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Social policies and social controlNew perspectives on the ‘not-so-big society’$
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Malcolm Harrison and Teela Sanders

Print publication date: 2014

Print ISBN-13: 9781447310747

Published to Policy Press Scholarship Online: January 2015

DOI: 10.1332/policypress/9781447310747.001.0001

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Choice, control and user influence in health and social care

Choice, control and user influence in health and social care

(p.117) Eight Choice, control and user influence in health and social care
Social policies and social control

Gabrielle Mastin

Policy Press

The concept of user involvement has been an important area of interest for politicians and decision makers over several decades. Although the concept lacks an agreed and universal definition, the aims and values attached to the process have generally related to issues of power and control. This chapter documents the development of a consumerist dialogue and the 'personalisation' agenda and the growth of direct payments and the right to choose which became firmly embedded in the practices of social care authorities. Along with personalisation have emerged new and enduring behaviourist expectations affecting user/consumers, involving responsibilisation, taking charge of their health and wellbeing, self-managing of preventable disease, or commissioning of their own care packages. This chapter explores the story of this transformation, and then illustrates local trends and issues from a recent case study of user involvement amongst elders in a northern borough in England, exploring how user involvement had meaning in local practice.

Keywords:   Consumerism, Responsiblisation, User involvement, Personalisation

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