30 Critical Soc. Pol'y 5 (2010)

handle is hein.journals/critsplcy30 and id is 1 raw text is: 

    University of Nottingham

    A  new  vision   for adult  social  care?   Continuities
    and  change in the care of older people

    The reform of adult social care is a major preoccupation within England.
    It is presented as the inevitable consequence of the changed expectations
    of people who use services; in addition, the detail of policy is portrayed as
    being in accordance with what those people specify they want from social
    care. However, there appears to be little recognition of the complexities
    and contradictions that characterize much of the policy. Of these, the
    inadequacy of the resource base of adult social care is most significant;
    consequently, rationing of scarce resources will continue to be a priority.
    The paper also highlights problems in other areas, including the rhetoric
    that accompanies policy change and the evidence base for that change,
    the lack of connection between issues of independence and protection, the
    partial understandings of partnership that appear to characterize it and
    the inadequate conceptualizations both of the nature of those people who
    require social care support and of the character of that support. In discuss-
    ing these issues, the paper emphasizes that there remain continuities in
    the context of policy, while noting the continual focus on discontinuity
    within government documents.

    Key  words:   personalization, social care policy


Adult  social care in England is undergoing  major  changes. The  label
of 'personalization' has been attached to this policy (Leadbeater et al.,
2008); it is suggested that the individual should be placed at the heart
of service provision, in turn ensuring a maximum level   of responsive-
ness to what  that individual desires. It is quite typical of government
policy rhetoric that this apparently straightforward  idea encompasses

@ The Author(s), 2010. Reprints and permissions: http://www.sagepub.co.uk/journalsPermissions.nav
Critical Social Policy, 0261-0183 101; Vol. 30(1): 5-26 341899 10.1177/0261018309350806


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