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Creating an enabling political environment for health and social care integration
- Author:
- HENDRY Anne
- Journal article citation:
- International Journal of Integrated Care, 16(4), 2016, Online only
- Publisher:
- International Foundation for Integrated Care
The Scottish Parliament recently passed legislation on integrating health and social care in Scotland. In this perspective paper, the clinical lead who supported the development and implementation of national policy on older people, long term conditions and integrated care in Scotland describes how political, policy and professional leaders have together created the right conditions to enable this ambitious change. The author reflects on the respective contributions from innovation, improvement, co-production, financial incentives, and through a clear focus on outcomes for people – whether patients, clients, carers, staff or citizens. The paper discusses how Scotland adapted Kotter’s eight steps for managing change and explores the transferable learning for other regions embarking on system transformation for integrated care.
The false narrative about personal budgets in England: smoke and mirrors?
- Authors:
- SLASBERG Colin, BERESFORD Peter
- Journal article citation:
- Disability and Society, 31(8), 2016, pp.1132-1137.
- Publisher:
- Taylor and Francis
Successive governments have supported ‘personal budgets’ as the route to transforming social care. However, this article outlines how the evidence has been constructed in a way that creates a narrative about personal budgets which is misleading. It is a narrative that continues to dominate the national strategy. The consequence is that the care system remains set in a dysfunctional, two-tier state. For the bottom tier, comprising over 90%, we argue there has not been, nor will there be under the current strategy, any transformation. (Edited publisher abstract)
Laying or delaying the groundwork? a critical framing analysis of Australia’s National Disability Strategy from an implementation planning perspective
- Authors:
- MELLIFONT Damian, SMITH-MERRY Jennifer
- Journal article citation:
- Disability and Society, 31(7), 2016, pp.929-947.
- Publisher:
- Taylor and Francis
National disability strategy implementation is challenging. Competing needs and interests of government and different stakeholders mean that implementation is rarely straightforward. This study undertakes a critical framing analysis of publically available responses to the draft implementation plan for Australia’s National Disability Strategy (2010–2014) provided by five peak disability organisations. The authors seek to understand the frames that peak bodies advocate in order to further the interests of people experiencing disability while mapping these against the broader Australian disability policy context and good policy practice more generally. The research reveals that the peak bodies promote frames which focus on consistency, responsibility, resourcing, inclusivity, co-production, innovation, leadership, accountability and language. In relation to these frames, the final government implementation plan demonstrates a shift in which process-related frames of resourcing and innovation are incorporated into the plan while the other predominantly actor-oriented frames are excluded and thus represented as natural and incontestable. (Edited publisher abstract)
Disconnected relationship values and marriage policies in England
- Author:
- VAN ACKER Elizabeth
- Journal article citation:
- Journal of Social Welfare and Family Law, 38(1), 2016, pp.36-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The article examines relationship values which influence the government’s marriage-related policies. It constructs a framework of core values as the ‘conception of the desirable’ to highlight a central problem for the government: there are many conflicting values that can be identified as potentially relevant. Traditional morality and equality highlight marriage as the ultimate goal for heterosexual and same-sex couples by emphasising responsibility, commitment and stability to encourage and strengthen couple relationships. The articulation of these values associated with celebrating marriage is evident in policies such as transferable tax allowances for married couples and couple relationship education. However, marriage is a public and a private institution which encompasses disconnected values. The article analyses the different values that policy-makers confront by examining evidence from interviews with stakeholders which suggests that marriage-related policies do not necessarily resonate with various actors’ understanding of relationship values. They compete with values such as individual autonomy, the desire for financial security and diverse relationships. (Publisher abstract)
Raising the ambitions and educational attainment of children who are looked after in Wales: strategy
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- Cardiff
This document describes the Welsh Government’s programme and its s key themes to tackle the educational underachievement of children who are looked after. Chapter 1 describes the current legislative and policy position and statistics for children who are looked after; chapter 2 outlines the case for change setting out the performance of the children and the challenges they face; Chapter 3 provides the legislative and policy framework to help support children and promote their educational attainment; and Chapter 4 identifies a range of actions to be taken at all levels to strengthen educational outcomes. (Edited publisher abstract)
How well are we respecting children's rights? The United Nations' verdict 2016
- Author:
- CHILDREN'S RIGHTS ALLIANCE FOR ENGLAND
- Publisher:
- Children's Rights Alliance for England
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- London
Sets out the findings of the UN Committee on the Rights of the Child (the UN Committee) on the state of children’s rights in England. The document highlights the progress the Government has made in improving protection and support for children who have been trafficked; reducing teenage pregnancy; strengthening the law on domestic violence; child protection; protecting girls at risk of female genital mutilation; providing help to parents for the care of young children; reducing the educational achievement gap; and reducing the numbers of children who are put in prison after breaking the law. However, the UN Committee also identified areas that require further work and progress, including: ensuring national and local policies take into account the impact they will have on children; ensuring children and young people are listened to and their views considered when a decision is being made that will affect them; addressing the reduction in financial support offered to families with children; ensuring children have a decent place to live; continuity of care for looked after children; children safeguarding and protection; health inequality; support for disabled children and children with special educational needs, including their right to access mainstream schools; and improving policies and support for asylum seeking, refugee and migrant children, trafficked children, and children in trouble with the law. (Edited publisher abstract)
Annual report for the Child Poverty Strategy for Scotland
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2016
- Pagination:
- 59
- Place of publication:
- Edinburgh
This document is the third annual report that relates to the revised Child Poverty Strategy for Scotland (2014), and the sixth annual report in relation to the first Child Poverty Strategy for Scotland, published in 2011. Chapter 2 details progress, both before and after housing costs, against the four income-based measures that formed the basis of the Child Poverty Act 2010 targets. It shows that in 2014/15, 17% of children in Scotland were in relative poverty before housing costs – 160,000 children. This was an increase from 14% the previous year, with 20,000 more children in poverty in 2014/15. After housing costs, 22% of children were in relative poverty – 220,000 children. 16% were living in absolute poverty before housing costs – an increase from 14% the previous year, with 10,000 more children living in absolute poverty in 2014/15. After housing costs, 12% of children in Scotland were living in low income and material deprivation – 120,000 children. Chapters 3-5 report progress in relation to the Child Poverty Measurement Framework for Scotland, focusing on three outcomes: pockets - maximising financial resources of families on low incomes; prospects - improved life chances of children in poverty; and places - children from low income households live in well-designed, sustainable places. (Edited publisher abstract)
Troubled families: progress review: thirty-third report of session 2016-17: report, together with formal minutes relating to the report
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Committee of Public Accounts
- Publisher:
- Great Britain. House of Commons
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- London
Examines the state of evidence on the impact of the Troubled Families programme and the Department for Communities and Local Government’s approach to presenting and communicating the evaluation results. The report criticises the Department’s delayed publication of the evaluation of the programme, which has failed to provide consistent evidence that the programme had any significant impact at this stage. The report also observes that the terminology used by the Department overstated the success of the Troubled Families programme in transforming the lives of families and that it has not demonstrated that the programme has provided genuine financial savings. Furthermore, the report suggests that the payment by results framework led to some councils attempting to move families through the programme quickly, potentially at the expense of reduced quality of support. (Edited publisher abstract)
The government response to the ninth report from the Home Affairs Select Committee session 2016-17 HC 390: female genital mutilation: abuse unchecked
- Author:
- GREAT BRITAIN. Home Office
- Publisher:
- Great Britain. Home Office
- Publication year:
- 2016
- Pagination:
- 24
- Place of publication:
- London
Outlines the government’s response to the recommendations in the Home Affairs Select Committee's 2016 follow-up report on female genital mutilation (FGM). Committee recommendations included: improving the collection of information on prevalence of, and attitudes to, FGM; improving frontline clinicians mandatory recording of FGM and the introduction of stronger sanctions for the failure to meet the mandatory reporting responsibility; for Personal, Social, Health and Economic (PHSE) education to be made compulsory and include teaching children about FGM in particularly high prevalence areas; and provision of adequate resources to groups working and campaigning within communities where FGM is practised. The document also provides a summary of what the Government has achieved to date in tackling FGM. (Edited publisher abstract)
Working together to safeguard people: volume 3: adult practice reviews. Social Services and Well-being (Wales) Act 2014
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2016
- Pagination:
- 48
- Place of publication:
- Cardiff
This statutory guidance sets out arrangements for multi-agency adult practice reviews in circumstances of a significant incident where abuse or neglect of an adult at risk is known or suspected. The overall purpose of the review system is to promote a positive culture of multi-agency adult protection learning and reviewing in local areas, for which Boards and partner agencies hold responsibility. The guidance covers: the principles underpinning the new arrangements, the learning and review framework, the implications for Safeguarding Adults Boards, multi-agency professional forums, concise child practice reviews, extended practice reviews, and applying the review process to historic abuse. Annexes include templates to help streamline communication and reporting during the process of an adult practice review, an example of terms of reference for an adult practice review, and a summary timeline which demonstrates how the review process can be used by Boards in circumstances of historic organised and multiple abuse. (Edited publisher abstract)