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

Bibliographic Details
Main Author: Hudson, Bob, 1945- (Author)
Format: eBook
Language:English
Published: Bristol, UK : Policy Press, an imprint of Bristol University Press, 2021.
Subjects:
Social service > Government policy > Great Britain.
Community health services > Great Britain > Finance.
Public-private sector cooperation > Great Britain.
Electronic books.
Online Access:Connect to the full text of this electronic book
Table of 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