10 Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care
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Catherine Needham
Abstract
Although NHS anniversaries have been widely celebrated, adult social care has tended not to receive the same attention. As a result, the history of adult social care is largely overlooked – and even people working in adult social care may know little about the origins and evolution of their current services and roles. Using the four analytical axes set out in the introduction to this book, we explore the different forms of governance (hierarchies, markets and networks) which co-exist within adult social care; the mixed economy of care; relationships between the centre and localities; and relationships between the state and professionals (including the position of the bulk of the workforce, who might not meet standard definitions of a ‘profession’). In each case, adult social care is very different to the NHS, making attempts to integrate care – while laudable – extremely difficult to achieve in practice.
Abstract
Although NHS anniversaries have been widely celebrated, adult social care has tended not to receive the same attention. As a result, the history of adult social care is largely overlooked – and even people working in adult social care may know little about the origins and evolution of their current services and roles. Using the four analytical axes set out in the introduction to this book, we explore the different forms of governance (hierarchies, markets and networks) which co-exist within adult social care; the mixed economy of care; relationships between the centre and localities; and relationships between the state and professionals (including the position of the bulk of the workforce, who might not meet standard definitions of a ‘profession’). In each case, adult social care is very different to the NHS, making attempts to integrate care – while laudable – extremely difficult to achieve in practice.
Kapitel in diesem Buch
- Front Matter i
- Contents v
- List of figures and tables vii
- Notes on contributors viii
- Foreword x
- The NHS at 75: an unfolding story 1
- NHS governance: the centre claims authority 21
- Health and care funding at 75 40
- The devolved nations 71
- NHS at 75: general practice through the lens of access 90
- NHS hospitals and the bedpan doctrine: the first 75 years 112
- Quality and the NHS: fair-weather friends or a longstanding relationship? 136
- Improving health and tackling health inequalities: what role for the NHS? 157
- NHS managers at a crossroads: part of the problem or the solution? 177
- Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care 197
- The NHS at 75 in comparative perspective 216
- Our NHS? The changing involvement of patients and the public in England’s health and care system 232
- After 75 years, whither the NHS? Some conclusions 253
- Index 270
Kapitel in diesem Buch
- Front Matter i
- Contents v
- List of figures and tables vii
- Notes on contributors viii
- Foreword x
- The NHS at 75: an unfolding story 1
- NHS governance: the centre claims authority 21
- Health and care funding at 75 40
- The devolved nations 71
- NHS at 75: general practice through the lens of access 90
- NHS hospitals and the bedpan doctrine: the first 75 years 112
- Quality and the NHS: fair-weather friends or a longstanding relationship? 136
- Improving health and tackling health inequalities: what role for the NHS? 157
- NHS managers at a crossroads: part of the problem or the solution? 177
- Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care 197
- The NHS at 75 in comparative perspective 216
- Our NHS? The changing involvement of patients and the public in England’s health and care system 232
- After 75 years, whither the NHS? Some conclusions 253
- Index 270
