Policy Making And Analysis: Case Study Community Care.

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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. All of the above are essential in ensuring the nation is at the very least living at a suitable standard of living, more recently not socially excluded.

The origins of the welfare state are often crudely attributed purely to the Social Insurance and Allied Services Act (1942). Sir William Beveridge is often refereed to as the architect who laid the blue print for the welfare state, which was implemented by the labor government. This is not strictly true as Conservatives have dominated government and in the nineteenth century paternalistic routes to maintain the social stability of society can be noted in The Representation Act (1918), which gave paupers the vote. Thus it is wrong to classify the nineteenth century, and early twentieth purely as an era of laissez faire. Conservatives did initiate change to a more collective model.

The report published by Beveridge did however lay a framework for the improved expansion and reform of social services and is one of the most influential documents in British Politics. Its core policy was universalism as opposed to pre war selectivity. Also a commitment to Keynesian economics to control and manage the British economy and ensure "equality of opportunity". The subsequent political period is often referred to as the post war welfare consensus as there was seemingly a general acceptance from all parties that the fundamentals of the Beveridge report was a good thing and should be implemented and developed.

Background information

All of the above areas are importance and they all fit together to ensure the welfare of British citizens is met. Health is not mutually exclusive but definitely a fundamental area behind the provision of welfare. It's origins lye in the preoccupation with generic levels of sanitation, to stop the spread of disease in the nineteenth century. In the twentieth century there was an ideological shift from preventive to curative health care, measures became patient focused due to development of science and drugs and emergence of a structured medical system. Likewise the accompanying development of social services began in the nineteenth century stemming from self-help and voluntary groups set up to help the working class from the detrimental effects of poverty.
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The emergency medical service and Beveridge report 1942 were two fundamental forces behind the establishment of a National Health Service (N.H.S). The National Health Service Act of 1946 was founded on the principle of comprehensive provision of "free" services rationed on a system of clinical need. Initially funded through general taxation and national insurance system it became clear the system was going to prove expensive if it was to achieve its mission statement. Social services and care provision also progressed though through local level government as a separate entity.

During the seventies questions of an end to ...

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