Personalisation in social care – what does it really mean?

Abstract

PurposeThis paper seeks to provide an overview of recent reforms to the social care system in England.Design/methodology/approachThe reforms are described and contextualised within a broader account of the history of social care that includes an analysis of the factors that have encouraged reform.FindingsThe current reforms of social care will bring about some benefits but their long‐term impact is still very uncertain. The changing political and economic environment and the inherent difficulties that reform suggests indicate that these changes will be subject to significant differences in interpretation for some time.Research limitations/implicationsThis analysis is framed by a set of ethical assumptions about the rights of disabled people and the injustice of arrangements that limit those rights.Practical implicationsThe paper encourages practitioners to treat new ideas such as individual budgets and self‐directed support as positive opportunities for improving practice, while being mindful of tensions and unresolved issues that may harm good practice.Social implicationsThis research should help policy‐makers and the general public to avoid misunderstanding the role of these innovations and to better understand when and how these reforms can be used positively.Originality/valueThis paper offers a new and historical perspective on the social care reforms from someone who is closely associated with inventing and implementing those ideas.