This study reflects a growing recognition of the contribution that studies of the post-war 'welfare state' can make to contemporary debates about the restructuring of welfare. Drawing on the community care debates from 1971 to 1993, it illuminates contemporary concerns about such key issues as rationing care, the health and social care divide, the changing role of residential care and the growing emphasis on provider competition.
From community care to market care focuses on the interpretation and development of national policy at local authority level in four contrasting local authorities. The results of the study will make a significant contribution to our understanding of the community care provision of older people.
Robin Means is Associate Dean (Research and International Developments) at the Faculty of Health and Social Care, University of the West of England, Bristol. Hazel Morbey is a Research Associate at the Faculty of Health and Social Care, University of the West of England, Bristol. Randall Smith is a Senior Research Fellow at the School for Policy Studies, University of Bristol.
Contents: Setting the scene; Community care and the modernisation of welfare; Targeting, rationing and charging for home care services; The changing role of local authority residential care; The shifting boundaries between health and social care; Towards a mixed economy of social care for older people?; Towards quasi-markets in community care; Developing community care for the future: lessons and issues from the past.