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1 – 10 of over 103000
Article
Publication date: 20 April 2015

Catherine Mangan, Robin Miller and Carol Ward

The purpose of this paper is to report on the findings of the first stage of a project seeking to improve interprofessional working between general practice and adult social care

2252

Abstract

Purpose

The purpose of this paper is to report on the findings of the first stage of a project seeking to improve interprofessional working between general practice and adult social care teams. It develops the current evidence base through findings from focus groups and reflects on the implications of the findings for interprofessional collaboration.

Design/methodology/approach

The project involved running seven focus groups with general practice staff and adult social work teams to explore their perceptions and understanding of each other.

Findings

The focus groups highlighted that the negative aspects of interprofessional working outweighed the positives. Negatives included perceptions of different value bases, a lack of knowledge about each others’ roles and responsibilities which resulted in resorting to stereotypes, poor interprofessional communication and a sense of an unspoken professional hierarchy with general practitioners (GPs) at the top leading preventing a culture of appropriate challenge.

Research limitations/implications

The research has only been conducted with four GP practices and three social work teams that had expressed an interest in improving their interprofessional working. Therefore the findings may not be generalisable.

Practical implications

The case study suggests that there is a lack of effective interprofessional working between social care teams and general practice. With the current health and social care agenda focused on integration, this suggests there should be a greater focus on this area.

Originality/value

This paper illustrates that despite many years of policy makers promoting better integration, the quality of the interprofessional collaboration between social care teams and general practice remains poor.

Book part
Publication date: 19 June 2020

Jessica Mills, Heather Baid, Alison Taylor and Tania Wiseman

The proposed chapter will focus on university partnerships for sustainable development, specifically in relation to the health and social care sector. As this is a burgeoning…

Abstract

The proposed chapter will focus on university partnerships for sustainable development, specifically in relation to the health and social care sector. As this is a burgeoning field of research and enterprise, this chapter would provide a valuable resource and much-needed exploration of how and with whom universities partner in terms of sustainability in health and social care.

The majority of universities have health sciences and social care departments delivering courses at undergraduate, postgraduate, and doctorate levels. As such, the chapter presents the range of opportunities for interdisciplinary learning and working, shares methods to foster social responsibility through partnerships between students, staff, clinicians, and service users, and acknowledges the prospect of lifelong learning that partnerships in sustainability can generate.

Open Access
Article
Publication date: 8 April 2022

Cemil Eren Fırtın

This study aims to explore the calculations and valuations that unfold in everyday practices within social care settings. Specifically, the paper concerns the role of accounting…

1316

Abstract

Purpose

This study aims to explore the calculations and valuations that unfold in everyday practices within social care settings. Specifically, the paper concerns the role of accounting in dealing with multiple calculable and non-calculable spaces within the case management process. The study sheds light on the multiplicity produced in constructing the client as an object through the calculations and valuations embedded in the costing and caring practices in social work.

Design/methodology/approach

This is a qualitative case study in a Swedish social care organisation, with a specific focus on the calculations and valuations within the case management process. The data have been gathered from 20 interviews with social workers, team leaders, managers and a management accountant, along with more than 36 h of on-site observations and internal organisational documents, including policy documents, guidelines and procedural lists.

Findings

The case management process involves interconnected practices in constructing the client as an object. While monetary calculations and those associated with worth are embedded in costing and caring practices, they interact and proliferate in various ways. Three elements are found: transforming service units into centres of calculation, constructing the accounts of calculation and establishing the cost-value calculations. Calculations and valuations are actuated in these elements in describing the need, matching the case with the unit and caseworker and deciding on the measure. The objectification of the client entails the construction of accounts, for example, ongoing qualifications, categorisations and groupings of units, juridical frameworks, case types, needs and measures. As an object multiple, the client becomes different objects at different stages, challenging the establishment accounts, and thus producing a range of calculations and valuations. Such diversity in calculations concomitantly produces more calculations to represent the present and absent multiple facets of the client, resulting in a multiplicity of costing and caring.

Practical implications

The study might flag up for practitioners the possible risks and unintended consequences of depending too much on fixed guidelines and (performance) indicators since social work involves object multiples, which are always in diversity and changeable in situ. Considering the multiple dimensions within the specific contexts could thus be helpful to mitigate such risks in the evaluation of social care processes and the design of (performance) metrics.

Originality/value

This study contributes to the literature on accountingisation by extending the concept as a part of ongoing organisational practices, materialised within the calculations of money and worth in everyday social care. Besides demonstrating their reconsolidation, this study shows a multiplicity of costing and caring practices depending on the way the client is constructed, resulting in the proliferation of accounting(s) and ultimately accountingisation of social work.

Details

Qualitative Research in Accounting & Management, vol. 20 no. 1
Type: Research Article
ISSN: 1176-6093

Keywords

Article
Publication date: 8 February 2016

Tony Stanley

The purpose of this paper is to discuss how the signs of safety and wellbeing practice framework offers a practical and logical reinforcement for the Making Safeguarding Personal…

7127

Abstract

Purpose

The purpose of this paper is to discuss how the signs of safety and wellbeing practice framework offers a practical and logical reinforcement for the Making Safeguarding Personal programme within the practice context of the Care Act. The new practice framework orientates safeguarding practice to be person led and person centred while reinforcing an outcomes focus.

Design/methodology/approach

The principal social worker co-led the design and pilot programme where the new practice framework was developed and trialled.

Findings

A practice framework that houses the policy and practice updates needed to deliver the Care Act and Making Safeguarding Personal agenda is logical and necessary for the practitioners. An outcomes focus is encouraged because safeguarding practice is goal orientated and outcome focused.

Practical implications

A debate about how practice frameworks can help achieve the Making Safeguarding Personal approach and deliver on the Care Act principles is offered. This is a new and important debate for adult social care; a debate well-established across children’s services.

Originality/value

A debate about how practice frameworks can help achieve the Making Safeguarding Personal approach and deliver on the Care Act principles is offered. This is a new and important debate for adult social care; a debate well-established across children’s services.

Details

The Journal of Adult Protection, vol. 18 no. 1
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 8 May 2007

Marion Ellison

This paper sets out to explore the relationship between gender, New Public Management (NPM), citizenship and professional and user group identities and relationships within child…

1020

Abstract

Purpose

This paper sets out to explore the relationship between gender, New Public Management (NPM), citizenship and professional and user group identities and relationships within child care social work practice.

Design/methodology/approach

The paper utilises findings from a major comparative survey undertaken in Denmark and the UK as part of Doctoral research. In addition the paper draws upon more recent empirical research carried out by the author in Sweden.

Findings

Paradigms imported from the private sector have led to the adoption of NPM, fiscal austerity and the reorganisation of childcare social work throughout Europe. This paper illustrates the connectivities between NPM, gender, citizenship and the contested terrains within which professional and user group relationships and identities are being forged. The paper offers a unique insight into the operationalisation of NPM and gender within childcare professional social work practice in different European settings.

Research limitations/implications

The paper's findings may be used to contribute to existing theoretical and empirical knowledge within the field of professional childcare social work and practice.

Originality/value

The paper offers a unique insight into the operationalisation of gender equality as a normative ideal premised on the development of organisational and legal settings which embrace an awareness of the duality of public and private spheres and the impact of different European welfare settings on the articulations of notions of gender and citizenship, which in turn operationalise processes of inclusion and exclusion of women as citizens, workers and parents.

Details

Equal Opportunities International, vol. 26 no. 4
Type: Research Article
ISSN: 0261-0159

Keywords

Article
Publication date: 18 April 2017

Helen Allbutt, Iain Colthart, Nancy El-Farargy, Caroline Sturgeon, Jo Vallis and Murray Lough

The purpose of this paper is to describe a collaborative study on supervision with health and social care practitioners in Scotland. The study attempted to gain a better…

Abstract

Purpose

The purpose of this paper is to describe a collaborative study on supervision with health and social care practitioners in Scotland. The study attempted to gain a better understanding about the use and benefit of supervision from a multiprofessional perspective.

Design/methodology/approach

Consultation events with health and social care staff and 12 informant interviews were undertaken. Data analysis was via the Framework Method.

Findings

Managers were more likely to conceive of supervision as a positive intervention than those in lower pay bands. The practice of supervision was variable. Not all staff appeared to take part in regular supervisory activities even when it was mandated. A lack of professional, organisational or local commitment to implement robust supervisory structures and processes was seen as the major barrier to effective supervision.

Research limitations/implications

This was a small study, thus findings would need to be confirmed by health and social care staff working across a wider spectrum of disciplines and regions across Scotland.

Practical implications

A combination of factors would seem to determine effective supervisory practice. Supervision was perceived to be of benefit when individuals were willing to participate fully, when there was reflection and planned action, constructive challenge, respectful relationships, regular and protected sessions and processes were appropriate to an employee’s circumstances.

Originality/value

This study situates supervision in the current context of health and social care and finds it to be an irregular practice. The findings confirm the existing literature about the importance of supervisor-supervisee relationships but explain differing perceptions of supervision in terms of staff seniority.

Details

Journal of Integrated Care, vol. 25 no. 2
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 October 2004

Stephen Ball, Judith Mudd, Marie Oxley, Mike Pinnock, Hazel Qureshi and Elinor Nicholas

This paper explores how a research‐based understanding of outcomes in social care can be incorporated into practice. Drawing on research by the Social Policy Research Unit and the…

Abstract

This paper explores how a research‐based understanding of outcomes in social care can be incorporated into practice. Drawing on research by the Social Policy Research Unit and the practical experience of North Lincolnshire Social Services Department, this paper highlights how culture change and the involvement of stakeholders are key to using outcomes ideas as a motivational framework for service improvement.

Details

Journal of Integrated Care, vol. 12 no. 5
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 10 October 2016

Jill Manthorpe, Esther Njoya, Jess Harris, Caroline Norrie and Jo Moriarty

The purpose of this paper is to present an analysis of media reactions to the BBC Television Panorama programme, Behind Closed Doors’ and to set this in the context of interviews…

Abstract

Purpose

The purpose of this paper is to present an analysis of media reactions to the BBC Television Panorama programme, Behind Closed Doors’ and to set this in the context of interviews with care staff about their reflections on publicity about poor practice in the care sector.

Design/methodology/approach

This paper reports on an analysis of media reactions to recent exposé of abuse in social care in England and data from an interview-based study of care workers. The interviews were analysed to consider the impact of such media reports on staff and to explore their views of action that might be need to be taken about care failings.

Findings

There are mixed reactions to exposé of poor care on television and to the debates that precede and follow their broadcast. Debates occur in print and on television, but also in social media. The particular exposé of care home practices by the Panorama programme, Behind Closed Doors, led to debate in England about the potential role of covert cameras in care homes. The interviews revealed that while care staff are affected by scandals in the media about social care, they do not necessarily focus on themes that the media stories subsequently highlight. Overall some are disenchanted while others have ideas of what needs to change to improve practice. Care staff consider that there remain problems in raising concerns about practices and some staff feel unable to stay in workplaces where they have made complaints.

Research limitations/implications

The care workers interviewed may not be representative of the sector and they may have wished to provide socially acceptable answers to the researchers. Practice was not observed.

Practical implications

Local Safeguarding Adult Boards may wish to develop a communications strategy to deal with requests for reactions to media reports locally and nationally. Safeguarding practitioners may wish to prepare for increased referrals following media coverage of poor care in their areas. They may later be able to use media reports to discuss any local differences of interpretation over matters such as prosecutions for abuse. Trainers and educationalists may wish to clarify the importance given by care providers to raising concerns, the ways in which difficult conversations can be held, and the protections available to whistle-blowers or those raising concerns – with local examples to provide assurance that this is not mere rhetoric.

Originality/value

Television reports of problems with social care attract wide media interest but the authors know very little about how care workers respond to depictions of their work and their occupational grouping. This paper links media and expert commentator reactions to television exposé with data acquired from interviews with those on the frontline of care.

Details

The Journal of Adult Protection, vol. 18 no. 5
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 8 April 2014

Janet McCray, Hazel Turner, Barbara Hall, Marie Price and Gill Constable

This paper presents the findings of a small scale research project exploring mentorship programme participants experiences and learning about their managerial role in an adult…

1177

Abstract

Purpose

This paper presents the findings of a small scale research project exploring mentorship programme participants experiences and learning about their managerial role in an adult social care service seeking to build management practice, resilience and well-being in the context of transformation.

Design/methodology/approach

A case study of one public sector workforce development project is presented. The programme involved the use of an individual social care mentorship model and continuing professional development framework to support and engage 60 social care managers in the facilitation of workforce practice transformation. A small scale research study of 15 managers was undertaken. Participants provided a written reflective review and narrative of their individual experience and of learning. The narrative of a purposive sample of 15 managers was analysed using a work by Tamboukou and informed by a work byLabov and Waletzky as a guide.

Findings

Thematic analysis of managers' reflective accounts, identified the adaption of coaching methods and the used of role modelling skills in the workplace. Emotional well being and resilience was maintained during the mentorship programme. Structural analysis emphasised sequences or messages in the narrative indicating manager's cooperation with the organisation in achieving its' transformational goals and gaining employee engagement.

Research limitations/implications

This is a small scale study exploring one aspect of the project's goals.

Practical implications

The project delivery and research findings will be of interest to other organisations considering the implementation of mentorship to support transformation and change.

Originality/value

There are very few evaluations and research studies of social care mentorship in the literature and this paper and the case study presented provides interesting new insights into the process and its possible outcomes.

Details

Journal of Workplace Learning, vol. 26 no. 3/4
Type: Research Article
ISSN: 1366-5626

Keywords

Article
Publication date: 18 March 2011

James Blewett

The Children Act 1989 sought to be evidence based in that its development reflected a growing body of research in the field of child care. This article explores the dynamic…

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Abstract

The Children Act 1989 sought to be evidence based in that its development reflected a growing body of research in the field of child care. This article explores the dynamic relationship between research, policy and practice in child welfare in the UK over the subsequent 21 years. It looks at the implications for the workforce and professional expertise, with a particular focus on social work. Initially, the implementation of the Act was closely associated with social services but provision has become more integrated and multidisciplinary. This has led to a far‐reaching debate about the roles and tasks of social work and its efficacy in safeguarding and promoting children's welfare. Social work can make a broad contribution to child welfare but to realise this both the role of social work and the knowledge base on which it is based must not be defined in a narrow or prescriptive way.

Details

Journal of Children's Services, vol. 6 no. 1
Type: Research Article
ISSN: 1746-6660

Keywords

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