Textbooks, monographs and policy-focused books on our Health and Social Care list push forward the boundaries of teaching, theory, policy and practice. The list covers areas including global health, health inequalities and research into policy and practice.
Key series include Transforming Care which provides a crucial platform for scholars researching early childhood care, care for adults with disabilities and long-term care for frail older people, and the Sociology of Health Professions, offering high-quality, original work in the sociology of health professions with an innovative focus on their likely future direction. Our leading journal in the area is the International Journal of Care and Caring.
Health and Social Care
This chapter begins by discussing the impacts of the COVID-19 pandemic for adult social care in England. Secondly it places adult social care in England today in context and examines questions of definition and of delivery. Thirdly, it describes the methodological approach taken in the research which formed the basis of this volume. The chapter concludes with an outline of the structure of the book.
Available Open Access digitally under CC-BY-NC-ND licence.
This book provides an in-depth socio-legal examination of adult social care law and policy during the COVID-19 pandemic. It explores the tensions between legislation, policy, economy, and practice in what was already an under-resourced and overstretched sector.
The authors interrogate the vision and utility of the Care Act 2014 and explore the impact of emergency legislation and operational changes implemented during the pandemic. Detailing what happened to social care provision during this time of intense stress and turbulence for people who draw on services, for informal carers, and for those who work in the sector, the book highlights fault-lines in the system.
This is an invaluable resource offering timely lessons for social care reform and future pandemic preparedness planning.
This concluding chapter draws upon the key themes and findings of this book and asks what lessons ought to be learned in the aftermath of the pandemic experience for adult social care pandemic planning and for social care law and policy in general.
This chapter critically examines the controversial Care Act easements that enabled local authorities to depart from certain statutory provisions as ‘a last resort’ when services were compromised by workforce pressures. Based on an empirical study of responses in the West Midlands, it examines the decision-making processes and approaches of a cluster of local authorities which formally operated easements during the early months of the pandemic; it contrasts these with similar strategic and operational changes made by neighbouring local authorities which stated that they were not using easements.
The chapter explores foundational theoretical paradigms which underpin social care law, practice and policy in England. Engaging with these concepts is important to enable us to contexualise the current law, policy and practice in this area and in order to provide a framework for the examination of the efficacy of social care responses to the COVID-19 pandemic in the later chapters. This chapter begins by examining the diverse connotations of the term ‘care’, before moving on to examine how discourse around social care, has engaged with the concepts of fundamental rights, capabilities, and autonomy. Finally, it explores the concept of ‘vulnerability’ which, while contentious, can inform and perhaps ultimately strengthen policy and practice
Chapter 3 explores the legal framework that underpins the regulation of adult social care provision in England today which provides the background for the discussion in subsequent chapters of the approach taken in relation to adult social care provision in England during the COVID- 19 Pandemic. It considers the role of local authorities in relation to social care. It aexamines the statutory duties under the Care Act 2014 in promoting individual well-being. It explores related provisions concerning NHS continuing healthcare and mental health care. It concludes by examining the scrutiny and oversight mechanisms which exist in this area such as the roles played by the Care Quality Commission and Local Government and Social Care Ombudsman.ch
This chapter critically examines what happened in adult social care from the grim winter of 2020 onwards, as local authorities, service providers, and society more broadly tried to adapt to ‘living with COVID’. Drawing upon the findings of our ESRC project it explores ongoing pressures on social care, including longer-term changes to service provision, such as digitalization of services, reductions in day centres, and the crisis in staff recruitment and retention. It asks whether lessons are being learned from the sector’s pandemic experience.
It has been suggested that the COVID-19 pandemic which emerged in 2020 caused unprecedented and unforeseen challenges, including in relation to social care. In this chapter the events of 2020 are set in context of the long standing role of the state in relation to public health emergencies and of the development over the previous 2 decades of emergency legislation and policy applicable in England and multi-agency pandemic planning exercises. This chapter critically examines these developments with specific reference to social care and how these ultimately led to the provisions of the Coronavirus Act 2020 which impacted on the Care Act 2014. It explores the introduction of Care Act ‘easements’ law and policy in 2020, subsequent developments at national level in 202
Drawing on the contributions to this edited collection, this final chapter explores the challenges and opportunities of developing a truly interdisciplinary approach within multi-species dementia studies. By exploring different understandings of what interdisciplinarity is and how to practice it effectively, the chapter provides some tentative suggestions for how we might explore connections in the work of researchers approaching dementia from very different ontological, theoretical and methodological perspectives. In so doing, the chapter highlights the potential for interdisciplinary, multi-species thinking to inform policy and practice approaches to dementia and seeks to encourage others working in dementia to consider how they may cultivate a multi-species, more-than-human approach within their practice.
In this chapter I share my own interspecies family experiences of dementia, end-of-life care and bereavement. I describe how my experiences during the COVID-19 lockdowns helped me to explore and distinguish the concepts of caring for and caring about both humans and non-human animals at the end of their lives. I highlight the extent to which these concepts shape and separate contemporary landscapes in veterinary and medical understandings of end-of-life care. First, I explore the historic loss of an aged pet and the subsequent realisation that my dog would have lived longer in lockdown. Next, I describe the experience of being unable to visit a family member who was living with dementia in a care home during the weeks leading up to their death. I then consider the clinical implications of our capacities to care for and care about both humans and non-human animals at the end of their lives. Finally, this chapter illustrates the value of thinking across the care of human and non-human species to broadening our understanding of the meanings of care at the end of a life, and engages with speculative interests in caring relationships between humans and non-human animals.