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History and hindrance: the impact of change and churn on integrating health and social care
- Author:
- JONES Ray
- Journal article citation:
- Research Policy and Planning, 28(3), 2011, pp.199-206.
- Publisher:
- Social Services Research Group
Over the last 40 years progressive UK governments have sought to close the divide between health and social care services. This divide has existed since the 1940s when the welfare state was first being developed. Since the 1970s, various mechanisms have been introduced to get these services working better together. Since the late 1990s, there have been moves to integrate the services organisationally, but in 2010, this still remains a largely unachieved ambition for all political parties. This article suggests that existing government-demanded NHS and local government reorganisations have been major hurdles to this integration. They have disrupted local commitment to bring health and social care services together. The author concludes that centrally-imposed organisational change have undermined local health and social care integration, and this failing must be addressed.
An integrated inspectorate – a time and a place. Care and Social Services Inspectorate Wales: a case study
- Author:
- PICKFORD Rob
- Journal article citation:
- Research Policy and Planning, 27(3), 2009, pp.199-204.
- Publisher:
- Social Services Research Group
This paper is concerned with the role and the place of inspection and regulation in securing improvement, and how inspectorates can contribute more widely to the improvement agenda. It examines how one inspectorate has tackled the creation of an integrated inspectorate. Since 2002, there had been 2 inspectorates in Wales for social services and social care, but, in April 2007, these inspectorates were integrated and Care and Social Services Inspectorate Wales (CSSIW) was born. The key driver for the new arrangements was to create an integrated view of social services and social care. The aim was not simply an integrated inspectorate but, rather, an integrated approach to the way in which inspection contributed to the delivery of services that met the policy agenda of Wales. The new model, called the ‘circle of care’, provides the single inspectorate with an overview of social services and care from commissioning through contracting to assessment and care management, to provision and into leadership and management. The immediate effect was to dissolves the boundary between the traditional activities of regulation and inspection. The article describes how the integrated CSSIW has played a major part in changing the relationship between the inspectorate, the inspected bodies, and the nature of inspection.
Complexity, connectivity, and management information systems: new possibilities for understanding social care
- Author:
- DOWNS Clive G.
- Journal article citation:
- Research Policy and Planning, 25(2/3), 2007, pp.93-102.
- Publisher:
- Social Services Research Group
Complexity research is a relatively new discipline that has developed from advances in biology, physics, computer science, and the social sciences. Organizations providing social care can be seen as complex systems, and the new perspective of complexity may give insights that will enable policy-makers and managers to make the provision of social care more effective. This article presents data from a survey of social care that has a 'Zipf-type' distribution, characteristic of complex systems. The article also considers the ontotology of social care organisations, and the relevance of this in complexity research.
The partnership initiative in nursing and social services: practical collaboration in services for older people
- Author:
- LYMBERY Mark
- Journal article citation:
- Research Policy and Planning, 23(2), 2005, pp.87-97.
- Publisher:
- Social Services Research Group
This paper reports on the Partnership Initiative in Nursing and Social Services (PINSS), a project that placed community nurses within social services Assessment and Care Management Teams (ACTMs) within two Social Services Departments (SSDs) within the East Midlands. The project aimed to assess the impact of the nurses on the social services environment and the parallel effects on the nurses of working in such contexts. The paper observes that the nurses had a positive impact within the ACTMTs and they reported having found the experience both stimulating and valuable for their own development. Although the project was felt to have been highly successful, questions remain about the extent to which the location of community nurses within social services assessment and care management teams represents the best way forward for inter-professional working in social and health care for older people.
Issues and debates: health and social care services and the National Assembly of Wales
- Author:
- DRAYFORD Mark
- Journal article citation:
- Research Policy and Planning, 17(2), 1999, pp.2-4.
- Publisher:
- Social Services Research Group
The author looks at the new National Assembly of Wales and its approach to policy development in health and social care services.
Social work, primary care and organisational and professional change
- Author:
- SIMIC Paul
- Journal article citation:
- Research Policy and Planning, 15(1), 1997, pp.1-7.
- Publisher:
- Social Services Research Group
Looks at how the NHS and Community Care Act has brought about revolutionary changes for health and social care. Organisational trends in social services departments moving from providers to market managers, the broader trend within organisations to have a more arms length relationship with a more self-reliant workforce, and the specific development of 'primary care' as a dominant force in the health arena provide lessons for the immediate future of the profession of social work. Argues that there are opportunities for social work to reinvigorate itself as a profession as a result of these organisational changes.
Making a doughnut without dough: managing local government reorganisation: experiences from the first Hybrid County
- Authors:
- COZENS Andrew, JOHNSON Jean
- Journal article citation:
- Research Policy and Planning, 14(1), 1996, pp.79-84.
- Publisher:
- Social Services Research Group
Outlines the theoretical approach to, and practical reality behind, the transfer of the social services function from North Yorkshire County Council to City of York Council and the impact on the continuing County Council.
Contract culture or anarchy? Evaluation and the voluntary sector
- Author:
- BARRITT Adrian
- Journal article citation:
- Research Policy and Planning, 11(1/2), 1994, pp.10-16.
- Publisher:
- Social Services Research Group
Describes in outline six approaches to monitoring and evaluation. It focuses particularly on the voluntary sector, and assesses the growing pressure to evaluate from within utilitarian frameworks. It considers possible dangers stemming from the combined effects of this pressure and the centrally-imposed "contract culture" and suggests that other approaches can make an equal contribution to organisational creativity and effectiveness.
Community Health Councils: an effective mechanism for representing consumers in the NHS?
- Author:
- BUCKLAND Sarah
- Journal article citation:
- Research Policy and Planning, 11(1/2), 1994, pp.17-23.
- Publisher:
- Social Services Research Group
This paper explores the role of Community Health Councils (CHCs) within the changing NHS. It draws on preliminary findings from a national ESRC funded research project and identifies five possible 'types' of CHCs. The paper looks at the different approaches adopted by two CHCs and discusses the influence that they have on decision-making within their health authorities. The paper identifies the kinds of decisions CHCs have to make over how and which 'consumers' to consult, as well as decisions over the nature of their relationship with the health authority.
Managing the transition to community care: an explanatory study of six local authorities in England
- Authors:
- OSBORNE Stephen P., REES Leighton
- Journal article citation:
- Research Policy and Planning, 10(1), 1992, pp.6-9.
- Publisher:
- Social Services Research Group
Reports on a brief exploratory study of six local authorities in England and their efforts to manage the changes required to their services by the NHS & Community Care Act 1990. Discusses the diversity of approaches being employed and the concerns of those whose role it is to manage the transition.