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Promoting service user and carer empowerment in health and social care. International week at Laurea Tikkurila 1 st March 2010 Dr Mary Larkin De Montfort University Leicester. OUTLINE OF PRESENTATION. the concepts of ” service user” and “carer” the empowerment of service users

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Promoting service user and carer empowerment in health and social care
Promoting service user and carer empowerment in health and social care

International week at Laurea Tikkurila

1st March 2010

Dr Mary Larkin

De Montfort University

Leicester


Outline of presentation
OUTLINE OF PRESENTATION social care

  • the concepts of ”service user” and “carer”

  • the empowerment of service users

  • the empowerment of carers

  • the future promotion of service user and carer empowerment


Definition of empowerment
DEFINITION OF social care “EMPOWERMENT”

“degrees of empowerment are measured by the existence of choice, the use of choice and the achievement of choice” (Alsop, R. and Heinsohn (2005:4)


1 the concepts of service user and carer
1. social careTHE CONCEPTS OF ”SERVICE USER” AND “CARER

  • move away from institutional care to ‘community care’ in the 1980s - National Health Service and Community Care Act 1990

  • care for those in need which is based in their homes and mainly provided by families and friends on an informal basis, supported by formal care

  • creation of 2 new identifiable groups in society


2 the empowerment of service users
2. THE EMPOWERMENT OF SERVICE USERS social care

This has been shaped by:

  • the social equality and the modernisation discourses

  • policy initiatives


User involvement social care

Self-management

Personalised models

of care


User involvement
User involvement social care

  • involved in the planning and development of services

  • contribute to professional training and social work education

  • design and conduct research

  • have their own user-led organisations e.g. National Service User Network

  • hold positions in national social care organisations e.g. General Social Care Council


Self management
Self-management social care

  • Expert Patient Programme (EPP) (Department of

    Health,2001) (http://www.expertpatients.co.uk/)

  • individuals have more control over their health by managing it and their treatment in partnership with health care professionals

  • 6 week self care skills training course delivered by lay tutors

  • each patient is an expert about their own condition

  • use of patient expertise to build local support networks


Personalised models of care
Personalised social care models of care

  • place the individual at the centre of the health and

    social care process

  • foster independence more choice and controlover care

  • referred to as personalisation

    (http://www.dh.gov.uk/en/SocialCare/Socialcarereform/

    Personalisation)

  • central to personalisation is self directed support e.g.

    - direct payments

    - individual budgets


3 the empowerment of carers

3. THE EMPOWERMENT OF CARERS social care

This has been facilitated through:

legislative acts

carers movement


National social care

Strategy

for Carers (1999)

Employment

Relations Act (1999)

Carers and Disabled Children’s Act (2000)

The Child Support, Pensions and Social Security Act (2000)

Carers (Equal Opportunities) Act (2004)

National Carers Strategy (2008)


Carers movement
Carers social care movement

  • growth the size and power of national and local carers organizations

  • advocacy role increased

  • government website for carers (http://www.carers.gov.uk)

  • Carers UK – “the voice of carers” (http://www.carersuk.org)


4 the future promotion of service user and carer empowerment
4. THE FUTURE PROMOTION OF social careSERVICE USER AND CARER EMPOWERMENT

  • emphasis on interdependency and empowerment of both service users and carers

  • evidence efforts to empower service users and carers continues (www.dh.gov.uk and www.sdo.lshtm.ac.uk)

  • criticisms

  • possible ways forward:

    - address underlying attitudes

    - learning from others

    - collaborative working

    - research


Contact me
CONTACT ME ! social care

[email protected]


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