Clients, Consumers or Citizens?: The Privatisation of Adult Social Care in England

Front Cover -- Clients, Consumers Or Citizens?: The Privatisation Of Adult Social Care In England -- Copyright Information -- Table Of Contents -- Preface And Acknowledgements -- Introduction -- 1 Before The Market -- The Institutional Legacy -- The Winds Of Change -- The Emerging Critique -- Chapter Summary -- 2 The Emergence And Consolidation Of The Market -- Introduction -- 1980s: The Emergent Market -- 1990s: The Regulated Market -- The Consolidated Market -- The Established Market -- Chapter Summary -- 3 Dilemmas In The Commissioning Of Adult Social Care The Nature Of Commissioning And Outsourcing -- Local Authority Commissioning Of Adult Social Care -- Commissioning From The Third Sector -- The Growth Of Direct Payments -- The Rise Of 'self-funders' -- Commissioning And Austerity -- Chapter Summary -- 4 Dilemmas In The Provision Of Adult Social Care -- Introduction -- Availability -- Fragility -- Exploitation And Profiteering -- Effects On The Workforce -- Low Pay -- Insecurity -- Low Status -- Quality Of Care -- Workforce Issues -- Chapter Summary -- 5 State Or Market? -- Introduction -- Renationalising The Adult Social Care Sector Penetration -- Fragmentation -- Fragility -- Retain And Reform The Market -- Strengthening The 'customer' -- Shaping The Market -- Reactive Market Shaping -- Proactive Market Shaping -- Chapter Summary -- 6 Context: Funding And Administration -- Introduction -- Funding -- Local Government Funding -- Funding Long-term Care -- Adjusting The Current System -- Social Insurance/hypothecation Model -- Free Care At The Point Of Use -- Administrative Capacity -- The Hollowing Out Of Local Government -- Joined-up Services -- Chapter Summary -- 7 Looking Ahead: An Ethical Future For Adult Social Care Ethics And Ethical Care -- Commissioning Ethical Employment Practice -- Action On Pay -- Action On Security -- Action On Status -- Action On Quality -- Action On Regulation And Legislation -- Commissioning For Well-being -- Commissioning Local And Small -- Commissioning Personally -- Boosting The Commissioning Role -- Chapter Summary -- 8 Covid-19: The Stress Test Of Adult Social Care -- Introduction -- Deficiencies In Funding And Administration -- Fragility Of Provision -- Fragility In The Care Market -- Fragility In The Voluntary Sector -- Low Policy Salience -- Easement Of Statutory Duties Adult Social Care And The Nhs -- Unethical Policy And Practice -- The Ethical Framework For Adult Social Care -- Covid-19 And Age Discrimination -- Revaluing The Workforce -- Chapter Summary -- 9 Conclusion: Making It Change -- Morals, Markets And Power -- Introduction -- Instilling Ethical Behaviour -- Morals And Markets -- Policy Failure In Adult Social Care -- Making Change Happen -- Practical Improvement Support -- Reframing The Debate -- Challenging Established Power Bases -- References -- Index -- Back Cover Bob Hudson. Includes Bibliographical References And Index. Electronic Reproduction. Baltimore, Md Available Via World Wide Web.