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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
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URI: https://cronfa.swan.ac.uk/Record/cronfa64848
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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. 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spelling v2 64848 2023-11-01 Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions? a5fdd0f9bc9dd4b6716fc42cb1ee8a30 Simon Read Simon Read true false e8ab076d041ca74c58d6b9cda8289db7 Fiona Verity Fiona Verity true false 7a50a4eeeb5c00bad3acd160cf138a8e 0000-0002-5668-1824 Gideon Calder Gideon Calder true false 2023-11-01 PHAC 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. Journal Article Social Inclusion 12 Cogitatio 2183-2803 Ageing; community development; independence; older people; social care and support; social policy 25 1 2024 2024-01-25 10.17645/si.7448 http://dx.doi.org/10.17645/si.7448 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) Health and Care Research Wales, SCF/20/1797 2024-01-29T14:02:52.7581202 2023-11-01T09:57:11.9573696 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Social Work Simon Read 1 Fiona Verity 2 Mark Llewellyn 0000-0002-2723-6414 3 Gideon Calder 0000-0002-5668-1824 4 Jonathan Richards 5 64848__29486__4a41a6478f0f4ba2a02a8eda2651cccb.pdf 64848.VOR.pdf 2024-01-29T13:58:41.9997270 Output 349634 application/pdf Version of Record true © Simon Read, Fiona Verity, Mark Llewellyn, Gideon Calder, Jonathan Richards. This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 license which permits any use, distribution, and reproduction of the work without further permission provided the original author(s) and source are credited. true eng http://creativecommons.org/licenses/by/4.0
title Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?
spellingShingle Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?
Simon Read
Fiona Verity
Gideon Calder
title_short Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?
title_full Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?
title_fullStr Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?
title_full_unstemmed Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?
title_sort Preventative Social Care and Community Development in Wales: “New” Legislation, “Old” Tensions?
author_id_str_mv a5fdd0f9bc9dd4b6716fc42cb1ee8a30
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author_id_fullname_str_mv a5fdd0f9bc9dd4b6716fc42cb1ee8a30_***_Simon Read
e8ab076d041ca74c58d6b9cda8289db7_***_Fiona Verity
7a50a4eeeb5c00bad3acd160cf138a8e_***_Gideon Calder
author Simon Read
Fiona Verity
Gideon Calder
author2 Simon Read
Fiona Verity
Mark Llewellyn
Gideon Calder
Jonathan Richards
format Journal article
container_title Social Inclusion
container_volume 12
publishDate 2024
institution Swansea University
issn 2183-2803
doi_str_mv 10.17645/si.7448
publisher Cogitatio
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Social Work{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Social Work
url http://dx.doi.org/10.17645/si.7448
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description 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.
published_date 2024-01-25T14:02:53Z
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