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Thirteen Individualised funding for older people and the ethic of care

  • Philippa Locke and Karen West
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Social Policy Review 28
This chapter is in the book Social Policy Review 28

Abstract

This chapter uses an ‘ethic of care’ lens to examine individualised funding as a policy response to the provision of older people’s care. Approaches based on care ethics highlight the necessity of care to the human condition, and offer alternative conceptualisations of autonomy and dependence based in relationality. In the chapter the authors argue that when it comes to the care of older people, the stark ‘line in the sand’ between autonomy and paternalism that the current discourse of rights-based personalisation and individualised funding marks out, is hard to discern and is an inadequate basis for care policy for people in later life. It is not simply a matter of ensuring that personal budgets deliver ‘real choice and control’ for older people, but also one of enabling responsive caring relationships.

Abstract

This chapter uses an ‘ethic of care’ lens to examine individualised funding as a policy response to the provision of older people’s care. Approaches based on care ethics highlight the necessity of care to the human condition, and offer alternative conceptualisations of autonomy and dependence based in relationality. In the chapter the authors argue that when it comes to the care of older people, the stark ‘line in the sand’ between autonomy and paternalism that the current discourse of rights-based personalisation and individualised funding marks out, is hard to discern and is an inadequate basis for care policy for people in later life. It is not simply a matter of ensuring that personal budgets deliver ‘real choice and control’ for older people, but also one of enabling responsive caring relationships.

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