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Under strain? Exploring the troubled relationship between health and social care
- Authors:
- GLENDINNING Caroline, HUDSON Bob, MEANS Robin
- Journal article citation:
- Public Money and Management, 25(4), August 2005, pp.245-251.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Relationships between the NHS and social care services over the past 25 years have a poor history. This article examines the strategies that have been used by central government and by local NHS and social care organizations to overcome difficulties of service co-ordination in relation to services for older people and disabled adults. The article is written from the perspective of the NHS. The authors conclude that policies reflecting 'networked' modes of governance may stand the best chance of success, although evidence of improved impact and outcomes still remains scarce.
Buying Independence: using direct payments to integrate health and social services
- Authors:
- GLENDINNING Caroline, et al
- Publisher:
- National Primary Care Research and Development Centre
- Publication year:
- 2000
- Pagination:
- 58p.
- Place of publication:
- Bristol
Shows how disabled people do not make clear distinctions between 'health' and 'social' care. Through direct payments, they are able to control and integrate into their daily routines a wide range of health-related activities, such as physiotherapy and nursing tasks, in ways which offer increased independence and better quality of life, compared with conventional health services. Is extending direct payments to older people and disabled children a shift in the boundary between 'health' and 'social' services? This book explores how direct payments can improve further the integration of services from the perspectives of the users and providers involved.
Negotiating needs, access and gatekeeping: developments in health and community care policies in the UK and the rights of disabled and older citizens
- Authors:
- RUMMERY Kirstein, GLENDINNING Caroline
- Journal article citation:
- Critical Social Policy, 19(3), August 1999, pp.335-351.
- Publisher:
- Sage
This article argues that the cumulative consequences of community care policies in the UK have resulted in a move from universal access to NHS services to discretionary access to residual local authority services. Draws on an empirical study of the experiences of disabled and older people who have tried to gain access to community care assessments.