26 Critical Soc. Pol'y 5 (2006)

handle is hein.journals/critsplcy26 and id is 1 raw text is: 






U   PETER SCOURFIELD
    Anglia Ruskin University



    'What   matters is what works'? How discourses of
    modernization have both silenced and limited
    debate on domiciliary care for older people



    Abstract
    Policy statements about the care of vulnerable older people repeatedly
    emphasize  the desirability of keeping people at home. An enduring
    problem in implementing  this strategy is the ongoing crisis within the
    quasi-market in domiciliary care. The government announced in 2004
    that it wanted a new vision for adult social care. In such circumstances,
    it could be argued that, in order to achieve home care services that are
    stable, flexible and better placed to integrate more effectively with
    health agencies, local authorities should significantly expand in-house
    provision. Despite exhortations from ministers to think the unthink-
    able, such a proposal is actually 'unsayable'. This article discusses how
    discourses of modernization exclude ideas that imply an expansion of
    directly provided social care. Such discourses have so much invested in
    the shedding of what it regards as outmoded 'welfarist' baggage, they
    are blind to proposals that could improve the lives of older, vulnerable
    citizens.

    Key  words:   modernizing  social services, quasi-markets



Introduction

There  are two  main  parts to this article. First I will outline why I
believe it is reasonable for policy makers   to, at least, consider the
expansion  of local authority run home  care services (hereafter referred
to as in-house provision) in order to help achieve the policy aims  for
vulnerable  older people,  especially helping  them  to stay  living at
home  and  for services to be person-centred, flexible and reliable. The
second part of the paper will show why  such a proposal, plausible as it

Copyright @ 2006 Critical Social Policy Ltd 0261-0183 86 Vol. 26(1): 5-30; 059764
SAGE PUBLICATIONS (London, Thousand Oaks, CA and New Delhi), 10.1177/0261018306059764


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