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Centre for Policy on Ageing | |
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| Empowerment and care management: swimming against the tide | | Author(s) | Denise Tanner |
| Journal title | Health & Social Care in the Community, vol 6, no 6, November 1998 |
| Pages | pp 447-457 |
| Keywords | Community care ; Social work ; Management [care] ; Social Services Departments ; Personnel ; Consumer ; Participation ; United Kingdom. |
| Annotation | This paper is concerned with the policy and practice of care management developed under the National Health Service (NHS) and Community Care Act 1990. The paper takes as its starting point the contrast between the rhetoric of service user empowerment in professional training, particularly of social workers, with the disempowering realities that arise in practice. It examines some of the sources of this conflict, looking in particular at contradictions inherent within the development of care management as a policy, conflicts contained within the legislation and associated guidance and contradictions evident at the level of practice. It argues that organisational processes and procedures consequent upon care management as it is evolving in practice are decreasing the possibilities for empowering practice and reinforcing the power of care managers at the expense of service users. It suggests that the power of the care manager is based on increased administrative and managerial responsibility, counterbalanced by diminishing professional autonomy and discretion. The paper concludes that there are limitations on the scope for empowerment within care management and that the real hope for empowerment lies in user-led initiatives. (AKM). |
| Accession Number | CPA-981130403 A |
| Classmark | PA: IG: QA: PF: QM: WY: TMB: 8 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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