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Normative puzzles for local government

Managing the introduction of single-handed care in England

Bibliographic Data

ID2250211
AuthorsLeigh Rooney (0000-0002-8046-9364, Newcastle University Newcastle upon Tyne UK, corresponding author), T Rapley (0000-0003-4836-4279, Northumbria University), Phillip J Whitehead (Newcastle University Newcastle upon Tyne UK), Peter Whitehead (0000-0003-1310-4020, Newcastle University)
Year2023
Volume45
Issue4
Pages718-733
Publication date2023-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSociology of Health & Illness (JOURNAL)
Journal identifiersISSN: 0141-9889 • E-ISSN: 1467-9566
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13618
PMID36708356
OpenAlexW4318340456
LanguageEN
Citations received2
References cited21

A crisis in social care is apparent across the developed world as ageing populations put unprecedented demand on understaffed social care workforces. A recent popular response to this 'care crisis' within the UK involves the 'innovation' of single-handed care (SHC). SHC involves a care package with two or more homecare workers being reduced to one worker using advanced equipment and new moving and handling techniques. In this article, we explore how SHC is rendered in 245 documents from 52 local authorities in England. Using Actor Network Theory as an interpretative lens, we suggest documents attempt to satisfy three 'duties of care': to the individual wellbeing of citizens, morally and fiscally to the collective and to innovation. Each appeal to different stakeholder groups necessary for SHC to work, but the combination of duties can pose problems in enabling coherent stories of SHC. Duties can be kept apart in different documents, but at times they must be brought together in certain textual spaces to enact SHC as a coherent enterprise. Here, the potential tensions that emerge are routinely orientated to as (merely) problems of process that can and should be managed in and through a more refined approach to change management

Appeal · Business · Government (linguistics · Normative · Normative model of decision-making · Political science · Process (computing · Public relations · Social care · Sociology · Stakeholder · Work (physics · Computer Science · Engineering · Information Systems Theories and Implementation · Innovation, Technology, and Society · Law · Medicine · Mental Health and Patient Involvement · Nursing · Public Administration

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Unique citing works2
Citations per year0,67
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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