Tag Archives: social work

A “mending” not a “minding” service

With so much media and political attention on social care there is a danger that social work, which is a very undervalued resource, may be further marginalised. This article attempts to demonstrate that social work and social workers are vital to a “mending” rather than a “minding” service.

In the late 1960s and early 1970s social work was regarded as a valuable resource and social workers seen as “agents of change”. Since then, social workers have been increasingly regarded as “gate keepers” assessing the eligibility for practical help and rationing of services.

The Seebohm Report which led to the establishment of Social Service Departments in 1971 recognised the value of social work. It did not, however, create the “one door to knock on”, it promised, as a multi-disciplinary / inter-agency response is often required. This was subsequently recognised with the establishment of Area Child Protection Committees (post Maria Caldwell), Mental Health procedures, “Community Mental Handicap Teams”, and Youth Justice Teams etc.

The undoing of much of the public sector was down to the Thatcher years and more particularly, in respect of Health and Social Services, to Sir Roy Griffiths and his mistaken belief that people were motivated by and could be controlled by money. This led to the introduction of the contract culture with the purchaser / provider split which Sir Roy thought would create a level playing field to facilitate a mixed economy of care thereby forcing quality up and prices down. It has subsequently been proven to have had the opposite effect and led to over-prescription taking away the ability of carers to react in situ to changing need. It led to greater fragmentation with different components of a “package of care” bought from different providers.

Social Workers were deployed on the “purchasing side”, assessing the need for specific services (often responding to “presenting problems” rather than the “underlying problem”) which led to several social services departments providing “minding” rather than “mending” services with an ever-increasing workload of dependent people.

Posted in Op-eds | Also tagged | 4 Comments

Opinion: Liberal Democrats : the party of social work and social care?

Stay Well At Home Service, Evesham, BritainFirstly, I must admit that I have an interest in this subject; not only as Lead Member for Adult Social Care, and as Chair of our local Health & Wellbeing Board, but as a registered, practising social worker. This week NHS England set out an ambitious vision for the NHS over the coming five years. A vision which breaks down the barriers between GP’s and hospital care, which moves more healthcare back into the communities which desperately need it and places public health front and centre in a bid to create a Health Service fit for the 21st century.

Local government is mentioned numerous times in this visionary document. Our recently returned responsibility for Public Health will become even more significant over the next 5 years. The roles and responsibilities of Health and Wellbeing Boards are discussed as possible conduits for local commissioning and decision making. All welcome and in line with our Liberal Democratic view of the world. In this field of policy we as a party have made huge strides in the Department of Health through Paul Burstow and Norman Lamb; integrating budgets, mental health waiting times, carers’ rights and, fundamentally, the Care Act.

Posted in Op-eds | Also tagged | 6 Comments
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