At the end of century saw 1997- new labour 50 years since state
welfare... baby boomers becoming grandparents..2 generations
born to significant number of immigrants from Asia &
Caribbean
David coats (2005) 'patch work Brittan' decline in
solidarity and a break up of communities
increase of women in piad work, more inequality,
rise of middle glass...under investment in services
relative to other European counties
increases in separation, divorce and
single parents
increase in consumer culture, &
multiculturalism & on going racism
& discrimination
Health trends in an aging society
the % of the population post regiment is rising
along with the numbers needing long term
care
demand for care may grow more significantly due to
medical developments and increasing life expectancy
additional trend to healthier old age &
significant inequalities in life expectancy &
health in older age
a rise in a % needing long term
health & social care in their 70's
&80's are from lower income groups
Social divisions & diversity there is an increase in poverty due to
rise in earning of top earners & a drop in income in lower earrings
tax changes in the 80's changing in expectations- the
concept of relative poverty social exclusion
difficulty's in providing services for a divers population due to
.... varied spread of populations ...barriers to accessing
services...language ... lack of diversity in starffing of services
choice and control global context
.multinational drug companies.... free
markets introduction if NICE....
globalisation of job market....
individual payments i.e direct
payments
social care Cinderella still
waiting? social care
remains the poor relation of
the NHS
crisis represents high
demand & poor supply
increasing choice e.g direct
payments.> costly option ...risk
of care falling on to more
families
different investment in social care
compared to other countries