Drawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. In the process, it identifies a ‘lost decade’ in which policy makers failed to act on the warnings which they received in 2010, draws attention to the disproportionate impact of cuts on older people (compared to services for people of working age) and calls for urgent action before the current system becomes unsustainable.

The study explored the lived experiences of people with injury events in their residential environment. Participants were 65 people with disabilities and chronic diseases in Sweden with residential living injuries (females = 40 (61.5%), men = 25 (38.5%), age range 20–90 year old). They completed qualitative interviews on their experiences of injury events in their residential environment. Thematic analysis of the data yielded evidence to suggest the following issues: (1) individual coping resource preferences; (2) support services; and (3) family engagement needs. Participants coped utilizing positive reframing of their living with injury and the incidents they experienced. Social support functions were important for safety in the housing environment. Rather disconcerting is the fact that participants would not always tell their social network about the risks and injuries they experienced.

This article argues that a new understanding of the indivisibility of human rights has emerged through the Convention on the Rights of Persons with Disabilities (CRPD). The CRPD has blurred the distinction between civil and political rights, on the one hand, and economic and social rights, on the other. After showing how this distinction has been blurred in the Convention, the article critically analyses the impact this has had on the concept of indivisibility, as well as its consequences for international human rights law more generally. It shows that there is now a shift away from a preoccupation with different categories of rights and towards concern for the real and actual enjoyment of human rights.

This article contributes to the search for suitable approaches to combat social exclusion faced by disabled people in capitalist wage labour markets. Referring to policy and service examples in Hong Kong, it reviews four social exclusion approaches – the Moral Underclass (MUD), Social Integrationist (SID), Redistributive (RED) and Collective Production (COP) approaches. These approaches are explored in relation to three key issues: (1) the diverse preferences of disabled people; (2) the myth of infeasibility regarding unconventional approaches and (3) the defects of the medical model of disability. The article argues that the MUD and SID approaches are more associated with the medical model of disability and emphasise individual changes. The RED and COP approaches contain more features of the social model of disability and are in favour of social and structural changes. The COP approach stresses the diverse preferences of disabled people and supports innovative services to combat social exclusion.

Choice is central to developments in many areas of welfare. Making choices, for example about health, social care, employment and housing, can be very emotional. This article draws on theories from experimental psychology and behavioural economics to analyse empirical evidence from a longitudinal, qualitative study of support-related choices. It argues that if people are expected to make emotion-laden choices, and to minimise negative aspects associated with the process of making a choice, they need to be supported in doing so. It contributes to the limited evidence and debate to date about the process costs to individuals of choice.

The focus of this article is on the ways in which emotions are engaged in the discursive construction and treatment of disabled people in receipt of social security benefits. The article draws upon the literature related to the social importance of emotions and that concerned with moral boundary drawing. It argues that the evocation of emotional reactions is crucial in understanding the ways in which changes to out-of-work benefits for disabled people (the development of Employment and Support Allowance) have recently been effected and the ways in which this has reflected a desire to more closely denote those judged able and not able to work in a redrawing of the ‘disability category’. While this has been done in the name of ‘inclusion’, the article concludes that its consequences are, in various ways, the ‘exclusion’ and stigmatisation of disabled people.

The costs of higher education in the UK have shifted increasingly from the state to the student (and students' families). In 1998, a fee contribution of £1,000 per annum was introduced for new entrants to full-time degree courses. This paper examines its effect on debt, term-time employment and student satisfaction. The analysis uses data from a survey of two cohorts of students and identifies how the impact varied with student and course characteristics. Fees led to an increase in student debt (particularly for disabled students and for students who did not receive financial support from their families) and a decline in student satisfaction. No general impact on term-time employment was identified, but term-time employment increased for students who did not receive financial support from their families. Whilst for these two groups inequality was increased, fees appeared to lead to greater equality, in terms of term-time employment, between children of graduate and non-graduate parents. The paper discusses the implications for the introduction of top-up fees in 2006.