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New Approaches for Young People Affected by Extra-Familial Risks and Harms

EPDF and EPUB available open access under CC-BY-NC-ND licence.

Based on the findings of the Innovate Project, a four year pan-UK study to identify the processes of innovation in care this book asks: how can services be re-envisioned and transformed through innovation? The authors provide an overview of the project findings and offer insights into the core conditions necessary for socially just and practice-congruent social care innovation.

Essential reading for anyone engaged in social care practice and innovation, as well as those undertaking continuing professional development, this book will aid the reader in developing a conceptual understanding of their experiences and support them in designing more informed responses to the challenges they face.

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A New Road to Reform

What lies behind England’s crisis in adult social care, why has real change been so hard and what can be done?

Ensuring effective, sustainable and affordable care and support for people of all ages is an urgent public policy challenge. This vital book outlines a different vision of social care as an essential part of the country’s economic and social infrastructure that enables people to live good lives.

Drawing on the history of social care, international comparisons and lived experience, it sets out a different road to reform that will secure political traction and public support for change.

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155 10 Social care Introduction It may be asserted that, with rare exceptions, we are all both receivers of care and givers of care. This assertion points us towards some of the issues involved in identifying social care policies. First, there are many situations in which care is not seen as a public issue that calls for public policies. In this respect caring occurs in many contexts as a private concern, given and received in the context of human bonds and relationships. Second, where social care is seen as a public issue it is very often in a context in

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Section 1 Ethics: Research and provision in health and social care

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in Ethics

Section 2 Law, management and ethics in health and social care

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in Ethics

To assess and compare the four care systems of the four nations of the UK it is important to have a clear sense of what they are trying to achieve. In this chapter we focus on how policy documents in the four systems frame social care, and how care policy supports the aim of improving social care. This is what Pollitt (2002) calls the discursive aspect of convergence (or divergence). We look at what policy makers have set out in the documents as being their vision of sustainable care and a good life for people with care needs (in other words, the ends of

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process of policy-making but also to the types of policies that have been favoured. In this chapter we look at the challenges of social care reform, and why the four nations have not been able to achieve more change over the period despite the clear commitment across a series of policy documents to do so. We consider the patterns of divergence and convergence in relation to social care policy. We compare an incremental versus transformative approach to care reform, and highlight how both of these approaches must still resolve the challenges of implementation. We also

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“When I use a word,” Humpty Dumpty said, in rather a scornful tone, “it means just what I choose it to mean – neither more nor less.” “The question is,” said Alice, “whether you can make words mean so many different things.” “The question is,” said Humpty Dumpty, “which is to be master – that’s all.” Lewis Carroll, Through the Looking Glass What is it? It is surprising that, despite all the attention social care has received in the media and by policy-makers, it is hard to pin down a clear definition of what the term actually means ( Smith et

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Social care detention, and its growing reach into the lives of older and disabled citizens and their caregivers, is one of the most striking socio-legal phenomena of the 21st century. Following the Supreme Court’s ruling in Cheshire West , the ambit of legal machinery designed to regulate institutional carceral care has broken free of its conceptual moorings and stands poised to regulate care arrangements far removed from formal ‘institutions’, producing paradoxical outcomes and practical dilemmas explored throughout this book. By naming this socio

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Introduction: from slow collapse to urgent crisis In writing a book on adult social care policy in the four nations of the UK, we were researching systems that observers said were ‘in crisis’ ( Dahl, 2021 ), at a ‘tipping point’ ( O’Dowd, 2016 ) and ‘approaching collapse’ ( Dayan and Heenan, 2019 ). Over the 25 years since different care systems developed in England, Scotland, Wales and Northern Ireland, they came to be seen as first, under strain and then, in crisis. This was a gradual collapse – a sense that things couldn’t continue as they were

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