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- Author or Editor: Matthew Graham x
The interface between mental capacity and mental health legislation can present a challenge for decision making. It requires a depth of thinking and a viewpoint that goes beyond a legalistic one. The reader is invited to reflect on the spirit of the legislation and on their own position and interpretations. There is an emphasis on emancipatory, values-based practice and a focus on choice. The chapter supports professionals to frame their own decision-making orientation and to use existing models, practice, policy and legal imperatives to support this. The chapter suggests that practitioners need to strike a balance between enabling people and sanctioning people, and that balance sits on a very fine line. The chapter therefore asks the reader to be aware of professional, organisational and legal boundaries and frames and to acknowledge and understand the complexities and nuances of decision making. Historical, contemporary and future frames are addressed.
The current process of devolving powers within England constitutes a significant change of governance arrangements. This process of devolution has been widely criticised for including insufficient consultation. This paper assesses whether that criticism is fair. Modifying Archon Fung’s framework for the analysis of public participation mechanisms, we begin by considering whether the depth of public engagement has been limited. Then, by comparing these consultation practices with other examples (including one we have ourselves trialled in pilot experiments), we find that deeper forms of public engagement would have been both possible (though at some financial cost) and productive.
Critics of Universal Basic Income (UBI) have claimed that it would be either unaffordable or inadequate. This discussion paper tests this claim by examining the distributional impacts of three UBI schemes broadly designed to provide pathways to attainment of the Minimum Income Standard (MIS). We use microsimulation of data from the Family Resources Survey to outline the static distributional impacts and costs of the schemes. Our key finding is that even the fiscally neutral starter scheme would reduce child poverty to the lowest level achieved since 1961 and achieve more than the anti-poverty interventions of the New Labour Governments from 2000. The more generous schemes would make further inroads into the UK’s high levels of poverty and inequality, but at greater cost. We conclude by assessing fiscal strategies to reduce the up-front deficit of higher schemes, providing a more positive assessment of affordability and impact than critics have assumed.