Caroline Glendinning
Dados Biográficos
| ID | 298384 |
|---|---|
| NOME | Caroline Glendinning |
| PRENOMES | Caroline |
| SOBRENOME | Glendinning |
| ASSINATURA | GLENDINNING C |
| AFILIAÇÕES | University of York |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 72 |
| TOTAL DE CITAÇÕES | 516 |
| TOTAL COMO AUTOR | 71 |
| TOTAL COMO EDITOR | 6 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1989 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2022 |
| ÍNDICE H | 12 |
Employment, women and their disabled children
A number of studies have documented the extent to which, as with any dependent child, responsibility for the day-to-day care of a severely disabled child tends to fall largely and unremittingly on her/his mother. This chapter describes some of the ways in which the care of a child who is severely physically or mentally disabled affects women’s participation in the paid labour market, and outlines the social and financial consequences of those eff…
Personalisation
Personalisation
Partnership and the remaking of welfare governance
Community Care in England
Carers' Roles in Personal Budgets
Adult social care in England emphasises the service and support preferences of disabled and older people. Personal budgets play a central role in this development. Carers in England have also secured rights to assessment and support in their care-giving roles. However, these policies have developed largely separately, with little consideration of the interdependencies between disabled and older people and their carers. There is limited evidence d…
Good practice in social care for disabled adults and older people with severe and complex needs
This article reports findings from a scoping review of the literature on good practice in social care for disabled adults and older people with severe and complex needs. Scoping reviews differ from systematic reviews, in that they aim to rapidly map relevant literature across an area of interest. This review formed part of a larger study to identify social care service models with characteristics desired by people with severe and complex needs an…
Good practice in social care
This paper reports findings drawn from a study of good practice in English social care for adults with disability and older people with severe and complex needs. People with severe and complex needs are a relatively small proportion of adult social care service users, but they are growing in numbers and have resource-intensive needs. The study involved qualitative research with adults with disability and older people with severe and complex needs…
Ambiguity in practice? Carers' roles in personalised social care in England
Carers play an ambiguous role within the personalisation paradigm currently shaping adult social care practice in England. Although carers have rights to assessments and support in their own right, these rights sit uneasily alongside the practices of assessment, support planning and personal budget (PB) allocation for older and disabled people. This paper reports how 14 dyads of older and learning disabled people with cognitive and/or communicati…
Can individual budgets have an impact on carers and the caring role
The introduction of cash-for-care schemes such as individual or personal budgets in England has been seen as central to the personalisation agenda for reforming the delivery of adult social care. However, despite there being 5.2 million carers in England and Wales, the initiative concentrates predominantly on the needs of the service user. The implementation of individual budgets (IBs) was piloted within 13 local authorities during 2005–2007 and …
Revisiting the Causes of Stress in Social Work
Social workers in adult social care are at particular risk of job-related stress, although the contribution of different organisational and policy changes to this phenomenon is subject to debate. This paper explores a theoretical framework from the occupational psychology literature (the Job Demand/Control Model) to identify the characteristics of those most at risk of stress, in a sample of 249 social workers and other care managers working in E…
Debates in personalisation
Part 1: Introduction and Overview Introduction ~ Catherine Needham and Jon Glasby Taking Stock of Personalisation ~ Catherine Needham and Jon Glasby Making it Real: from Putting People First to Think Local, Act Personal ~ Sarah Carr Part 2: The Challenges of Personalisation Resource Allocation Systems: complex and counterproductive? ~ Lucy Series Safeguarding, risk and personalisation ~ Jill Manthorpe Can personalisation work for older people? ~ …
The Role of Emotions in the Process of Making Choices about Welfare Services
Choice is central to developments in many areas of welfare. Making choices, for example about health, social care, employment and housing, can be very emotional. This article draws on theories from experimental psychology and behavioural economics to analyse empirical evidence from a longitudinal, qualitative study of support-related choices. It argues that if people are expected to make emotion-laden choices, and to minimise negative aspects ass…
Social Policy Review 24
This edition of Social Policy Review marks the 40th anniversary of a publication from the UK Social Policy Association devoted to presenting an up-to-date and diverse review of the best in social policy scholarship. It includes a special Anniversary Preface celebrating the publication's evolution and distinctive contributions. Continuing its reputation as a cutting edge, international publication in social policy, Part One of this edition analyse…
If they’re helping me then how can I be independent?’ The perceptions and experience of users of home-care re-ablement services
Home-care re-ablement is a short-term, intensive service that helps people to (re-) establish their capacity and confidence in performing basic personal care and domestic tasks at home, thereby reducing needs for longer term help. Home-care re-ablement is an increasingly common feature of English adult social care services; there are similar service developments in Australia and New Zealand. This paper presents evidence from semi-structured inter…
Home care in England
This paper traces developments in English home care services over two decades from the early 1990s. This longer-term perspective is used to show how factors shaping the broader restructuring of the English welfare state have impacted on home care services in particular. The two most salient features of these policies have been public sector funding constraints and extensive marketisation. Despite demographic trends, home care services have been d…
Personalisation through Individual Budgets
In England, ‘personal budgets’ are being implemented at a time of financial austerity. They are part of a growing trend internationally to give users of publicly funded social care and support more choice and control. In the individual budgets' (IB) pilot, people were allocated and had control over the way their IB was managed and spent, offering the opportunity to explore the potential of IBs to deliver better outcomes for people than convention…
Personalisation and Partnership
As in other countries, improving collaboration between health and social care services is a long-established objective of English social policy. A more recent priority has been the personalisation of social care for adults and older people through the introduction of individualised funding arrangements. Individual budgets (IBs) were piloted in 13 English local authorities from 2005 to 2007, but they explicitly excluded NHS resources and services.…
Organisation and delivery of home care re-ablement
Home-care re-ablement or 'restorative' services are a cornerstone of preventive service initiatives in many countries. Many English local authorities are transforming their former in-house home-care services to provide intensive, short-term re-ablement instead. The focus of this paper is on the organisation and content of re-ablement services and the features of their organisation and delivery that have the potential to enhance or detract from th…
Implementing Consumer Choice in Long‐term Care
In common with many advanced welfare states, England has increasingly relied on consumerist principles to deliver both greater quality and improved efficiency in the long‐term care system. The Individual Budget (IB) pilots marked the next step in this process, through a new system of funding whereby greater control of resources is given to service users, in lieu of direct in‐kind care provision. IBs have the potential to transform the market for …
Assessing the Role of Increasing Choice in English Social Care Services
This article aims to explore the concept of choice in public service policy in England, illustrated through findings of the Individual Budgets (IB) evaluation. The evaluation tested the impact of IBs as a mechanism to increase choice of access to and commissioning of social care services around the individual through a randomised trial and explored the experiences and perspectives of key groups through a large set of interviews. The article prese…
Personal Budgets and the Workforce Implications for Social Care Providers
Drawing on two studies in England, this paper explores the workforce-related impacts that social care providers envisage, and have so far experienced, from an increase in the number of people using personal budgets. It presents findings in relation to financial and workforce planning, recruitment and retention, workforce training and service user/provider relations. The discussion considers the implications not only for providers but also care wo…
Choice
Extending choice and control over public services is central to current policies in England. Such policies have immense potential for independence and well‐being. However, it is still not clear how disabled people conceptualise choices, what choices are important, for which groups of people, in what areas of life and why. This paper presents findings from the first phase of a longitudinal qualitative study of choice and control over the life‐cour…
Making choices about support services
This paper explores how disabled adults and older people find and use information to help make choices about services. It presents findings from a qualitative longitudinal study in England. Thirty participants had support needs that fluctuated, meaning that additional services might be needed on a temporary basis; and 20 had the sudden onset of support needs resulting from an accident or rapid deterioration in health. Each disabled adult or older…
Women and Poverty in Britain
Dependence, independence or inter-dependence? Revisiting the concepts of 'care' and 'dependency
Research and theory on 'dependency' and 'care-giving' have to date proceeded along largely separate lines, with little sense that they are exploring and explaining different aspects of the same phenomenon. Research on 'care', initially linked to feminism during the early 1980s, has revealed and exposed to public gaze what was hitherto assumed to be a 'natural' female activity. Conversely, disability activists and writers who have promoted a socia…
Partnerships between health and social services
English Partnerships are a keystone of current policies to ‘modernise’ health and social services. This presents new challenges for research and evaluation. ‘Partnership’ is a vague concept, capable of many interpretations, and its evaluation is therefore problematic, not only for those involved in partnerships but for academics and others with a wider interest in public policy, its governance and mechanisms for delivering services. This article …
Home care in England
This paper traces developments in English home care services over two decades from the early 1990s. This longer-term perspective is used to show how factors shaping the broader restructuring of the English welfare state have impacted on home care services in particular. The two most salient features of these policies have been public sector funding constraints and extensive marketisation. Despite demographic trends, home care services have been d…
Making informed choices in social care
The current policy trend is to encourage greater choice in the use of welfare services. To make informed choices, people need information. The process of finding and using information has costs for individuals in terms of effort, time and material resources. These costs are different for different people and impact on their use of information in different ways. Thus, the accessibility of information is important in ensuring those people who need …
Beyond Modernisation? Social Care and the Transformation of Welfare Governance
This article reflects on the process and outcomes of modernisation in adult social care in England and Wales, drawing particularly on the recently completed Modernising Adult Social Care (MASC) research programme commissioned by the Department of Health. We begin by exploring the contested status of 'modernisation' as a descriptor of reform. We then outline some of the distinctive features of adult social care services and suggest that these feat…
Personalisation through Individual Budgets
In England, ‘personal budgets’ are being implemented at a time of financial austerity. They are part of a growing trend internationally to give users of publicly funded social care and support more choice and control. In the individual budgets' (IB) pilot, people were allocated and had control over the way their IB was managed and spent, offering the opportunity to explore the potential of IBs to deliver better outcomes for people than convention…
Assessing the Role of Increasing Choice in English Social Care Services
This article aims to explore the concept of choice in public service policy in England, illustrated through findings of the Individual Budgets (IB) evaluation. The evaluation tested the impact of IBs as a mechanism to increase choice of access to and commissioning of social care services around the individual through a randomised trial and explored the experiences and perspectives of key groups through a large set of interviews. The article prese…
Debates in personalisation
Part 1: Introduction and Overview Introduction ~ Catherine Needham and Jon Glasby Taking Stock of Personalisation ~ Catherine Needham and Jon Glasby Making it Real: from Putting People First to Think Local, Act Personal ~ Sarah Carr Part 2: The Challenges of Personalisation Resource Allocation Systems: complex and counterproductive? ~ Lucy Series Safeguarding, risk and personalisation ~ Jill Manthorpe Can personalisation work for older people? ~ …
Organisation and delivery of home care re-ablement
Home-care re-ablement or 'restorative' services are a cornerstone of preventive service initiatives in many countries. Many English local authorities are transforming their former in-house home-care services to provide intensive, short-term re-ablement instead. The focus of this paper is on the organisation and content of re-ablement services and the features of their organisation and delivery that have the potential to enhance or detract from th…
Making choices about support services
This paper explores how disabled adults and older people find and use information to help make choices about services. It presents findings from a qualitative longitudinal study in England. Thirty participants had support needs that fluctuated, meaning that additional services might be needed on a temporary basis; and 20 had the sudden onset of support needs resulting from an accident or rapid deterioration in health. Each disabled adult or older…
Combining Work and Care
Issues related to paid work and care are of global importance, reflecting the twin pressures of population ageing and efforts to increase labour market participation. Informal carers of sick, disabled or older people can experience tensions between policies aimed at support for care and support for employment. This article discusses a study of carers’ decision‐making around work and care, drawing on evidence from interviews with 80 working‐age ca…
Choice
Extending choice and control over public services is central to current policies in England. Such policies have immense potential for independence and well‐being. However, it is still not clear how disabled people conceptualise choices, what choices are important, for which groups of people, in what areas of life and why. This paper presents findings from the first phase of a longitudinal qualitative study of choice and control over the life‐cour…
Gender and Poverty
A recent edition of this Journal (Volume 16, Part 2, April 1987) was devoted to a number of articles on the definition and measurement of poverty. Surprisingly, perhaps, this did not include any specific discussion of gender differences in the causes, extent and experience of poverty. But such gender differences do exist, though they are often obscured by much research on poverty. Our initial response to the special edition on poverty was to writ…
Personalised social care for adults with disabilities
This paper explores the complexities and contradictions of frontline practice that pose problems for personalised social care through enhanced choice. It draws on semi-structured interviews with community care workers, social workers, occupational therapists and care managers in a social service department. Practitioners interviewed were asked about their current assessment and documentation system, including the assessment documents currently us…
Bridging the gap
This paper reports on a study of disabled people with receiving Direct Payments who were able to purchase assistance in ways that cross conventional boundaries between 'health' and 'social' services. Indeed, most of the Direct Payment recipients used the term 'personal care' to describe a range of help that extended right across this conventional divide. Nevertheless, most of the users reported purchasing help with aspects of health care through …
Ambiguity in practice? Carers' roles in personalised social care in England
Carers play an ambiguous role within the personalisation paradigm currently shaping adult social care practice in England. Although carers have rights to assessments and support in their own right, these rights sit uneasily alongside the practices of assessment, support planning and personal budget (PB) allocation for older and disabled people. This paper reports how 14 dyads of older and learning disabled people with cognitive and/or communicati…
Employment and 'Community Care
If they’re helping me then how can I be independent?’ The perceptions and experience of users of home-care re-ablement services
Home-care re-ablement is a short-term, intensive service that helps people to (re-) establish their capacity and confidence in performing basic personal care and domestic tasks at home, thereby reducing needs for longer term help. Home-care re-ablement is an increasingly common feature of English adult social care services; there are similar service developments in Australia and New Zealand. This paper presents evidence from semi-structured inter…
Good practice in social care
This paper reports findings drawn from a study of good practice in English social care for adults with disability and older people with severe and complex needs. People with severe and complex needs are a relatively small proportion of adult social care service users, but they are growing in numbers and have resource-intensive needs. The study involved qualitative research with adults with disability and older people with severe and complex needs…
Revisiting the Causes of Stress in Social Work
Social workers in adult social care are at particular risk of job-related stress, although the contribution of different organisational and policy changes to this phenomenon is subject to debate. This paper explores a theoretical framework from the occupational psychology literature (the Job Demand/Control Model) to identify the characteristics of those most at risk of stress, in a sample of 249 social workers and other care managers working in E…
Using pooled budgets to integrate health and welfare services
The lack of collaboration between health, social and other welfare services is believed to impair efficiency and reduce effectiveness in addressing the complex problems of patients. Differences in funding streams, political accountabilities, organisational structures and professional cultures are all alleged to contribute to barriers between services. Drawing on their respective evaluations, this paper describes experiments in England and Sweden …
The Role of Emotions in the Process of Making Choices about Welfare Services
Choice is central to developments in many areas of welfare. Making choices, for example about health, social care, employment and housing, can be very emotional. This article draws on theories from experimental psychology and behavioural economics to analyse empirical evidence from a longitudinal, qualitative study of support-related choices. It argues that if people are expected to make emotion-laden choices, and to minimise negative aspects ass…
Personalisation and Partnership
As in other countries, improving collaboration between health and social care services is a long-established objective of English social policy. A more recent priority has been the personalisation of social care for adults and older people through the introduction of individualised funding arrangements. Individual budgets (IBs) were piloted in 13 English local authorities from 2005 to 2007, but they explicitly excluded NHS resources and services.…
Implementing Consumer Choice in Long‐term Care
In common with many advanced welfare states, England has increasingly relied on consumerist principles to deliver both greater quality and improved efficiency in the long‐term care system. The Individual Budget (IB) pilots marked the next step in this process, through a new system of funding whereby greater control of resources is given to service users, in lieu of direct in‐kind care provision. IBs have the potential to transform the market for …
Safeguarding and System Change
Cash for care or consumer-directed services are increasing in scope and size in Europe and North America. The English Department of Health initiated a pilot form of personalised support for adults (Individual Budgets) in 13 local authorities that aimed to extend opportunities for users of social care services to determine their own priorities and preferences in the expectation that this will enhance their well-being. This article reports on and d…
Gender and Poverty
A recent edition of this Journal (Volume 16, Part 2, April 1987) was devoted to a number of articles on the definition and measurement of poverty. Surprisingly, perhaps, this did not include any specific discussion of gender differences in the causes, extent and experience of poverty. But such gender differences do exist, though they are often obscured by much research on poverty. Our initial response to the special edition on poverty was to writ…
Dependency and Interdependency
Consideration of the income and social security needs of informal carers has remained conspicuously absent from discussions about 'community care'. Similarly, carers have been more or less invisible in the development of social security policies. This paper reports on a study of the financial circumstances of a sample of working age carers, who were living with and providing substantial amounts of help and support to a disabled person in the same…
Losing Ground
This paper reviews some of the major themes of social policy in Britain over the past decade and examines in detail the impact on disabled people in three major areas: employment; income and social security provision; and the organisation and delivery of health and social welfare services. It will be argued that, despite some superficial similarities between the demands of disabled people and the rhetoric of the New Right for reductions in depend…
Employment and 'Community Care
Paying for Informal Care
Growing numbers of elderly people, combined with falling birthrates, have generated increas ing interest within most western European and Scandinavian countries in measures which might increase the supply of care-giving labour while at the same time reducing the unit costs of that labour. To what extent, and how, might expensive formal service provision be replaced by less costly and more plentiful help from informal sources; and what is the role…
Representing the Views of Disabled People in Community Care Planning
The 1990 NHS and Community Care Act requires social services departments in Britain to involve representatives of service users in the preparation of their annual community care plans. This paper gives a critical account of the different ways in which the views of disabled people are sought and represented in community care planning; and of the organisational and practical barriers which disabled people and their organisations are likely to encou…
Professional Power and Managerial Control
The creation of Family Health Services Authorities from the old Family Practitioner Committees in 1990 marked a turning point in the introduction of managerialism into primary health care services. One of the FHSAs' first responsibilities was the administration of a new Contract for General Practitioners, which had generated considerable opposition from within the profession. This Contract included a new requirement for GPs to make, each year, a …
Principles and practice of social security payments for care
This article examines the dimensions which determine whether national social security systems make payments towards the costs of long‐term care needs and whether they do so where these needs are met within the family; what kinds of payments are made and to whom; and what levels these payments are set at. The article is based on empirical material from five European Union countries (the United Kingdom, Ireland, France, Italy and Germany). We argue…
Money Isn't Everything. Fiscal Policy and Family Policy in the Child Support Act
One of the explicit aims of the 1991 Child Support Act is to ensure that parents honour their financial obligations towards their natural children to a greater extent than they have hitherto. An equally important underlying objective is that of reducing the costs to the state of supporting lone parents. This paper examines the extent to which these two objectives are compatible within the framework of the Child Support Act through an examination …
Researching Children
The appropriateness and desirability of researching children have been issues of some debate. Children may be perceived as non‐competent or vulnerable, and proxies have been used as children's representatives. Increasingly researchers are speaking to children directly. Why is this so and what are the methodological and ethical implications of researching children's views? In this paper the authors draw on their own experiences of researching chil…
Implementing the Child Support Act
The 1991 Child Support Act is one of the most controversial pieces of recent legislation. This paper traces the origins and objectives of the legislation and describes the first three years of its implementation by the Child Support Agency. As well as documenting official monitoring of the Agency‘s performance, the paper draws on a longitudinal study of lone mothers undertaken between March 1993 and March 1995. It will be argued that, in implemen…
Paying for Long-Term Domiciliary Care
Concerns over growing numbers and proportions of older people in industrialised societies have prompted interest in the development of cheaper ways of providing long-term care for older people. While debate in the UK is currently focused on the costs of residential and nursing care, other European and Nordic countries have introduced schemes designed to encourage or sustain the provision of ‘social’ care by family members, friends and ‘volunteers…
The continuing care guidelines and primary and community health services
The confirmation of NHS responsibilities for continuing health care has important implications for primary and community health services. In early 1996, during the period of consultation on draft local policies and eligibility criteria, exploratory interviews were carried out with general practitioners (GPs), community nursing managers, primary care development officers and social services purchasers in three health authority areas. The interview…
Negotiating needs, access and gatekeeping
This article argues that the cumulative consequences of community care policies in the UK have resulted in a move from universal access to NHS services to discretionary access to residual local authority services. Drawing on an empirical study of the experiences of disabled and older people in obtaining access to community care assessments, the article argues that the traditional ‘gatekeeping’ activities of professionals have been augmented by a …
GPs and Contracts
This paper argues that the terms on which GPs entered the NHS, as self‐employed contractors, have proved remarkably resistant to the managerial pressures which have come to dominate other sections of the National Health Service. However, this traditional mode of financing and organizing the delivery of a key element of the National Health Service has become increasingly incompatible with wider health policy objectives—the development of an integr…
Bridging the gap
This paper reports on a study of disabled people with receiving Direct Payments who were able to purchase assistance in ways that cross conventional boundaries between 'health' and 'social' services. Indeed, most of the Direct Payment recipients used the term 'personal care' to describe a range of help that extended right across this conventional divide. Nevertheless, most of the users reported purchasing help with aspects of health care through …
Contemporary Primary Care
Health care professionals' support for older carers
This paper examines four specific themes relating to older carers' experience: care-giving in the context of particular roles and relationships embedded in biographical histories; care in the context of dementia; care involving skilled or complex health care-tasks; and care of an intimate/personal nature. In each case, we look at the nature of support provided by health care professionals. Analysis of the data suggests several conclusions. Older …
Access to Services as a Civil and Social Rights Issue
This paper draws up a theoretical framework of citizenship, based on Marshall’s thesis, that encompasses the idea of access to welfare services (using the example of community care services for disabled and older people) as a civil and social rights issue. The authors critically examine current policy developments in the NHS and local authorities under New Labour that emphasize partnership, particularly the proposals and provisions made in ‘The N…
Bridging the Gap”
Current policy places great emphasis on the development of “partnerships”, particularly between NHS and local authority services, with the aims of increasing service coordination and delivery and improving health. To this end, primary care groups (PCGs), at the forefront of NHS organizational developments, are required to include a social services representative on their governing boards; similarly, primary care trusts (PCTs) have a social servic…
Partnerships, New Labour and the Governance of Welfare
Current policy encourages 'partnerships' - between statutory organisations and professionals; public and private sectors; with voluntary organisations and local communities. But is this collaborative discourse as distinctive as the government claims? These claims are critically examined, using evidence from a wide range of welfare partnerships.
Partnerships, New Labour and the governance of welfare
Partnerships, New Labour and the governance of welfare
Partnerships, New Labour and the governance of welfare
Current policy encourages 'partnerships' - between statutory organisations and professionals; public and private sectors; with voluntary organisations and local communities. But is this collaborative discourse really as distinctive as the Labour Government claims? How far do contemporary partnerships exemplify an approach to governing which is based on networks (as distinct from hierarchies and markets)? Partnerships, New Labour and the governanc…
Comparing and contrasting the role of family carers and nurses in the domestic health care of frail older people
Care in the community has been constructed on the basis of professional support for carers who, as a result of community care policy that has released highly dependant people from residential care and long-stay wards, are carrying out a wide range of tasks, including complex health care activities. The present paper examines the health care activities currently undertaken by family carers and the way in which they work with, and are supported by,…
Political science (55 obras) · Healthcare innovation and challenges (54 obras) · Business (45 obras) · Medicine (40 obras) · Public relations (40 obras) · Social Policy and Reform Studies (36 obras) · Nursing (35 obras) · Economics (28 obras) · Sociology (27 obras) · Marketing (24 obras)