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This paper considers cash for care as reflected in direct payments and the more recent development of individual budgets in England. While the momentum to roll out individual budgets gathers pace in England, Wales has embarked on a more cautious approach in wishing to evaluate the impact of individual budgets on social services. The paper identifies some of the far reaching implications of cash for care in general and individual budgets in particular, for service users, carers ‐ both paid and informal ‐ and for the social work profession. The policy incoherence in relation to risk and safeguarding is highlighted. This paper supports the approach currently adopted by the Welsh Assembly Government in relation to the ‘rolling out’ of individual budgets. The Assembly's 10‐year strategy for social services focuses on the rights of citizens and the needs of communities. This paper argues that fulfilling that vision should not be wholly contingent upon an unproven extension into the field of individual budgets.

There are clear theoretical, policy and practice tensions in conceptualising social or long-term care as a “right”: an enforceable choice. The purpose of this article is to address the following questions: Do disabled and older citizens have the right to long-term care? What do these rights look like under different care regimes? Do citizens have the right or duty to *provide* long-term care? It is already known that both formal and informal care across all welfare contexts is mainly provided by women and that this has serious implications for gender equality.

In this article, the author takes a conceptual approach to examining the comparative evidence from developed welfare states with formal long-term care provision and the different models of care, to challenge feminist care theory from the perspective of those living in care poverty (i.e. with insufficient access to long-term care and support to meet their citizenship rights).

Drawing on her own comparative research on models of long-term and “personalised” care, the author finds that different models of state provision and different models of personalised care provide differential citizenship outcomes for carers and those needing care. The findings indicate that well-governed personalised long-term care provides the best outcomes in terms of balancing potentially conflicting citizenship claims and addressing care poverty.

The author develops new approaches to care theory based on citizenship and care poverty that have not been published elsewhere, drawing on models that she developed herself.

The purpose of this paper is to develop a typology of different family policy systems in Europe and evaluate their impact on the employment strategy of mothers with care responsibilities for dependent children.

The paper outlines a typology of family policy regimes in Europe – covering the 26 countries. A typology based on a cluster analysis of macro indicators of family policy – coverage of childcare, effective parental leave and spending on family policies. The cluster analysis is based on data from OECD family data base. Then follows an analysis of the impact of the different family policy regimes on mothers' employment strategies when they return into gainful employment, based on data from the European Social Survey, 2008.

The authors have identified four different family policy models: extensive family policy, long parental leave, family care, and cash for care. For each of the models, different strategies are found for take up of employment for mothers with dependent children.

The paper includes 26 European countries, thereby covering the East and Central Europe, which is not the case in most welfare typologies. Furthermore, the authors distinguish clearly in the analyses between the institutional dimension and the outcome – mothers' employment strategies.

Care of older persons in their own homes has in recent years received much attention in Ireland. The proponents of domiciliary care draw on both economic and quality of life arguments, many of which are identifiable in policy documents since the 1950s. However, little detailed analysis of the evolution of the formal care services for older persons, and the shift in emphasis from institutional to domiciliary care, has been presented. The paper aims to focus on the issues.

Using archival, administrative and policy sources, the authors traced the changing nature of formal care policies in Ireland, and analysed changes in key organising principles and features, including subsidiarity, the role of the Church and the basis of entitlements (residual vs universal).

The first type of formal care to emerge was institutional, and did not adhere to the subsidiarity principle as it was mostly delivered by the State. Subsidiarity came to the fore more clearly with the establishment of the earliest home care services by religious and voluntary organisations. The current trend towards cash‐for‐care (home care packages) is arguably a modern‐day manifestation of the arm's length attitude that the subsidiarity principle recommends the State take.

The fact that care services are increasingly delivered by private sector companies and informal carers operating in the grey market increases the complexity of the care regime and therefore makes the task of developing social care regime classifications more complicated; it also means that regulation of the care sector in Ireland is a particularly urgent task that is yet to be undertaken in a comprehensive manner.

The policy challenges involved in attempts to regulate the complex care mix are considerable.

The paper utilises both historical methods and policy analysis to highlight the changing meaning of key concepts such as subsidiarity.

This article provides an overview and analysis of care as a concept and object of policy makers' attention in Europe, mindful especially of the lessons that can be drawn from the European experience. The aim of this paper is to set out a framework to understand care and also to offer an account of the way that different European countries have provided for care (of children and older people) and how existing policies are being reformed and rethought.

The article underlines the complexity of care as a concept and domain of policy and suggests the need for a broad‐ranging approach to its analysis.

It shows that the policy configuration has to be thought of as being embedded in and in many ways a function of the primary location and forms of care, the values and culture surrounding care and the arrangements around the mix of providers and modes of governance. While there are many positive lessons from the extent to which European states have become involved in making provision for care – offering financial and other forms of support to families and those needing care and enabling women to pursue a life not completely defined by their care‐related obligations – there are also negative ones such as the outstanding need to connect up policies for care across the life spectrum (in the term used in this article: a care configuration) and to view care in a global way.

This article takes an overview of recent developments in Europe and draws out the implications of developments in Asia.

The purpose of this paper is to explain the rather large difference in the take-up of the cash-for-childcare (CFC) benefit between Norway and Sweden.

A quantitative approach is employed, including the analysis of descriptive statistics of data on parents’ attitudes concerning the distribution of paid work and care and a robust regression analysis of data on parents’ behaviour regarding the distribution of paid work and care.

The results show that attitudes regarding childcare and mothers’ and fathers’ employment differ in the two countries. Swedish parents support public childcare and a gender equal employment distribution more than Norwegians. Thereby, attitudinal differences explain why Norwegian parents use the benefit more frequently. The findings indicate that in Sweden, parents’ socioeconomic background affects the duration of public childcare to a lesser extent than in Norway. Nevertheless, the economic incentives of the CFC benefit are more attractive for families with lower socioeconomic status. This explains why Swedes respond less to the incentives of the CFC benefit than Norwegians.

While previous research has focussed on the effect of policies on the take-up of the CFC benefit, this study shows that parents’ attitudes and behaviour are important explanatory variables to explain differences in the take-up of the benefit.

This article proposes principles for reforming English adult social care by drawing on the experiences of other countries. These illustrate how the funding, organisation and delivery of services could be reformed, and shed light on the potential political and social factors affecting implementation of reforms.Reforms in other countries are commonly driven by the desire to develop and/or maintain universal access to social care. Formerly fragmented, un‐co‐ordinated and locally variable arrangements are being replaced with universal schemes, with national eligibility arrangements applicable to everyone regardless of age or ability to pay. Cash payments (personal budgets etc) instead of services in kind are widely used. However, such options can have different aims, including supporting family carers and stimulating local provider markets, as well as offering ‘consumer’ choice. Policies for family carers are usually integral to overall long‐term care arrangements. Finally, even in federal systems like Germany, Austria, Spain and Australia, central governments play a crucial role in ensuring universal, equitable and sustainable social care. Central government leadership: maximises risk pooling; enhances budgetary control mechanisms; safeguards equity and quality control; and provides political legitimacy.

The purpose of this paper is to present findings from one element of a study exploring the relationship between personalisation, in the form of personal budgets (PBs) for publicly funded social care and safeguarding.

Semi-structured interviews were conducted with 12 people receiving PBs who had recently been the focus of a safeguarding investigation. Participants were recruited from two English local authority areas and data were subject to thematic analysis.

The analysis identified three main themes: levels of information and awareness; safeguarding concerns and processes; and choice and control. Many of the participants in this small study described having experienced multiple forms of abuse or neglect concurrently or repeatedly over time.

This was a small scale, qualitative study, taking place in two local authorities. The small number of participants may have had strong opinions which may or may not have been typical. However, the study provides some rich data on people’s experiences.

The findings suggest that adults receiving PBs may need information on an ongoing and repeated basis together with advice on how to identify and address poor quality care that they are arranging for themselves. Practitioners need to be aware of the influence of the level of information received and the interaction of organisational or legal requirements when responding to safeguarding concerns when care being supplied tries to reflect the benefits of choice and control.

This paper reports original research asking adults with care and support needs about the interaction between two key policies of safeguarding and personalisation.

The purpose of this paper is to present a case study describing the progress that is being made in one city in England to increase access to Care Act 2014 assessments and personal budgets among people with experiences of homelessness and multiple exclusion.

A case study employing a “study group” to describe and reflect on local development work.

The authors focus on the “systems change” activity that was undertaken by one voluntary sector partnership project to address issues of referral and access to adult social care. This included the development of a “Multiple Needs Toolkit” designed to support voluntary sector workers to communicate more effectively with adult social care around the application of the new Care Act 2014 eligibility thresholds. The authors discuss the role of “persistent advocacy” in increasing access to assessments and also the limitations of this as regard the potential for poorer joint working.

Throughout, the authors draw on the “ambiguity-conflict” model of policy implementation to assess if the learning from this single case study might be applied elsewhere.

The purpose of this paper is to evaluate socio-economic inequalities in the use, accessibility and satisfaction with health services amongst 60-84 year old people from seven European urban communities.

Data for this study were collected in 2009. The target population was people aged 60-84 years from Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden). The total sample comprised 4,467 respondents with a mean response rate across these countries of 45.2 per cent.

The study demonstrated that the majority of respondents had contact with a health care provider within the last 12 months. The highest percentages were reported by respondents from Spain (97.8 per cent) and Portugal (97.7 per cent). The results suggest that 13.0 per cent of respondents had refrained from seeking care services. The highest rates were amongst seniors from Lithuania (24.0 per cent), Germany (16.2 per cent) and Portugal (15.4 per cent). Logistic regression suggests that seniors who refrained from seeking health care was statistically significant associated with those with higher levels of education (odds ratios (OR)=1.21; 95 per cent confidence intervals (CI)=1.01-1.25) and financial strain (OR=1.26; 95 per cent CI=1.16-1.37). Furthermore, the majority of respondents were satisfied with health care services.

The findings from the “Elder Abuse: a multinational prevalence survey” study indicate the existence of significant variations in use, accessibility and satisfaction with health services by country and for socio-economic factors related to organizing and financing of care systems.