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• W2163211974 abstract "The paper analyses the history of English social care philosophy, policy, and institutions since the late seventies, and the challenges of today which they have helped to shape. Guiding principles changed in fundamental ways requiring and causing profound cultural and structural changes, not always with the intended mix of consequences. Changes in practice philosophy complemented changes in the philosophical bases of policy. They moved along a continuum of doing ‘to’ people (containing and controlling as well as caring), to doing ‘for’ (paternalistic but often also patronisingly assuming ‘cosiness’ in looking after people), to doing ‘with’ (partnership and participation), to offering more independence choice and control and doing ‘by’ themselves but with ‘assistance’ when needed. Since 1989, policy and institutions have been adapted to reduce the dependence on institutions, better match responses to individual circumstances and increase control and choice by shifting the balance of roles of authorities from direct provision to planning and purchasing more diverse services and supporting the development of a succession of new models for securing their fit to user wishes and circumstances. From 1998, policy was designed to accelerate and secure greater consistency in development based on the national policy principles through performance management including rewards and incentives. From 2005, the challenge was defined more in terms of improving the broad wellbeing of older people and finding new ways of contributing to it, particularly in ways which would reduce the subsequent need for services. Pressures on public budgets have throughout been and continue to be a major concern of field agencies. It continues to be topical and timely although it also continues to be addressed with a degree of timidity reflecting the tensions it encapsulates. So, how should assistance be provided for people as they age with an increasing likelihood of detiorating physical and cognitive capacity and with an increased potential for mental ill health, especially depression (see, for example, National Centre for Social Research, 2000)? With current and projected demography showing an overall significant ageing of the population, and with the balance across age groups skewing towards a higher proportion of much older people, social policy and social care practice has often adjusted itself to survive, rather than to support and sustain, an ageing population." @default.
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• W2163211974 date "2007-01-01" @default.
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• W2163211974 title "A journey through the years: ageing and social care" @default.
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