Human motivation and professional practice: of knights, knaves and social workers

Efforts to improve the efficiency and responsiveness of public services by harnessing the self-interest of professionals in state agencies have been widely debated in the recent literature on welfare state reform. In the context of social services, one way in which British policy-makers have sought...

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Main Authors: Martin, Graham P., Phelps, Kay, Katbamna, Savita
Format: Article
Published: 2004
Online Access:https://eprints.nottingham.ac.uk/682/
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author Martin, Graham P.
Phelps, Kay
Katbamna, Savita
author_facet Martin, Graham P.
Phelps, Kay
Katbamna, Savita
author_sort Martin, Graham P.
building Nottingham Research Data Repository
collection Online Access
description Efforts to improve the efficiency and responsiveness of public services by harnessing the self-interest of professionals in state agencies have been widely debated in the recent literature on welfare state reform. In the context of social services, one way in which British policy-makers have sought to effect such changes has been through the "new community care" of the 1990 NHS and Community Care Act. Key to this is the concept of care management, in which the identification of needs and the provision of services are separated, purportedly with a view to improving advocacy, choice and quality for service users. This paper uses data from a wide-ranging qualitative study of access to social care for older people to examine the success of the policy in these terms, with specific reference to its attempts to harness the rational self-interest of professionals. While care management removes one potential conflict of interests by separating commissioning and provision, the responsibility of social care professionals to comply with organizational priorities conflicts with their role of advocacy for their clients, a tension rendered all the more problematic by the perceived inadequacy of funding. Moreover, the bureaucracy of the care management process itself further negates the approach's supposedly client-centred ethos. The definitive version is available at www.blackwell-synergy.com
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spelling nottingham-6822020-05-04T20:31:08Z https://eprints.nottingham.ac.uk/682/ Human motivation and professional practice: of knights, knaves and social workers Martin, Graham P. Phelps, Kay Katbamna, Savita Efforts to improve the efficiency and responsiveness of public services by harnessing the self-interest of professionals in state agencies have been widely debated in the recent literature on welfare state reform. In the context of social services, one way in which British policy-makers have sought to effect such changes has been through the "new community care" of the 1990 NHS and Community Care Act. Key to this is the concept of care management, in which the identification of needs and the provision of services are separated, purportedly with a view to improving advocacy, choice and quality for service users. This paper uses data from a wide-ranging qualitative study of access to social care for older people to examine the success of the policy in these terms, with specific reference to its attempts to harness the rational self-interest of professionals. While care management removes one potential conflict of interests by separating commissioning and provision, the responsibility of social care professionals to comply with organizational priorities conflicts with their role of advocacy for their clients, a tension rendered all the more problematic by the perceived inadequacy of funding. Moreover, the bureaucracy of the care management process itself further negates the approach's supposedly client-centred ethos. The definitive version is available at www.blackwell-synergy.com 2004-10 Article PeerReviewed Martin, Graham P., Phelps, Kay and Katbamna, Savita (2004) Human motivation and professional practice: of knights, knaves and social workers. Social Policy & Administration, 38 (5). pp. 470-487. http://www.blackwell-synergy.com/doi/abs/10.1111/j.1467-9515.2004.00402.x doi:10.1111/j.1467-9515.2004.00402.x doi:10.1111/j.1467-9515.2004.00402.x
spellingShingle Martin, Graham P.
Phelps, Kay
Katbamna, Savita
Human motivation and professional practice: of knights, knaves and social workers
title Human motivation and professional practice: of knights, knaves and social workers
title_full Human motivation and professional practice: of knights, knaves and social workers
title_fullStr Human motivation and professional practice: of knights, knaves and social workers
title_full_unstemmed Human motivation and professional practice: of knights, knaves and social workers
title_short Human motivation and professional practice: of knights, knaves and social workers
title_sort human motivation and professional practice: of knights, knaves and social workers
url https://eprints.nottingham.ac.uk/682/
https://eprints.nottingham.ac.uk/682/
https://eprints.nottingham.ac.uk/682/