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The article draws on Matland's (1995) modelling of policy implementation to investigate the personalisation of adult social care in England. The shift from policy formation to enactment by local authorities is linked to a move from 'symbolic' to 'political' implementation. Successive studies, however, highlight certain enduring features of local authorities as sites of contradiction and dissent in adult social care, particularly on the frontline. Taking these into account arguably permits a closer analysis of the dynamics of power at work in the implementation of the personalisation agenda as well as enriching our understanding of the nature of political implementation.

AbstractThis reassessment of the continuing significance of Lipsky's (1980) work on 'street‐level bureaucracy' for frontline decision making is based on a retrospective review of the author's research on assessment practice in adult social care in England. The studies span the past two decades during which time successive governments have restructured and modernized social services departments. When these were established in 1970, they represented the high watermark of bureau‐professionalism – a mode of administration which dominated social welfare at the time Lipsky was writing. The subsequent dismantling of bureau‐professionalism calls into question the validity of his findings, and the author draws on her own research to assess conflicting views about the impact of social care reforms on the discretion which social workers exercise as street‐level bureaucrats. She concludes that the distinct types of discretion to emerge from her findings, represented in a taxonomy, are shaped by the differing micro environments of frontline practice which, in turn, affect the relative force of managerialism, professionalism and user empowerment in countering the defensive exercise of discretion described by Lipsky. Whilst her analysis affirms the continuing significance of Lipsky's analysis, it also points to the need for some revision to accommodate major shifts in welfare administration since the publication of his work. She highlights the potential relevance of these insights for investigating the next planned transformation of adult social care, personalization, as well as for the implementation literature more widely.

In the wake of the Seebohm reforms of the personal social services, a number of studies were carried out in the 1970s to explore the role of frontline professionals in identifying and meeting social need. A common finding was that social workers behaved like "street‐level bureaucrats", using their discretionary authority defensively to manage an otherwise overwhelming workload. In the 1990s, top‐down assessment and care management systems were put in place as part of community care reforms. Their aim was to reduce the scope of professional discretion so as to standardize responses to need and control demand according to resources available. In this paper, the authors consider the success of new systems in controlling "bottom‐up" decision‐making by drawing on a recent empirical study of needs assessment practice in three types of social work team. They point out that the assessment practice of those teams facing the highest bombardment rates was most obviously criteria‐driven, reinforced by the use of new technology. Rather than creating informal stereotypes to manage demand, social workers could mobilize legitimate forms of rationing to protect their time and other resources. Yet the sense of professional identity, the level of frontline autonomy, and the ways in which this was exercised, varied across the different types of team. The authors conclude, therefore, that the scope of discretionary space available to frontline staff in social services departments, and the practices to which it gives rise, are empirical questions only adequately addressed by methodologies able to connect with "bottom‐up" decision‐making.

The book explores the extent to which rights to welfare are related to human inter-dependency on the one hand and the ethics of responsibility on the other. Its intention is to kick-start a fresh debate about the moral foundations of social policy and welfare reform. The ethics of welfare: explores the concepts of dependency, responsibility and rights and their significance for social citizenship; draws together findings from a range of recent research that has investigated popular, political, welfare provider and welfare user discourses; discusses, in a UK context, the relevance of the recent Human Rights Act for social policy; presents arguments in favour of a human rights based approach to social welfare. The book is essential reading for anyone concerned about the future of welfare. It is aimed at students and academics in social policy, social work, sociology, politics and law. It will also interest policy makers and welfare professionals, particularly those concerned with welfare benefits and social care

This wide-ranging edited volume provides a state of the art account of theory and research on modern street-level bureaucracy, gathering internationally acclaimed scholars to address the varying roles of public officials who fulfill their tasks while interacting with the public. These roles include the delivery of benefits and services, the regulation of social and economic behavior, and the expression and maintenance of public values. Questions about the extent of discretionary autonomy and the feasibility of hierarchical control are discussed in depth, with suggestions made for the further development of research in this field. Hence the book fills an important gap in the literature on public policy delivery, making it a valuable text for students and researchers of public policy, public administration and public management

Worldwide there are over 46 million people living with dementia, and this number is expected to double every 20 years reaching about 131 million by 2050. The cost to the community and government health systems, as well as the stress on families and carers is incalculable. Over three decades of research into this disease have been undertaken by several research groups in Australia, including work by our original research group inWestern Australia which was involved in the discovery and sequencing of the amyloid-β peptide (also known as Aβ or A4 peptide) extracted from cerebral amyloid plaques. This review discusses the journey from the discovery of the Aβ peptide in Alzheimer's disease (AD) brain to the establishment of pre-clinical AD using PET amyloid tracers, a method now serving as the gold standard for developing peripheral diagnostic approaches in the blood and the eye. The latter developments for early diagnosis have been largely achieved through the establishment of the Australian Imaging Biomarker and Lifestyle research group that has followed 1,100 Australians for 11 years. AIBL has also been instrumental in providing insight into the role of the major genetic risk factor apolipoprotein E ε4, as well as better understanding the role of lifestyle factors particularly diet, physical activity and sleep to cognitive decline and the accumulation of cerebral Aβ.