Do Policy Implementation Support Programmes Work? The Case of the Care Act 2014

Hunter, David J.; Redgate, Sam; Hudson, Bob; Peckham, Stephen

doi:10.31389/jltc.42

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…However, the social care system in England too readily transitions young adult carers into adult caring roles, rather than enabling them to pursue alternative futures [47]. Te state relies on carers and has ostensibly made a commitment to supporting them, yet the overarching objective of the Care Act was to reduce the use of formal care [31,48,49]. Tis recourse to statutory support has been reduced, but at a signifcant cost to carers.…”

Section: Discussionmentioning

confidence: 99%

Young Adult Carers Services in England: Facilitating Choice over Future Caring?

Boyle

Mozdiak

2023

Health & Social Care in the Community

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This paper reports findings from a national, qualitative study in England that investigated if young adult carers services are facilitating young people’s transitions to adulthood, including considering a future beyond caring. Semi-structured, online interviews were conducted in 2022 with a purposive sample of managers or lead workers of eleven young adult carers services in England. We discuss the consideration given in assessments to young people’s caring preferences and the availability of support to facilitate them to relinquish their role, if they so wished. The majority of young adult carers services gave young people the opportunity to express their views on this issue. Although the Care Act 2014 aimed to provide choice over caring in adulthood to young adult carers, this was not matched by the necessary service provision to facilitate their preferences. A new national carers strategy is urgently required to ensure that young people, particularly women, have a credible choice over their future lives.

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Section: Discussionmentioning

confidence: 99%

Young Adult Carers Services in England: Facilitating Choice over Future Caring?

Boyle

Mozdiak

2023

Health & Social Care in the Community

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“…As Hunter et al. (2020) have noted, such is the complexity of English local government with over 150 LAs that none is likely to be the same as any other. Its strengths, however, lie in the opportunity to hear from networks of local participants to address the subject of responses to carers in some depth and our selection of case study sites of different types, demographics and commissioning practices.…”

Section: Study Strengths and Limitationsmentioning

confidence: 99%

“…ing in the study and in our focus on the views of professionals, albeit it is set in the context of others' research on early impacts on carers(Carers UK, 2016) and on other case study implementation studies (Social Care Institute for Excellence (SCIE), 2016;Peckham et al, 2020). AsHunter et al (2020) have noted, such is the complexity of English local government with over 150 LAs that none is likely to be the same as any other. Its strengths, however, lie in the opportunity to hear from networks of local participants to address the subject of responses to carers in some depth and our selection of case study sites of different types, demographics and commissioning practices.…”

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confidence: 99%

How have the Care Act 2014 ambitions to support carers translated into local practice? Findings from a process evaluation study of local stakeholders' perceptions of Care Act implementation

Marczak

Fernández

Manthorpe

et al. 2021

Health Social Care Comm

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The Care Act 2014 imposed new statutory duties on English local authorities in relation to family or informal carers and it broadened carers' statutory entitlements to assessment, care and support, irrespective of eligibility for local authority funding of the person they care for. Despite this legislative framework, local authorities appear to be translating the new legal obligation into practice in different ways. This paper draws on evidence from in-depth interviews held during 2017-2018 with key stakeholders in three English local authorities to investigate whether and how local efforts meet the Act's intention of supporting carers. We explored local goals associated with supporting carers, local authorities' approaches to needs assessment and service provision as well as barriers and facilitators to adoption of the new legal obligations towards carers. The paper draws on Twigg, J., & Atkin, K. (1995), typology to explore perceptions of local stakeholders of the interaction between formal care system and carers post-Care Act. The findings indicate that despite a clear Care Act emphasis on meeting carers' needs, when faced with financial constraints the formal care system approaches carers mainly as a resource and often supports carers to keep cared-for people away from health and social care systems. Although replacement care is a vital element in the Care Act's ambitions to support carers, in sampled authorities, it was often newly being subject to needs thresholds and financial assessment of people they care for, leading to reported conflicts of interests between carers' needs and those of cared-for-people. The Care Act is nonetheless seen as having made progress in legitimising carers' needs as clients. Social care professionals increasingly emphasise the importance of meeting carers' needs and well-being as valued and desirable outcomes.

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“…From the outset, we determined that analysis would be located within provincial policies' licensing and regulatory levels, rather than directed towards provider agencies or implementation of the policies contributing to individual experiences (see Hunter et al, 2020). Although this approach enables a powerful decomposition of the interplay between policies and QoL, it does not permit a fine-grained analysis of every QoL domain, such as the ' dignity' domain.…”

Section: Level Of Analysismentioning

confidence: 99%

How Residents’ Quality of Life are Represented in Long-Term Care Policy: A Novel Method to Support Policy Analysis

Taylor

Keefe

2021

Journal of Long Term Care

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In one's final years, quality of life (QoL) is a fundamental desire. In Canada, a publicly-funded long-term care (LTC) system is governed provincially through multiple policies about housing and care provision. A pan-Canadian research team investigated federal and provincial policies' influence on the QoL of older people living in residential LTC in four provinces: British Columbia, Alberta, Ontario, and Nova Scotia. Objective(s): This paper describes a novel method of policy analysis developed by the authors to analyse the inclusion of QoL domains within these LTC policies, and assess implications for residents, their families, and staff. Method(s): Within the novel method mentioned there were four stages in the method that consisted of an iterative and collaborative approach to understanding the relationships between LTC regulations and resident QoL domains through four perspectives (resident, staff, family, volunteer). At first, inclusion/exclusion criteria were applied to select appropriate policies, and secondly, policy texts were to coded according to Kane's (2001) QoL domains. The third stage involved assigning a level of regulatory power, with the final stage interrogating the policy categorisation data from four perspectives: residents, families, volunteers and workers. Findings: The outcome revealed a dominant discourse of safety, security, and order over other domains such as dignity, privacy, and spirituality. Limitations: Policies dictate regulatory and guiding principles, and are only one part of the story. How these policies are implemented is beyond the scope of our research, but we recognize that understanding these implementation practices are essential to fully capture the experiences of residents, their families, and staff. Implications: This novel method is useful in exploring how QoL is supported across a high number of complex cross-jurisdictional policies. We conclude that our approach to policy analysis enables a re-examination of policies affecting LTC and assesses whether these policies reflect the values of the residents and society at large.

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Do Policy Implementation Support Programmes Work? The Case of the Care Act 2014

Cited by 5 publications

References 13 publications

Young Adult Carers Services in England: Facilitating Choice over Future Caring?

Young Adult Carers Services in England: Facilitating Choice over Future Caring?

How have the Care Act 2014 ambitions to support carers translated into local practice? Findings from a process evaluation study of local stakeholders' perceptions of Care Act implementation

How Residents’ Quality of Life are Represented in Long-Term Care Policy: A Novel Method to Support Policy Analysis

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