Policy Making And Analysis: Case Study Community Care.
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Student number:11028593 word count:2839 Policy Making And Analysis: Case Study Community Care Abstract The aim of this case study is to explore a pivotal piece of social policy in Britain. I have undertaken a case study on an important aspect of Health policy known as the community care movement. I will investigate the origins of the community care movement and analyze the resulting formation of The Community Care Act (1990). I will attempt to summarize and explain the implications, which were intended, and those which were consequential of the policy. Introduction Social policy usually tries to address the collective needs of groups who lack well -being or health. Social policy is a political process involving a wide array of actors, key to the policymaking arena are elected politicians who are members of the government and the cabinet. However the role of globalization and perhaps more specifically the europeanization, of British governance is becoming more evident in the policy procedure. The provision of social services is an integrated and dynamic process. Titmuss in his inaugural lecture of 1951 suggested it was based on; "...Services, both statutory and voluntary, with the moral values implicit in their action, with the roles and functions of the services, with their economic aspects, and with the part they play in meeting certain needs in the social process." This is just one of many views postulated by academics. There are many conflicting ideologies on the nature and extent of provision of social services, however a general consensus can be drawn on the key components of social services. These include social security, health, education, personal social services and housing.
Demands include public reports published, such as the Griffiths Report 1998 which called for funding of community care to be local authorities responsibility. Demands do however come from a wide range of groups putting pressures and "demands" on the governments agenda. The resources needed to put policy making into action include the key actors of the procedure. This incorporates money to pay for human resources and experts such as civil servents. The second stage of processing the inputs is a closed and rather secretive affair often referred to as the dynamics of "The Whitehall Game", not solely dependent on officials in Whitehall but the effects of political and economic change the balance of dependence between ministers/civil servents is constantly changing. Political support weakening for example means the Prime Minister must call on the cabinet for increased support. Alternatively economic achievements means the chancellor has increased sway in the process. The core executive is not fixed and central administration is an ongoing challenge. Alliances change with debate over policy style and nature and there are no dominating figures. The main failing of Margaret Thatcher in 1979 was loss of backbench support and underestimating the extent to which she relied on the cabinet, key actors within the core executive and resignation of Nigel Lawson did not bode well with her alliances in the executive core. On a larger scale the European Union E.U also has an impact on British policy making since the 1970s and increasingly in the current political era where references to the europeanization of our system and other notions such as socialism via the back door highlight the contested integration of law set in Europe.
You cannot claim success for an arrangement that failed in a crisis ". Attention has also been places on drug company's and licensing laws as guidance is needed on the possible side effects, the national institute for clinical excellence was made accountable for ensuring the re was appropriate guidance. Overall the policy has succeeded in deinstitutionalising and attempting to remove stigma in the large majority of cases. The movement has been difficult due to splits between health and social services and the bad press received on isolated incidents which can cause moral panic as mental health is a contentious issue and still met by many with fear/ignorance. Structured implementation and a commitment to improve continuity of care is needed and more rigorous assessment to ensure there are not inappropriate discharges of patients who are a danger to themselves/others/ A recent result of policy evolution and shifting ideologies is the development of e-democracy. Policy Making is a complex and continuous cycle, which is a closed process. Mainly carried out in the offices of Whitehall by ministers and civil servants The influence of lobby groups and numerous think tanks is not really measurable. However the current Prime Minister is aware that Thatcher's presidential style and eventual loss of reign was not solely due to loosing influence with her cabinet but loss of public interest, exemplified by the poll tax riots. As a result Blair has been keen to tailor his discourse and gauge public opinion, in 1996 the Britain's first virtual think tank was set up by a group of Oxbridge graduates. Blaire saw the launch of an on-line debate on his "third way" and have an enlightening relay of information between Downing Street and the electorate. This is one of the more recent developments in policy making and development.
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