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Editorial

Editorial recently had the opportunity to spend a few days in In this Issue of CCMP, we are able to pick up once the company of people from all over the world who again the theme of care management. It has been Iare involved in community care — planning it, pro- difficult to find a local authority willing to set out its viding it, developing it, studying it. There was policy and practice experience for readers to evaluate a strong presence from Japan, Australia and in the light of the earlier theoretical articles from New Zealand, North America and Europe. There Bob Hudson and Amanda Edwards. Thanks are were market models and social models and people at therefore due to Suffolk Social Services, and to very different stages. Nevertheless what stood out David Smith in particular, for the Case Study we now were the similarities, not — as I had expected — the publish. differences. As editor, I would now like to open up a much The similarities extended from the common bigger debate, with more local Case Studies; with the struggle to adapt to changing demographic structures, Social Services Inspectorate currently engaged in especially the size of the ageing population, to dilemmas a major study of care management practice, this would about the scale of public funds available to meet be timely. And given that care management is increasing demands, methods of intervention (eligibility apparently now the main international policy initiative criteria, care management), and quality management for targeting public funds on people in need in the issues in residential and nursing home care. There was community, it is unlikely that there will be a shortage a massive common concern about empowerment, both of new ideas for CCMP to consider. of older citizens and of service users. The Case Study in this issue on advocacy — and This sort of experience is valuable. It is all too easy the Commentaries on it — are also a positive reflec- in Britain to be immersed in the detail of our policy tion of British practice in the current international and provision, to feel our services are inadequate, and debate about empowerment. Similarly, the benefits of to put blame on (most obviously) the ideology of the refining some of the early approaches to contracting previous Government. Compared to many other for community care in the light of our experience are advanced nations, our system of community care has made apparent in McBrien and Miller’s thoughtful great strengths underpinning it, such as primary health study of their application in NHS community service. care services, regulation of residential and nursing home care, and a capacity to innovate. Our legislation The remaining Case Study in this issue is yet also encourages community and service user participa- another very important contribution on the future of tion in the planning and management of services, even primary care — this time by Geoff Meads. It follows if this is difficult to do well in practice, and although it up previous contributions by bringing the debate currently falls short of achieving true empowerment. completely up to date, with challenging questions about the options for the new Government. I sense Of course we have our problems; but so, for that this article is of crucial importance to all planners example, do the Swedish, whose universal provision and managers in community care. Every one of us, has long been envied from these islands. In fact, one Meads asserts, will have to decide on the health senior Swedish civil servant described the balance of care/social care interface of the future. The Network power between central and local government in his feature in this issue demonstrates some existing practical country, the pressure for service provision from examples of what might happen. individuals with rights under the law, and the flight to litigation when services were denied — it could have Peter Thistlethwaite, been Gloucestershire! Editor. 120 CCMP Volume 5 • Issue 4 • August 1997 © Pavilion Publishing (Brighton) Ltd http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care Emerald Publishing

Editorial

Thistlethwaite, Peter
Journal of Integrated Care , Volume 5 (4): 1 – Aug 1, 1997
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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1476-9018
DOI
10.1108/14769018199700022
Publisher site
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Abstract

recently had the opportunity to spend a few days in In this Issue of CCMP, we are able to pick up once the company of people from all over the world who again the theme of care management. It has been Iare involved in community care — planning it, pro- difficult to find a local authority willing to set out its viding it, developing it, studying it. There was policy and practice experience for readers to evaluate a strong presence from Japan, Australia and in the light of the earlier theoretical articles from New Zealand, North America and Europe. There Bob Hudson and Amanda Edwards. Thanks are were market models and social models and people at therefore due to Suffolk Social Services, and to very different stages. Nevertheless what stood out David Smith in particular, for the Case Study we now were the similarities, not — as I had expected — the publish. differences. As editor, I would now like to open up a much The similarities extended from the common bigger debate, with more local Case Studies; with the struggle to adapt to changing demographic structures, Social Services Inspectorate currently engaged in especially the size of the ageing population, to dilemmas a major study of care management practice, this would about the scale of public funds available to meet be timely. And given that care management is increasing demands, methods of intervention (eligibility apparently now the main international policy initiative criteria, care management), and quality management for targeting public funds on people in need in the issues in residential and nursing home care. There was community, it is unlikely that there will be a shortage a massive common concern about empowerment, both of new ideas for CCMP to consider. of older citizens and of service users. The Case Study in this issue on advocacy — and This sort of experience is valuable. It is all too easy the Commentaries on it — are also a positive reflec- in Britain to be immersed in the detail of our policy tion of British practice in the current international and provision, to feel our services are inadequate, and debate about empowerment. Similarly, the benefits of to put blame on (most obviously) the ideology of the refining some of the early approaches to contracting previous Government. Compared to many other for community care in the light of our experience are advanced nations, our system of community care has made apparent in McBrien and Miller’s thoughtful great strengths underpinning it, such as primary health study of their application in NHS community service. care services, regulation of residential and nursing home care, and a capacity to innovate. Our legislation The remaining Case Study in this issue is yet also encourages community and service user participa- another very important contribution on the future of tion in the planning and management of services, even primary care — this time by Geoff Meads. It follows if this is difficult to do well in practice, and although it up previous contributions by bringing the debate currently falls short of achieving true empowerment. completely up to date, with challenging questions about the options for the new Government. I sense Of course we have our problems; but so, for that this article is of crucial importance to all planners example, do the Swedish, whose universal provision and managers in community care. Every one of us, has long been envied from these islands. In fact, one Meads asserts, will have to decide on the health senior Swedish civil servant described the balance of care/social care interface of the future. The Network power between central and local government in his feature in this issue demonstrates some existing practical country, the pressure for service provision from examples of what might happen. individuals with rights under the law, and the flight to litigation when services were denied — it could have Peter Thistlethwaite, been Gloucestershire! Editor. 120 CCMP Volume 5 • Issue 4 • August 1997 © Pavilion Publishing (Brighton) Ltd

Journal

Journal of Integrated Care – Emerald Publishing

Published: Aug 1, 1997

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