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

What Is HeinOnline?

HeinOnline is a subscription-based resource containing nearly 2,700 academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Short-term subscription options include 24 hours, 48 hours, or 1 week to HeinOnline with pricing starting as low as $29.95

Access to this content requires a subscription. Please visit the following page to request a quote or trial:

Already a HeinOnline Subscriber?