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129 SEVEN unpaid carers and adult social care provision overview As has been the case historically, in the UK most caring is unpaid and provided by families. This chapter examines the issues relating to this population, the current policies for unpaid carers and the implications of recent proposals for adult provision. It discusses the concept of ‘choice’ and whether the choice agenda with regard to social care extends to unpaid carers. It considers developments with regard to carers’ rights and entitlements and examines the financial implications for

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145 EIGHT Good practice in health and social care provision for LGBT older people in the UK Sue Westwood, Andrew King, Kathryn Almack, Yiu-Tung Suen and Louis Bailey VIGNETTE Laura, Gary, Bridget, Chris and Theresa have been referred to social services. Laura is an 83-year-old White British lesbian. Her civil partner died last year and she now lives alone in their large multi-storey house in a rural area. She has several private pensions. Her eyesight is deteriorating and she can no longer drive. She is lonely and depressed. Gary is a single 70-year

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Editors: and

This book charts the change, critically evaluating progress, take-up, inclusion and access to direct payments by different user groups. With contributions from leading campaigners, academics, practitioners, direct payment users and personal assistants, the book provides an overview of the history of direct payments; presents findings from key research into direct payments and disabled people, older people, carers, people with mental health problems, people with learning difficulties and disabled children; discusses the implementation and development of direct payments provision and compares developments in the UK with those in North America.

Developments in direct payments is an important source of information for social work students and practitioners and others working in the field of health and social care. The useful, up-to-date evidence and discussions relating to care, independence and control will also be of interest to users and providers of help and support.

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Advocacy, justice and empowerment

What is true advocacy? How can advocacy be evaluated? Should there be practice standards in advocacy?

As advocacy moves into the mainstream of health and social care provision, and the prospect of a legal right to advocacy inches closer, so the need to scrutinise key values and practices in advocacy becomes urgent. Although advocacy is widely acclaimed as a ‘good thing’, there is little agreement as to how it should be implemented, funded or evaluated.

A right result?: reviews the range of third party advocacy provision and practice in the UK; addresses key issues facing the contemporary advocacy movement, such as the need for independence, developing quality standards and security of funding; suggests viable ways forward; moves beyond the partisan tendency to champion one kind of advocacy to offer an inclusive account of different styles.

Through this inclusive approach, the book offers the first comprehensive analysis of the benefits of advocacy.

A right result? is required reading for anyone with an interest in advocacy and the rights of disempowered people, particularly individuals and agencies with a stake in the promotion and development of advocacy services and schemes in the UK.

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Contemporary policy and practice

Adult social care has emerged as a distinct policy area in the UK and one which has come under increasing scrutiny by government and other bodies. With the expectation that in future many more adults will need care and support, ideas have emerged about a ‘transformation’ of adult social care.

The focus of this wide-ranging book is on the major themes in policy and provision including personalisation, integration, user participation, the cost of long term care, risk and safeguarding, care quality and workforce issues and is one of the first texts to deal with adult social care as a distinct entity and is an up-to-date source on contemporary government policies, debates and research. The book encourages readers to think critically about decisions being made and about the direction of future policy.

The accessible book will be a valuable resource for undergraduate students in Social Policy, Health and Social Care, and Social Work, those taking advanced vocational qualifications in social care and practitioners.

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The Privatisation of Adult Social Care in England

Adult social care was the first major social policy domain in England to be transferred from the state to the market. There is now a forty-year period to look back at to consider the thinking behind the strategy, the impacts on commissioners and providers of care, on the care workforce and on those who use care and support services.

In this book, Bob Hudson meticulously charts these shifts. He challenges the dominant market paradigm, explores alternative models for a post-Covid-19 future and locates the debate within the wider literature on political thinking and policy change.

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International perspectives in social work
Editors: and

This ground-breaking book examines inequalities experienced by LGBT people and considers the role of social work in addressing them.

The book is organised in three parts: the first provides a policy context in four countries, the second examines social work practice in tackling health inequalities, and part three considers research and pedagogic developments. The book’s distinctive approach includes international contributions, practice vignettes and key theoretical perspectives in health inequalities, including social determinants of health, minority stress, ecological approaches and human rights.

Lesbian, gay, bisexual and trans health inequalities is relevant to social work educators, practitioners and students, alongside an interdisciplinary audience interested in LGBT health inequalities.

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Public Health and Social Care Policy in England During the First Wave

Providing an account of the policy response to COVID-19 in England, this book analyses the political and long-term systemic factors associated with the failures to control the first wave of the pandemic during 2020.

It explores the part played by key policy actors, particularly politicians and scientists, and focuses on two difficult policy issues during the first wave: the establishment of a ‘test, trace and isolate’ system and responses to the high death rate in care homes for older people.

Drawing on a wide range of documentary evidence, including parliamentary papers and SAGE minutes, this book draws attention to the importance of longstanding structural problems in public health and the care sector, especially the impact of outsourcing and privatisation.

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Global and National Perspectives

Neoliberal political discourses have normalised the belief in northern European countries that individuals are responsible for their health and wellbeing, regardless of social class, gender or ethnic background.

Drawing on examples from Germany, Sweden and the UK, Simmonds critically examines how the neoliberalisation and marketisation of health and social care have created an adverse environment for older people, who lack social and cultural capital to access the care they need. This crucial analysis scrutinises provision for ageing populations on an individual, national and global level.

Challenging current political and social policy approaches, this rigorous text discusses innovative solutions to contemporary challenges in a complex care system.

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What size is good care?

Shifts to independent delivery of health and social care services have led to increased numbers of micro-enterprises. Could these tiny organisations with just 5 or fewer employees be the best way of delivering cost-effective health and social care services in the context of decreased budgets and increased demands? What size is ‘just right’ for a care provider?

This book explores size as an independent variable in care services, comparing outcomes and value for money across micro, small, medium and large organisations. Using interviews and surveys with 108 people using services and carers in 27 case-study organisations it focuses on the contribution micro-enterprises can make to the care sector.

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