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Ambiguity in practice? Carers' roles in personalised social care in England

, : Ambiguity in practice? Carers' roles in personalised social care in England. Health & Social Care in the Community 23(1): 23-32

Carers play an ambiguous role within the personalisation paradigm currently shaping adult social care practice in England. Although carers have rights to assessments and support in their own right, these rights sit uneasily alongside the practices of assessment, support planning and personal budget (PB) allocation for older and disabled people. This paper reports how 14 dyads of older and learning disabled people with cognitive and/or communication impairments and their carers viewed the roles - desired and actual - played by carers in PBs. Interviews with carers and with older and disabled people were conducted during 2012 as part of a wider study into carers' roles in assessment, support planning and managing PBs. The interviews complemented a survey of reported practice in two English regions - interviews with adult social care services senior managers and focus groups with front-line care managers. Talking Mats(©) were used to support interviews with some service users. Interviews were transcribed and data analysed using the Framework approach. The interviews indicated that carers played important roles in service users' assessments and support planning, but were less likely to report receiving assessments or support of their own. While carers had the potential to benefit from PBs and support arrangements for service users, this did not reflect practice that aimed to enhance choice and control for carers. The paper draws on Twigg's typology of service conceptualisations of family carers and concludes that, despite the important social rights won by carers in England, current practice continues to regard carers primarily as a resource or a co-worker, rather than a co-client.


PMID: 25332011

DOI: 10.1111/hsc.12123

Other references

Thielsch, A.; Völker, E.; Kraus, R.H.S.; Schwenk, K., 2012: Discrimination of hybrid classes using cross-species amplification of microsatellite loci: methodological challenges and solutions in Daphnia. Microsatellite markers are important tools in population, conservation and forensic studies and are frequently used for species delineation, the detection of hybridization and introgression. Therefore, marker sets that amplify variable DNA regions...

Brilis, V.; Briliene, T.; Lencner, C.; Lencner, A., 1984: Adhesive properties of Lactobacilli isolated from the human gut. Nahrung = Food8(6-7): 635-640

Flexuer, L.B., 1967: John Marvin Marshall 1920-1966. Anatomical Record, 158: 520-521

Lairmore M.D.; Lal R.; Roberts B.; Hadlock K.; Keyes G.; Falks T.; E.A., 1991: Characterization of a htlv ii isolate from a cd4 positive cdw29 positive cell line derived from a guaymi indian from panama. Journal of Cellular Biochemistry Supplement 15(PART E): 57

Cosio, R.; Farina, P.L.; Morandini, L.; Mariotti, M.; Ferrari Vivaldi, G.; Cavaliere, S.; Candiani, A., 1990: The transcutaneous method of monitoring partial pressure of O2 and CO2 during laser surgery of the trachea and bronchi. Anesthesia during Nd-YAG laser resection of the airways necessitates continuous O2 and CO2 monitoring. Although only partial, monitoring may be performed using a transcutaneous method utilising Clark's electrode to measure O2 and Stowe-Severi...

Tomasello, D.; Schlagenhauf, P., 2014: Chikungunya and dengue autochthonous cases in Europe, 2007-2012. A large number of autochthonous cases of dengue fever (2237) and chikungunya fever (231) occurred in Europe (Italy, France, Croatia, Madeira) during the period covered by our analysis (2007-2012). In all dengue outbreaks, the circulating strain, i...

Whittaker, R.L., 1980: Medical practice in East Africa 1970-1979. 3. Radiology. East African Medical Journal 57(9): 594-598

Feuer, G.; Gaunt, I.F.; Golberg, L.; Fairweather, F.A., 1965: Liver response tests. VI. Application to a comparative study of food antioxidants and hepatotoxic agents. Food and Cosmetics Toxicology 3(3): 457-469

Felix, H.; Delbru, J.; Ravenelle, D., 1962: The possibility of vascular complications in the course of hepatic amebosis. Two cases of phlebitis of the leg, 1 of phlebitis plus pulmonary embolism, 1 of pulmonary embolism and 1 of arterial thrombosis were observed among persons with hepatic amebosis. The possible role of the amebic infection in their etiology is discu...

Becker, E.L.; Showell, H.J.; Henson, P.M.; Hsu, L.S., 1974: The ability of chemotactic factors to induce lysosomal enzyme release. I. The characteristics of the release, the importance of surfaces and the relation of enzyme release to chemotactic responsiveness. Journal of Immunology 112(6): 2047-2054