Hostname: page-component-669899f699-7tmb6 Total loading time: 0 Render date: 2025-04-30T19:07:16.481Z Has data issue: false hasContentIssue false
  • English
  • Français

Neo-Liberal Individualism or Self-Directed Support: Are We All Speaking the Same Language on Modernising Adult Social Care?

Published online by Cambridge University Press:  01 July 2009

Alan Roulstone  and
Hannah Morgan
Alan Roulstone
Affiliation:
De Montfort University, Gateway, Leicester E-mail: [email protected]
Hannah Morgan
Affiliation:
Department of Social Work, Lancaster University, Bowland North, Lancaster
Get access Rights & Permissions [Opens in a new window]

Abstract

This article explores recent developments in the modernisation of adult social care through the lens of changes to English day services. Drawing on wider policy debates, it argues that Disabled Peoples' Movement and governmental ideas on self-directed support, although superficially similar, are growing increasingly apart. It is argued that in the absence of adequate funding and exposure to organisations of disabled people, day service recipients risk moving from a position of enforced collectivism to an enforced individualism characteristic of neo-liberal constructions of economic life.

Type
Articles
Information
Social Policy and Society , Volume 8 , Issue 3 , July 2009 , pp. 333 - 345
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Barnes, C. (1990), Cabbage Syndrome: The Social Construction of Dependence, Brighton: Falmer Press.Google Scholar
Barnes, C. and Mercer, G. (2006), Independent Futures: Creating User-Led Disability Services in a Disabling Society, Bristol: The Policy Press.Google Scholar
Bates, P. (2007), ‘Safe and sound’, Mental Health Today, February, 32–34.Google Scholar
Beck, U., Giddens, A. and Lash, S. (1994), Reflexive Modernisation: Politics, Traditions and Aesthetics in the New Modern Social Order, Stanford, CA: Stanford University Press.Google Scholar
Beresford, P., Shamash, M., Forrest, V., Turner, M. and Branfield, F. (2005), Developing Social Care: Service Users’ Vision for Adult Support, London: SCIE.Google Scholar
Bornat, J., Johnson, J., Pereira, C., Pilgrim, D. and Williams, F. (eds.) (1993), Community Care: A Reader, 2nd edn, London: Palgrave Macmillan.Google Scholar
Breakthrough, UK (2007), ‘Policy think tank response to the Life Chances Report’, available at www.breakthrough-uk.comGoogle Scholar
Campbell, J. and Oliver, M. (1996), Disability Politics: Understanding Our Past, Shaping Our Future, London: Routledge.Google Scholar
Care Services Improvement Partnership (CSIP) (2008), Presentation by the Director of Adult Social Care Policy, CSIP, Stadium of Light, Sunderland, February 2008.Google Scholar
Charlton, J.I. (2000), Nothing About Use Without Us: Disability Oppression and Empowerment, California: California University Press.Google Scholar
Commission for Social Care Inspection (CSCI) (2008), The State of Social Care in England 2006–2007, London: CSCI.Google Scholar
Dalton, R. and Keuchler, M. (eds.) (1990), Challenging the Political Order: New Social Movements and Political Movements in Western Democracies, New York: Oxford University Press.Google Scholar
Davey, V., Fernández, J.L., Knapp, M., Vick, N., Jolly, D., Swift, P., Tobin, R., Kendall, , Ferrie, J., Pearson, C., Mercer, G. and Priestley, M. (2006), ‘Direct payments: a national survey of direct payments policy and practice’, available at: http://www.pssru.ac.uk/pdf/dprla.pdf (accessed 14/03/08).Google Scholar
Dean, H. (2007), ‘The ethics of welfare-to-work’, Policy and Politics, 35, 4, 573–90.CrossRefGoogle Scholar
Department of Health (DoH) (2001), Valuing People: A New Strategy for Learning Disability for the 21st Century, CM 5086, London: Department of Health.Google Scholar
Department of Health (DoH) (2002), Towards Person Centred Approaches: Guidance for Implementation Groups, London: Department of Health.Google Scholar
Department of Health (DoH) (2003), Fair Access to Care, London: Department of Health.Google Scholar
Department of Health (DoH) (2005), Independence, Wellbeing and Choice: Our Vision for the Future of Social Care for Adults in England, Green Paper, London: Department of Health.Google Scholar
Department of Health (DoH) (2006), Our Health, Our Care, Our Say: A New Direction for Community Services, White Paper, London: Department of Health.Google Scholar
Department of Health (DoH) (2007a), Putting People First: A Shared Vision and Commitment to the Transformation of Adult Social Care, London: Department of Health.Google Scholar
Department of Health (DoH) (2007b), Independence, Choice and Risk: A Guide to Best Practice in Supported Decision Making, London: Department of Health.Google Scholar
Driedger, D. (1989), The Last Civil Rights Movement, London: Hurst & Co. and Disabled Peoples’ International.Google Scholar
Durkheim, E. (1893), On the Division of Labour in Society, New York: Free Press.Google Scholar
Finkelstein, V. (1987), ‘Disabled people and our cultural development’, Paper presented at the first annual meeting of Disability Arts in London, Published in DAIL No. 8.Google Scholar
Glasby, J. and Littlechild, R. (2002), Social Work and Direct Payments, Bristol: The Policy Press.Google Scholar
Glasby, J. (2005), ‘Direct payments and the social model of disability’, Social Work and Social Science Review, 12, 2, 48–58.Google Scholar
Glasby, J. and Littlechild, R. (2006), ’An Overview of the Implementation and Development of Direct Payments’, in Leece, J. and Bornat, J. Developments in direct payments, Bristol: The Policy Press.CrossRefGoogle Scholar
Glendinning, C., Challis, D., Fernandez, J., Jacobs, S., Jones, K., Knapp, M., Manthorpe, J., Moran, N., Netten, A., Stevens, M. and Wilberforce, M. (2008), ‘Evaluation of the individual budgets pilot programme: final report’, Social Policy Research Unit, University of York, York.Google Scholar
Gordon, G., Goward, P., Richardson, M. and Ramcharan, P. (2006), Learning Disability: A Life Cycle Approach to Valuing People, Maidenhead: Open University Press.Google Scholar
Griffiths, R. (1988), Community Care: Agenda for Action, London: HMSO.Google Scholar
Henwood, M. and Hudson, B. (2007), ‘Here to stay? Self-directed support: aspiration and implementation’, Report Commissioned by the Department of Health, Melanie Henwood Associates, Towcester.Google Scholar
HM Government (2003), ‘Community Care (Direct Payments) Act 2003’, Statute.Google Scholar
Holman, A. and Collins, J. (1997), Funding Freedom: A Guide to Direct Payments for People with Learning Difficulties, London: Values into Action.Google Scholar
House of Lords Select Committee on Health (2007), Proceedings, London: House of Lords Library.Google Scholar
Hurstfield, J., Parashar, U. and Schofield, K. (2007), The Costs and Benefits of Independent Living, Leeds: Department for Work and Pensions.Google Scholar
Ibsen Consortium (2007), ‘Individual budgets evaluation: a summary of early findings’, Study for the Department of Health, available at www.ibsen.org.uk.Google Scholar
Inglehart, R. (1990), ‘Values ideology and cognitive mobilisation in new social movements’, in Dalton, R. and Keuchler, M. (eds.), Challenging the Political Order: New Social. Movements and Political Movements in Western Democracies, New York: Oxford University Press.Google Scholar
Ivory, M. (2008), ‘Do you believe in ULOs?’, Community Care, 27 March, 24–7.Google Scholar
Kings Fund Centre (1984), An Ordinary Working Life: Vocational Services for People with Mental Handicap, London: King's Fund.Google Scholar
Komter, A. (2005), Social Solidarity and the Gift, New York: Cambridge University Press.Google Scholar
Leece, J. and Bornat, J. (eds.) (2006), Developments in Direct Payments, Bristol: Policy Press.Google Scholar
Levitas, R. (1998), The Inclusive Society? Social Exclusion and New Labour, Basingstoke: Palgrave.Google Scholar
Linton, S. (2007), My Body Politic, Michigan: Michigan University Press.Google Scholar
Local Government Association (2008), ‘Fair care campaign speech’, 7 February, available at www.lga.gov.ukGoogle Scholar
Lukes, S. (1973), Individualism, Oxford: Blackwell.Google Scholar
Malhotra, R. (2005), ‘The politics of the disability rights movements’, New Politics, 8, 3, 3–6.Google Scholar
Marx, K. and Engels, F. (1948[1992]), Manifesto of the Communist Party, Oxford: Oxford University Press.Google Scholar
Morris, J. (2008), ‘Inside the belly of the beast’, Conference keynote, Disability Studies Association Conference, 3–5 September, Lancaster.Google Scholar
National Centre for Independent Living (NCIL) (2006), ‘Review of adult social care’, National Centre for Independent Living, available at http://www.ncil.org.ukGoogle Scholar
National Centre for Independent Living (NCIL) (2007), ‘Spending review 2007: cuts in adult social care set to continue’, National Centre for Independent Living, available at: http://www.ncil.org.uk/press-releases.asp?action = view&id = 59 (accessed 13/11/08).Google Scholar
National Social Inclusion Programme (2008), From Segregation to Inclusion: Where Are We Now? A Review of Progress Towards the Implementation of the Mental Health Day Services Commissioning Guidance, London: Department of Health and National Social Inclusion Programme.Google Scholar
Office for Disability Issues (2008), Independent Living: A Cross-Government Strategy about Independent Living for Disabled People, Office for Disability Issues, London: TSO.Google Scholar
Oliver, M. (1990), Politics of Disablement, Basingstoke: Macmillan.Google Scholar
Oliver, M. and Barnes, C. (2008), ‘Talking about us without us? A response to Neil Crowther’, Disability and Society, 23, 4, 397–399.CrossRefGoogle Scholar
Prime Minister's Strategy Unit (PMSU) (2005), Improving the Life Chances of Disabled People, Final Report, London: PMSU.Google Scholar
PSSRU (2006), Unit Cost of Health and Social Care, Kent: PSSRU.Google Scholar
Riddell, S., Pearson, C., Jolly, D., Barnes, C., Priestley, M. and Mercer, G. (2005), ‘The development of direct payments in the UK: implications for social justice’, Social Policy and Society, 4, 1, 75–85.Google Scholar
Roulstone, A. (2000), ‘Disability, dependency and the new deal for disabled people’, Disability and Society, 15, 3, 427–43.CrossRefGoogle Scholar
Sapey, B. and Pearson, J. (2004), ‘Do disabled people need social workers?’, Social Work and Social Science Review, 11, 3, 52–70.Google Scholar
Shakespeare, T. (2006), Disability Rights and Wrongs, London: Routledge.Google Scholar
Smith, A. (1776[1976]), An Inquiry into the Nature and Causes of the Wealth of Nations, Chicago: University of Chicago Press.Google Scholar
Whittaker, A. and McIntosh, B. (eds.) (2000), Unlocking the Future, London: King's Fund.Google Scholar
Williams, V. and Holman, A. (1993), ‘“It's about your life”: people with learning difficulties and direct payments’, in Bornat, J., Johnson, J., Pereira, C., Pilgrim, D. and Williams, F. (eds.), Community Care: A Reader, 2nd edn, London: Palgrave Macmillan.Google Scholar
Woodin, S. L. (2006), ‘Social relationships and disabled people: the impact of direct payments’, unpublished Ph.D., University of Leeds.Google Scholar