Care Management Unleashed: Enduring Ethical Tensions 20 Years after the Griffiths Report, 1988

Abstract

This article looks at some of the moral implications of the radical reforms in the United Kingdom since the Griffiths Report was first published in 1988. It is suggested that, among others, two outcomes are particularly problematic. These are firstly, findings that care managers (the preferred name in the UK for social workers dealing mainly with adults and older people who require social care support in the community) no longer spend much time with clients, and secondly, suggestions that many aspects of care management practice promote forms of inequality, especially amongst already disadvantaged groups. The article also considers recent studies regarding the opinions of social work practitioners, and it is concluded that ultimately the care management hegemony is difficult to defend from an ethical perspective.