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Policies of Personalisation in Norway and England: On the Impact of Political Context

Published online by Cambridge University Press:  15 April 2014

KAREN CHRISTENSEN  and
DORIA PILLING
KAREN CHRISTENSEN
Affiliation:
Department of Sociology, University of Bergen, Bergen, Norway email: [email protected]
DORIA PILLING
Affiliation:
School of Health Sciences, City University London, Northampton Square, London, UK email: [email protected]
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Abstract

Within Europe, the Norwegian and English welfare states represent two different welfare regimes. Due to common demographic challenges of an ageing population as well as grass- roots pressures, particularly from disabled people, significant changes in the delivery of long-term care services for older and disabled people have taken place. This article focuses on the change towards personalisation policies encouraging greater choice and control in regard to care services, and uses the case of ‘cash-for-care’, which gives people an allocation of funding to meet their needs, to discuss conditions and implications of personalisation policies within different contexts. Based on a theoretical framework exploring a democratic and a market discourse of personalisation policies, the article provides a comparative analysis of the Norwegian and English cash-for-care schemes. While a crucial common change in the public sector's role towards at-arm’s-length long-term care services occurred, significant differences remain: while English residents are given greater choice and control from the beginning of the allocation of cash-for-care they also face more insecure circumstances due to the simultaneously stimulated care provider market. The Norwegian case, however, shows a possibility of increasing choice and control without a large diversity in a care provider market.

Type
Articles
Information
Journal of Social Policy , Volume 43 , Issue 3 , July 2014 , pp. 479 - 496
Copyright
Copyright © Cambridge University Press 2014 

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References

AgeUK (2013), Social Care Eligibility Bands, http://www.ageuk.org.uk/professional-resources-home/public-affairs/reportage/past-issues-of-reportage/reportage-december-2011/social-care-eligibility-bands/ (accessed 19 October 2013).Google Scholar
Association of Directors of Adult Social Services (ADASS) (2009), Making Progress with Putting People First: Self-directed Support, http://www.thinklocalactpersonal.org.uk/_library/Resources/Personalisation/Personalisation_advice/Making_progress_with_PPF_-_self-directed_support_final.pdf (accessed 1 April 2014).Google Scholar
Alzheimer's Society (2011), Getting Personal? Making Personal Budgets Work for People with Dementia, London: Alzheimer's Society.Google Scholar
Andersen, J., Askheim, O. P., Begg, I. S. and Guldvik, I. (2006), Brukerstyrt personlig assistanse: Kunnskap og praksis, Göteborg: Gyldendal Akademisk.Google Scholar
Askheim, O. P. (2005), ‘Personal assistance – direct payments or alternative public service: does it matter for the promotion of user control?’, Disability and Society, 20: 3, 247–260.CrossRefGoogle Scholar
Askheim, O. P. and Starrin, B. (eds.) (2007), Empowerment i teori og praksis, Oslo: Gyldendal Akademisk.Google Scholar
Audit Commission (1992), Managing the Cascade of Change, London: HMSO.Google Scholar
Christensen, K. (2010), ‘Caring about independent lives’, Disability and Society, 25: 2, 241–252.Google Scholar
Christensen, K. (2012), ‘Towards a mixed economy of long-term care in Norway?’, Critical Social Policy, 32: 4, 577–596.Google Scholar
Davey, V., Snell, T., Fernández, J.-L., Knapp, M., Tobin, R., Jolly, D., Perkins, M., Kendall, J., Pearson, C., Vick, N., Swift, P., Mercer, G. and Priestley, M. (2007), Schemes Providing Support to People Using Direct Payments: A UK Survey, Personal Social Services Research Unit London School of Economics and Political Science.Google Scholar
Department of Health (DH) (2010a), A Vision for Adult Social Care: Capable Communities and Active Citizens, http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_121971.pdf (accessed 1 April 2014).Google Scholar
Department of Health (DH) (2010b), Fairer Contributions Guidance, https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/147697/dh_121223.pdf (accessed April 9 2013).Google Scholar
Esping-Andersen, G. (1999), Social Foundations of Post-Industrial Economies, Oxford: Oxford University Press.Google Scholar
Equality and Human Rights Commission (2011), Close to Home: An Inquiry into Older People and Human Rights in Home Care.Google Scholar
Fraser, N. and Gordon, L. (1994), ‘“Dependency” demystified: inscriptions of power in a keyword of the welfare state’, Social Politics, Spring: 4–31.Google Scholar
Gammelsæther, P. (2006), Forvaltningsreformer i pleie- og omsorgstjenesten – en kartlegging av kommuner og bydeler med bestiller-utførermodell, Stjørdal: RO.Google Scholar
Glendinning, C. (2008), ‘Increasing choice and control for older and disabled people: a critical review of new developments in England’, Social Policy and Administration, 42: 5, 451–469.Google Scholar
Glendinning, C., Challis, D., Fernandez, J., Jacobs, S., Jones, K., Knapp, M., Manthorpe, J., Moran, N., Netten, A., Stevens, M. and Wilberforce, M. (2008), Evaluation of the Individual Budgets Pilot Programme: Final Report, York: Social Policy Research Unit, University of York.Google Scholar
Griffiths, R. (1988), Community Care: Agenda for Action, London: HMSO.Google Scholar
Hatton, C. and Waters, J. (2011), National Personal Budget Survey, http://www.in-control.org.uk/media/92851/national%20personal%20budget%20survey%20report.pdf (accessed 1 April 2014).Google Scholar
Hatton, C. and Waters, J. (2013), The Second Poet Survey of Personal Budget Holders and Carers, http://www.thinklocalactpersonal.org.uk/_library/POETNationalReport_121113.pdf (accessed 1 April 2014).Google Scholar
Henwood, M. and Hudson, B. (2008), Lost to the System? The Impact of Fair Access to Care, London: Commission for Social Care Inspection.Google Scholar
HM Government (2007), Putting People First: A Shared Vision and Commitment to the Transformation of Adult Social Care, London: HM Government, http://webarchive.nationalarchives.gov.uk/20130107105354/http:/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_081118 (accessed 1 April 2014).Google Scholar
Hood, C. (1991), ‘A public management for all seasons?’, Public Administration, 69: Spring, 3–19.Google Scholar
Health and Social Care Information Centre (HSCIC) (2012), Personal Social Services: Expenditure and Unit Costs England 2010–11, Final Release [NS], http://www.hscic.gov.uk/pubs/pssexpcosts1011 (accessed 2 April 2014).Google Scholar
Health and Social Care Information Centre (HSCIC) (2013), Community care statistics: social services activity, England, 2012–13, provisional release [NS], http://www.hscic.gov.uk/catalogue/PUB11166 (accessed 2 April 2014).Google Scholar
IFF Research (2008), Employment Aspects and Workforce Implications of Direct Payments, Skills for Care.Google Scholar
Johansen, V., Askheim, O. P., Andersen, J., and Guldvik, I. (2010), Stabilitet og endring – Utviklingen av brukerstyrt personlig assistanse, Lillehammer: Høgskolen i Lillehammer.Google Scholar
Johansson, H. and Hvinden, B. (2007), ‘Opening citizenship’, in Hvinden, B. and Johansson, H. (eds.), Citizenship in Nordic Welfare States: Dynamics of Choice, Duties and Participation in a Changing Europe, London and New York: Routledge, pp. 1–17.Google Scholar
Jones, K., Netten, A., Rabiee, P., Glendinning, C., Arksey, H. and Moran, N. (2014), ‘Can individual budgets have an impact on carers and the caring role?’, Ageing and Society, 34: 1, 157–175.Google Scholar
Leadbeater, C. (2004), Personalisation through Participation: A New Script for Public Services, London: Demos.Google Scholar
Morris, J. (1993), Independent Lives? Community Care and Disabled People, Basingstoke: Macmillan.Google Scholar
Nesheim, N. and Vathne, K. (2000), Konkurranseutsetting og bestiller-utfører organisering i norske kommuner, Bergen: Stiftelsen for Samfunns- og næringslivsforskning.Google Scholar
Newbronner, L., Chamberlain, R., Bosanquet, K., Bartlett, C., Sass, B. and Glendinning, C. (2011), Keeping Personal Budgets Personal: Learning from the Experiences of Older People, People with Mental Health Problems and their Carers, Adults’ Services Report 40, London: Social Care Institute for Excellence.Google Scholar
Newman, J. and Clarke, J. (2009), Publics, Politics and Power: Remaking the Public in Public Services, London: Sage Publications.Google Scholar
Office for Disability Issues (2011), Final Report from the Support Planning and Brokerage Demonstration Project, London: ODI.Google Scholar
Oliver, M. (1990), The Politics of Disablement, London: Macmillan.Google Scholar
Poll, C. and Duffy, S. (eds.) (2008), A Report on In Control's Second Phase: Evaluation and Learning, London: In Control Publications.Google Scholar
Prime Minister's Strategy Unit (2005), Improving the Life Chances of Disabled People, Office of the Deputy Prime Minister, Department for Work and Pensions, Department of Health, Department for Education and Skills.Google Scholar
Prop. 91 L (2010–2011), Proposisjon til Stortinget (forslag til lovvedtak): Lov om Kommunale Helse- og Omsorgstjenester m.m. (helse- og omsorgstjenesteloven).Google Scholar
Rundskriv I-20/2000, Brukerstyrt personlig assistanse. Helse- og omsorgsdepartementet.Google Scholar
Rundskriv I-15/2005, Brukerstyrt personlig assistanse (BPA)- utvidelse av målgruppen. Helse- og omsorgsdepartementet.Google Scholar
Secretary of State for Health (1998), Modernising Social Services, http://www.archive.official-documents.co.uk/document/cm41/4169/contents.htm (accessed 9 April 2013).Google Scholar
Secretaries of State for Health, Social Security, Wales and Scotland (1989), Caring for People: Community Care in the Next Decade and Beyond, London: HMSO.Google Scholar
Shakespeare, T. (2006), Disability Rights and Wrongs, London: Taylor & Francis Group.Google Scholar
Slasberg, C., Beresford, P. and Schofield, P. (2012), ‘How self directed support is failing to deliver personal budgets and personalisation’, Research, Policy and Planning, 29: 3, 161–177Google Scholar
SSB (2012a), Kommune Stat Rapportering, KOSTRA, http://www.ssb.no/kostra/stt/index.cgi?spraak=norsk&regionstype=kommune&nivaa=2&radnummer=0&regioner=010400%402011%2CEKG13%402011%2CEKA01%402011%2CEAKUO%402011%2CEAK%402011&faktaark=KS1076396311104976 (accessed 9 April 2013).Google Scholar
SSB (2012b), Antall mottakere av avlastning, støttekontakt, omsorgslønn og brukerstyrt personlig assistanse: Alder. 2002–2011, https://www.ssb.no/a/kortnavn/pleie/tab-2012-07-04-08.html (accessed 2 April 2014).Google Scholar
Stewart, J. and Walsh, K. (1992), ‘Change in the management of public services’, Public Administration, 70: Winter, 499–518.Google Scholar
Sykes, W. and Groom, C. (2011), Older People's Experiences of Home Care in England. Research Report 79, London: Equality and Human Rights Commission.Google Scholar
Think Local Act Personal (2012), Best Practice in Direct Payments Support – A Guide to Commissioners, London Joint Improvement Partnership.Google Scholar
Ungerson, C. (1999), ‘Personal assistants and disabled people: an examination of a hybrid form of work and care’, Work, Employment and Society, 13: 4, 583–600.Google Scholar
Ungerson, C. and Yeandle, S. (eds.) (2007), Cash for Care in Developed Welfare States, Basingstoke: Palgrave Macmillan.Google Scholar
Weber, M. (1994), Makt of byråkrati, Oslo: Gyldendal Norsk Forlag.Google Scholar
Weintraub, J. (1997), ‘The theory and politics of the public/private distinction’, in Weintraub, J. and Kumar, K. (eds.), Public and Private in Thought and Practice: Perspectives on a Grand Dichotomy, Chicago & London: The University of Chicago Press.Google Scholar
Zarb, G. and Nadash, P. (1994), Cashing in on Independence: Comparing the Costs and Benefits of Cash and Services, The British Council of Organisations of Disabled People (BCODP).Google Scholar