Implementing the New Community Care

Overview

What were the aims of the new community care policy? How has the policy been implemented? How far have the aims of the policy been achieved? These are just some of the questions addressed by the authors of this book. They trace the implementation of the 1990 community care legislation in five local authorities between 1992 and 1994. The book suggests that central government's main aim was to bring social security spending under control. Services issues were always secondary. Nevertheless, implications both for ...
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Overview

What were the aims of the new community care policy? How has the policy been implemented? How far have the aims of the policy been achieved? These are just some of the questions addressed by the authors of this book. They trace the implementation of the 1990 community care legislation in five local authorities between 1992 and 1994. The book suggests that central government's main aim was to bring social security spending under control. Services issues were always secondary. Nevertheless, implications both for clients and services have been important and often unintended. Local authorities have faced considerable difficulties in implementing the legislation. The process is followed in five local authorities, one county and four London boroughs. Local authorities were faced with a mass of central government guidance and a number of key changes to make. It traces three changes in detail: the implementation of the purchaser/provider split and the creation of a social care market, the introduction of care management, and efforts to collaborate with health authorities. The book compares how the authorities tackled these issues and examined why they approached the tasks so differently. It also analyses the way in which social services departments have changed in the process and the extent to which we are seeing the end of the 'Seebohm' Departments. Implementing the New Community Care will be of interest to students of social policy, health and social welfare and social work.
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Editorial Reviews

Booknews
Scholars of social policy and administration analyze the response of five local authorities to the British government's introduction of community care in 1990. They focus on three issues: the implementation of the purchaser/provider splits and the creation of a social care market, the introduction of care management, and efforts to collaborate with health authorities. They compare how the one county and the four London boroughs of the study met the challenges, examine why their approaches were so different, and describe the changes in the social service departments themselves. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780335196098
  • Publisher: McGraw-Hill Education
  • Publication date: 6/28/1996
  • Pages: 224
  • Product dimensions: 5.90 (w) x 9.00 (h) x 0.59 (d)

Table of Contents

List of figures and tables
Acknowledgements
1 The purpose of the reforms 1
2 From high politics to local practice 17
3 Paying for community care 28
4 Changes in the structure of social services departments 43
5 Enabling authorities. I: The purchaser - provider split and market information 74
6 Enabling authorities. II: The market for social care 97
7 Care management. I: The idea of care management 120
8 Care management. II: Assessing need and deciding eligibility for service 144
9 Collaboration in community care 165
10 Conclusion: what has changed? 196
Bibliography 210
Index 221
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