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Sowing the seeds of dysfunction: the 1948 settlement

In: The Future of Social Care

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Abstract

The origins of the social care system in the UK case study are traced back to 1948. This helps us to understand the underlying principles that were applied and how the modern systems remains in their grip. The principles that were applied contrasted sharply with those for the NHS. This was not just in relation to the better-known difference of the NHS being free at the point of delivery with social care not. No less telling for the nature of the service that evolved was the way needs and resources were to be reconciled. While in the NHS professionals would be allowed to identify need without having a narrow regard to resources, this would not be allowed in social care. This has allowed political control of the professional and policy process with resulting major dysfunction.

Suggested Citation

  • ., 2023. "Sowing the seeds of dysfunction: the 1948 settlement," Chapters, in: The Future of Social Care, chapter 2, pages 23-31, Edward Elgar Publishing.
    • Handle: RePEc:elg:eechap:21550_2
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    File URL: https://www.elgaronline.com/doi/10.4337/9781803923017.00011
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