Securing the dignity and quality of life of older citizens
Securing the dignity and quality of life of older citizens
This chapter first explores how far the interpretation of the complex and fluid concepts of ‘independence’ and ‘choice’ reflected in current policies is adequate ‘to secure the dignity and quality of life of older citizens, and to ensure that they receive the support they need in the place, and manner they prefer’. This exploration is placed within the contexts of the growing emphasis on individuals as consumers rather than as citizens; of the increasing identification of ‘active citizenship’ with being in paid employment; and of the increasing commodification and marketisation of care services. In particular, current policy developments in domiciliary and residential care services are examined to illustrate some of the contradictions and dilemmas that arise in these contexts, which are very different from those of the post-war British welfare state.
Keywords: independence, welfare state, active citizenship, care services, domiciliary care, residential care
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