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30 Critical Soc. Pol'y 5 (2010)

handle is hein.journals/critsplcy30 and id is 1 raw text is: O MARK LYMBERY University of Nottingham A new vision for adult social care? Continuities and change in the care of older people Abstract 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 Introduction 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 http://csp.sagepub.com 5

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