Separation of Powers in the UK Social Care System: A 50-Year Perspective

Autor/in	Dowson, Steve
Titel	Separation of Powers in the UK Social Care System: A 50-Year Perspective
Quelle	In: British Journal of Learning Disabilities, 50 (2022) 2, S.228-238 (11 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Dowson, Steve)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1354-4187
DOI	10.1111/bld.12476
Schlagwörter	Public Policy; Social Services; Disabilities; Civil Rights; History; Policy Analysis; Self Advocacy; Medical Evaluation; Health Services; Budgets; Financial Support; Foreign Countries; United Kingdom + Suchen Sie Ihr Suchwort? Öffentliche Ordnung; Social service; Soziale Dienstleistung; Soziale Dienste; Handicap; Behinderung; Bürgerrechte; Grundrechte; Zivilrecht; Geschichte; Geschichtsdarstellung; Politikfeldanalyse; Selbstbehauptung; Health service; Gesundheitsdienst; Gesundheitswesen; Finanzhaushalt; Finanzielle Förderung; Ausland; Großbritannien
Abstract	UK social care policy has "traditionally" sought to minimise organisational and sector boundaries through cooperation and partnership. This discussion paper argues that there is a case for a social care system based openly on separation of powers to address the conflicts of interest that inevitably exist between the actors--notably local authorities and service providers. Such systems, with "guardrails" to separate the actors, and "checks and balances" to keep them stable, have been developed over centuries in other spheres. Furthermore, if disabled people are to be considered as participants with rights, rather than mere recipients, they should be recognised as the third main actor in the system, also with powers that are protected and constrained. This paper takes a 50-year retrospective view of these issues in terms of policy affecting people with learning disabilities, focusing on three policy episodes in the UK. First, the 1970s, with a system unbalanced by powerful medical professions, and an absence of self-advocacy. Second, care management in the 1990s, which ducked the spirit of Sir Roy Griffiths' vision of a lively provider market. Third, the adoption and degradation of Personal Budgets. The learning from UK and international individualised funding programmes is too complex to be certain which ingredients are the keys to success. However, there are strong arguments, and substantial evidence, to suggest that Personal Budgets will not truly succeed until they are built on a structure that determines not only what councils and providers can and should do but also where they must not interfere. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01