K101;Unit 21/22; - created from Mind Map

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Unit Sections Case studies and Readings Key ideas 21 How Health and Social Care Developed in the UK 1 The vision of an all inclusive welfare state Reader chapter 1.1 – Personal recollections Reader chapter 25 – Reactions to Beveridge Report Need for reform and catalysts for change. Welfare State, universalism and collective responsibility for meeting need. 2 The Beveridge legacy – implications for care   Assumptions behind the Beveridge report about employment, gender roles and women as carers. Inadequacy of benefits and return of means testing. 3 The new National Health Service Reader chapter 1.3 – Dr Moonsawamy and Dr Franklin Jacobs. Power of doctors in shaping new NHS. Three arms of the NHS – poor co-ordination and dominance of hospital-centred care. Role of migrant health workers and issue of racial discrimination. Separation of health and social care 4 Social care – the poor relation? Cecil French – mental welfare officer. Seebohm Report. Social care tainted by the Poor Law. Community based services patchy. Failure of Social Services to become a universal free service like NHS. 5 Back to the drawing board Margaret Thatcher. Reader chapter 29 – George and Wilding. ‘Somebody Cares’ home care business in Cardiff. ‘New Right’ challenge to and criticisms of Beveridge’s welfare state. Introduction of markets, purchasers and providers of health and care.

22 What Future for Health and Social Care? 1 The social context of care Reader chapter 30 – David Coates Changes in society or the ‘social context’. Uniform services less appropriate for a more diverse society. 2 Health trends in an ageing society Anwar Malik and Omar Naseem The impact of an ageing society on the need for health care. Inequalities in health. 3 Social divisions and diversity Simon, poverty and social exclusion UK standard of living risen but inequalities increased. Increasing ethnic and racial diversity. 4 Choice and control NICE and drug companies. NSFs, CSCI, Healthcare Commission. Angus and Ann living in Scotland.   Globalisation. Central control – regulation and inspection. Devolution in the UK – diverging policies. Personalisation and individual control. 5 Social care – Cinderella still waiting David Brindle extract from newspaper article.     Inga Mollerborn from Sweden. The crisis in social care – increased demand or poor supply? Responsibility falling back on individuals and families. Comparison with Sweden – not a Cinderella service.

K101;Unit 21/22;

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