Thirteen Individualised funding for older people and the ethic of care
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Philippa Locke
and Karen West
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.
Chapters in this book
- Front Matter i
- Contents iii
- Notes on contributors v
-
Continuities and change in UK social policy
- Behaviour, choice, and British pension policy 3
- Coalition health policy: a game of two halves or the final whistle for the NHS? 23
- Citizenship, conduct and conditionality: sanction and support in the 21st-century UK welfare state 41
- Housing policy in the austerity age and beyond 63
-
Contributions from the Social Policy Association Conference 2015
- ‘Progressive’ neo-liberal conservatism and the welfare state: incremental reform or long-term destruction? 89
- Exploring out-of-work benefit claimants’ attitudes towards welfare reform and conditionality 105
- The Troubled Families Programme: in, for and against the state? 127
- What counts as ‘counter-conduct’? A governmental analysis of resistance in the face of compulsory community care 147
-
Individualised budgets in social policy
- Social insurance for individualized disability support: implementing the Australian National Disability Insurance Scheme (NDIS) 173
- Right time, right place? The experiences of rough sleepers and practitioners in the receipt and delivery of personalised budgets 191
- Personal health budgets: implementation and outcomes 211
- Personalised care funding in Norway: a case of gradual co-production 233
- Individualised funding for older people and the ethic of care 251
- Index 269
Chapters in this book
- Front Matter i
- Contents iii
- Notes on contributors v
-
Continuities and change in UK social policy
- Behaviour, choice, and British pension policy 3
- Coalition health policy: a game of two halves or the final whistle for the NHS? 23
- Citizenship, conduct and conditionality: sanction and support in the 21st-century UK welfare state 41
- Housing policy in the austerity age and beyond 63
-
Contributions from the Social Policy Association Conference 2015
- ‘Progressive’ neo-liberal conservatism and the welfare state: incremental reform or long-term destruction? 89
- Exploring out-of-work benefit claimants’ attitudes towards welfare reform and conditionality 105
- The Troubled Families Programme: in, for and against the state? 127
- What counts as ‘counter-conduct’? A governmental analysis of resistance in the face of compulsory community care 147
-
Individualised budgets in social policy
- Social insurance for individualized disability support: implementing the Australian National Disability Insurance Scheme (NDIS) 173
- Right time, right place? The experiences of rough sleepers and practitioners in the receipt and delivery of personalised budgets 191
- Personal health budgets: implementation and outcomes 211
- Personalised care funding in Norway: a case of gradual co-production 233
- Individualised funding for older people and the ethic of care 251
- Index 269