information -- Table of contents -- Preface and acknowledgements -- Introduction -- 1 Before the market -- The institutional legacy -- The winds of change -- The emerging critique -- Chapter summary -- 2 The emergence and consolidation of the market -- Introduction -- 1980s: the emergent market -- 1990s: the regulated market -- The consolidated market -- The established market -- Chapter summary -- 3 Dilemmas in the commissioning of adult social care The nature of commissioning and outsourcing -- Local authority commissioning of adult social care -- Commissioning from the third sector -- The growth of direct payments -- The rise of 'self-funders' -- Commissioning and austerity -- Chapter summary -- 4 Dilemmas in the provision of adult social care -- Introduction -- Availability -- Fragility -- Exploitation and profiteering -- Effects on the workforce -- Low pay -- Insecurity -- Low status -- Quality of care -- Workforce issues -- Chapter summary -- 5 State or market? -- Introduction -- Renationalising the adult social care sector Penetration -- Fragmentation -- Fragility -- Retain and reform the market -- Strengthening the 'customer' -- Shaping the market -- Reactive market shaping -- Proactive market shaping -- Chapter summary -- 6 Context: funding and administration -- Introduction -- Funding -- Local government funding -- Funding long-term care -- Adjusting the current system -- Social insurance/hypothecation model -- Free care at the point of use -- Administrative capacity -- The hollowing out of local government -- Joined-up services -- Chapter summary -- 7 Looking ahead: an ethical future for adult social care Ethics and ethical care -- Commissioning ethical employment practice -- Action on pay -- Action on security -- Action on status -- Action on quality -- Action on regulation and legislation -- Commissioning for well-being -- Commissioning local and small -- Commissioning personally -- Boosting the commissioning role -- Chapter summary -- 8 COVID-19: the stress test of adult social care -- Introduction -- Deficiencies in funding and administration -- Fragility of provision -- Fragility in the care market -- Fragility in the voluntary sector -- Low policy salience -- Easement of statutory duties Adult social care and the NHS -- Unethical policy and practice -- The ethical framework for adult social care -- COVID-19 and age discrimination -- Revaluing the workforce -- Chapter summary -- 9 Conclusion: making it change -- morals, markets and power -- Introduction -- Instilling ethical behaviour -- Morals and markets -- Policy failure in adult social care -- Making change happen -- Practical improvement support -- Reframing the debate -- Challenging established power bases -- References -- Index -- Back Cover Summary Adult social care was the first major social policy domain in England to be transferred from the state to the market. This book meticulously charts this shift, challenges the dominant market paradigm, explores alternative models for a post-Covid-19 future and locates the debate within the wider political thinking and policy change literature Bibliography Includes bibliographical references and index Notes Online resource; title from digital title page (viewed on June 16, 2021) Subject Social service -- Government policy -- Great Britain Community health services -- Great Britain -- Finance Public-private sector cooperation -- Great Britain MEDICAL / Health Policy. Social service -- Government policy Public-private sector cooperation Community health services -- Finance Great Britain Form Electronic book ISBN 9781447355717 1447355717 9781447355724 1447355725

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