Normative puzzles for local government: Managing the introduction of single‐handed care in England

Rooney, Leigh, Rapley, Tim and Whitehead, Phillip J. (2023) Normative puzzles for local government: Managing the introduction of single‐handed care in England. Sociology of Health and Illness. ISSN 0141-9889 (In Press)

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A crisis in social care is apparent across the developed world as ageing populations put unprecedented demand on understaffed social care workforces. A recent popular response to this ‘care crisis’ within the UK involves the ‘innovation’ of single‐handed care (SHC). SHC involves a care package with two or more homecare workers being reduced to one worker using advanced equipment and new moving and handling techniques. In this article, we explore how SHC is rendered in 245 documents from 52 local authorities in England. Using Actor Network Theory as an interpretative lens, we suggest documents attempt to satisfy three ‘duties of care’: to the individual wellbeing of citizens, morally and fiscally to the collective and to innovation. Each appeal to different stakeholder groups necessary for SHC to work, but the combination of duties can pose problems in enabling coherent stories of SHC. Duties can be kept apart in different documents, but at times they must be brought together in certain textual spaces to enact SHC as a coherent enterprise. Here, the potential tensions that emerge are routinely orientated to as (merely) problems of process that can and should be managed in and through a more refined approach to change management.

Item Type: Article
Additional Information: Funding information: National Institute for Health Research. Grant Number: NIHR200040
Uncontrolled Keywords: actor network theory, document analysis, homecare, local government, single‐handed care, social care, United Kingdom
Subjects: L400 Social Policy
L500 Social Work
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Rachel Branson
Date Deposited: 30 Jan 2023 15:03
Last Modified: 30 Jan 2023 15:03

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