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.