By Roger Hadley
This text-book examines the coverage and organizational context for neighborhood care, and comprises interviews and case experiences, displaying how neighborhood care is (or isn't) operating in the parts of take care of the aged, studying disabilities, psychological health and wellbeing and actual disabilities.
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Additional resources for Care in Chaos: Frustration and Challenge in Community Care
Local authority investments in community care services have been treated unevenly and sacrificed to the development of an untested and often unregulated market. It is covert privatization that's hitting many vulnerable people. The poverty gap in this city has been documented and is widening between the rich and the poor. The financial means testing supporting the new legislation has created new rifts. The social services department has had to cut staff and focus its strategy on the defence of the most vulnerable users.
Will they take account of quality? He set out to get known by making approaches to social services at headquarters, writing to individual social workers, contacting GPs and some other people in health authorities. He had made a bid for a contract with social services centrally and failed to get that, in his view because staff were uneasy about giving him a contract so soon after he had left. He knew that a lot of work was actually allocated by individual social workers and he didn't know the extent to which they would feel free to use his service.
You had to know your social policy and you had to know the community care business very well and you had to know the risk and the gamble and the alternatives and, in effect, that the people in the City had no choice. The political strategy was, 'We don't like it but we need to protect what we've invested in in the past'. Given the nature of the local authority, getting acceptance for change was not simply a matter of convincing the district Labour Party and the councillors. Consultation with staff and unions was also an essential part of the process.
Care in Chaos: Frustration and Challenge in Community Care by Roger Hadley