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Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?

Simon Read, Fiona Verity, Mark Llewellyn Orcid Logo, Gideon Calder Orcid Logo, Jonathan Richards

Social Inclusion, Volume: 12

Swansea University Authors: Simon Read, Fiona Verity, Gideon Calder Orcid Logo

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DOI (Published version): 10.17645/si.7448

Abstract

Prevention is becoming ever more central in UK care policy for older people, though precisely what this entails, and how it works most effectively in social care and support, remains ambiguous. Set against the “newness” of recent social care legislation in Wales, this article explores the perspectiv...

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Published in: Social Inclusion
ISSN: 2183-2803
Published: Cogitatio 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa64848
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Abstract: Prevention is becoming ever more central in UK care policy for older people, though precisely what this entails, and how it works most effectively in social care and support, remains ambiguous. Set against the “newness” of recent social care legislation in Wales, this article explores the perspectives of professionals on prevention and community development, particularly for older people. This draws on qualitative data collected from 11 Welsh local authorities, four NHS Wales health boards, and eight regional third-sector organisations, incorporating 64 interviews with directors, executives, and senior managers. Recent research has highlighted concerns over the slipperiness of prevention as a concept, resulting in multiple interpretations and activities operating under its banner. Consistent with this, our data suggested a kaleidoscopic picture of variously named community-based initiatives working to support the intricate web of connections that sustain older people, as well as provide practical or material help. Similarly, professionals highlighted varied agendas of community resilience, individual independence, and reducing the need for state-funded health and social care, as well as a range of viewpoints on the roles of the state, private sector, and the third sector. Analysis revealed fragments of familiar themes in community development; positive hopes for community initiatives, tensions between the mixed agendas of state-instigated activities, and the practical challenges arising from systems imbued with neo-liberal ideas. Realising the promise of prevention will require deft steering through these challenges.
Keywords: Ageing; community development; independence; older people; social care and support; social policy
College: Faculty of Medicine, Health and Life Sciences
Funders: Health and Care Research Wales, SCF/20/1797