bluuebunny/crossref_metadata_2025 huggingface dataset:
The Distributional Impact of Current Income Transfer Policies in the Netherlands
Authors: Goudswaard Kees , Jong Philip De
Published: January 2009

The large and generous income transfer system in the Netherlands has caused increasing tax burdens and deficits in a period of sluggish economic growth. Confronted with this situation, the present Dutch government is trying to cut back the scope of the system substantially by reducing benefit levels. The distributional impact of this policy is simulated on a micro data set. It is found that the effects of the transfer cuts on overall income distribution are not very large: from 1983 to 1986, inequality as measured by the Gini or the Theil index increases by 3 per cent. However, inequality between working and non-working people as measured by the Theil index between groups is simulated to increase by as much as 50 per cent. On the other hand, people can be hypothesized to increase their work effort when benefit levels are lowered. Using a behavioural model, it is estimated that from 1983 to 1986 the working population might increase, ceteris paribus, by 0.5 per cent yearly as a consequence of the transfer cuts. This would imply second-round distributional effects mitigating the increase in overall inequality by one-third.
The Impact of Social Policies on Income Distribution and the Labour Market in Italy
Authors: D'Apice Carmela , Boca Alessandra Del
Published: January 2009

Italian social policies are divided between insurance and public assistance, an ambivalence that occasionally results in unequal treatment of equals and discriminatory distribution of benefits. Though expansion of social expenditures slowed after 1975, social programmes did not suffer real cuts until 1983. The effect of social policies on poverty is not direct: most recent changes in the income distribution reflect the effects of recession. Though the Italian share of GDP officially allocated to social expenditures is still below the average of that in other industrialized countries, resources available to the needy are understated because of informal channels within the institutional system. Although the data on income distribution are inadequate, improvements can be discerned in the lowest decile owing to transfer policies targeted on families during the 1970s. In general, the equalizing policies championed by the unions in the 1970s have improved the well-being of wage earners and salaried workers, as well as pensioners.
Problems, But Whose Problems: The Social Construction of Black Youth Unemployment and State Policies
Authors: Solomos John
Published: January 2009

The issue of black youth unemployment has become a central aspect of government race relations policies over the last few years, particularly in the aftermath of the 1981 street disturbances. This paper attempts to locate the various stages of response to this question, both at the level of ideology and of policy. It argues that although the policies pursued have been legitimized as helping young blacks, they have failed to mount an effective response to the employment crisis facing this group. In addition, it is argued that policies have tended to ignore the question of racism and to concentrate on the supposed cultural and personal handicaps which young blacks inherit from their cultural background. It concludes by questioning the ideology of equal opportunity, which is the core concept underlying government responses to racial discrimination, and argues for a more critical analysis of recent interventions premised on this notion.
Categories, Categorizations and the Political Economy of Welfare
Authors: Carrier John , Kendall Ian
Published: January 2009

Marxist accounts of welfare have been characterized by a critical view of social administration and an uncritical view of the concept of the ‘welfare state’. In this paper both these views are questioned. We explore the problems associated with basing analyses of welfare on the ‘welfare state’ and the limitations of certain criticisms of the ‘social administration tradition’. We conclude that whatever the merits of the more substantive elements in Marxist accounts of welfare, there are problems associated with their assumptions about social administration and the ‘welfare state’.
Comparing National Priorities: Family and Population Policy in Britain and France
Authors: Baker John
Published: January 2009

The recent discussion of the State Earnings Related Pension Scheme in Britain in terms of the unfavourable demographic position early next century has highlighted how little attention is normally paid by British politicians and social policy analysts to population size and structure. Further, the attention is normally confined to the question of how policy should adapt to demographic change, rather than how to modify it, although Britain has an implicit policy of restricting family size. Britain is not alone in this but many countries show more concern about the future of their population and some wish to increase it. Among these is France. This article compares Britain and France: first, over the priority given to demographic issues by statesmen and academics; and second, over the advantages and problems seen in different demographic futures. It argues that family policy needs to be seen in a demographic context.
Being a Programme Authority: Is it Worthwhile?
Authors: Aldridge Meryl , Brotherton Christopher J.
Published: January 2009

Nottingham is one of 23 local authorities designated as ‘programme authorities’ under the Inner Urban Areas Act 1978. Between 1983 and 1985 the authors carried out research into the formulation of inner city policy, its application to the Radford area in particular and the opinions of residents there about its impact. Interviews with a wide range of those involved with policy including local authority officers and members and representatives of the police, the health authority and regional Department of the Environment (DoE) revealed considerable institutional and political barriers to a joint inner city strategy in a shire district, even where the same party holds political control. Structures set up to liaise are cordial but clumsy, slow and very much removed from daily service delivery. As elsewhere, the local authorities are critical of lack of central government commitment to this part of the Urban Programme, but nevertheless work well with regional DoE. Paradoxically, however, despite their criticisms of a lack of central funds and of inappropriate spatial and other parameters, the local authority and health authority respondents are anxious for the Programme to continue as it provides both the resources and the justification for innovatory and redistributive projects which would otherwise have been financially and politically impossible.
Payments for Adopted Children—Right or Wrong?
Authors: Hill Malcolm
Published: January 2009

Recent changes in the law have made it possible to pay adopters in certain circumstances for the upkeep of their children. This is a policy change which has been controversial since it challenges values concerning not only the nature of adoption but also the boundaries between State and parental responsibility. It also represents a significant extension of local authority powers with regard to income maintenance. This raises issues of equity in relation to central government benefits for the maintenance of children and other forms of help available to disadvantaged families.
Health and Health Care Among Travellers
Authors: Pahl Jan , Vaile Michael
Published: January 2009

Travellers, or Gypsies, constitute a minority group with its own culture and traditions for whom access to health care can pose problems. A study of Traveller women and children showed that the sites where they lived were often lacking in facilities and provided a poor environment in terms of cleanliness and safety. Perinatal mortality was above average, and was especially high on sites with inadequate facilities and among the more mobile families. Immunisation and preventive care of children were both inadequate, especially among the more mobile. There continues to be a need for more, and better, permanent sites for Travellers. Other responses include allowing Traveller families to carry their own medical records, providing mobile clinics for Gypsy sites, and appointing specialist health visitors to ensure that Travellers get the health care to which they are entitled.
Poverty in Britain 1899 to 1983
Authors: Piachaud David
Published: January 2009

Past comparisons of the extent of poverty in Britain have been based on widely differing poverty levels. A constant relative poverty level is defined and new estimates of the extent of poverty from 1899 to 1983, based on this consistent standard, are presented. Factors that have contributed to the past changes are analysed.
Direct and Indirect Measures of Poverty
Authors: Ringen Stein
Published: January 2009

Poverty can be defined and measured either directly (in terms of consumption) or indirectly (in terms of income). The relative deprivation concept of poverty is a direct concept; poverty is understood as visible poverty, that is, a low standard of consumption. The income poverty line is an indirect measure; poverty is established as low income. It is argued that recent mainstream poverty research combines a direct definition and an indirect measure. This causes there to be no logical line of deduction between definition and measurement and, along with other problems in the approach, renders the statistics produced invalid.
Models of Carers: How Do Social Care Agencies Conceptualise Their Relationship with Informal Carers?
Authors: Twigg Julia
Published: January 2009

Carers occupy an ambiguous position within the social care system. Services are predominantly structured around the dependant rather than the carer, and this has important consequences for their delivery and evaluation. Many of the problems that arise in thinking about carer issues relate to confusion over the way the relationship between social care agencies and informal carers should be perceived. The paper outlines three models that provide frames of reference for this relationship: carers as resources; carers as co-workers; and carers as co-clients. The tensions between these are then used to explore the contradictions of policy in this field.
An End to Incrementalism? The Impact of Expenditure Restraint on Social Services Budgets 1979–1986
Authors: Kelly Aidan
Published: January 2009

The theory of incrementalism is a long-standing and influential perspective on policy making and resource allocation in the public sector. Previous research on social services budgeting suggests that resources are allocated incrementally, although there has been some debate as to whether this would persist in an era of prolonged expenditure restraint. Incremental budgetary outcomes are operationalised as percentage changes in budgets pro-rata with percentage changes in the total budget, and as stable shares of total expenditure for each activity. Data for 99 English social service departments supports incrementalism in that budget shares change by only 1.8 per cent, but percentage allocations depart from pro-rata incrementalism by a mean of 74 per cent. The comparison of the two summary indices over time supports those who have argued that prolonged restraint would encourage non-incremental budgeting, but change in the agency's total budget does not consistently predict budgetary outcomes. The effect of restraint on incrementalism varies with the measure used and across the component activities of the measures, but there is enough evidence to suggest a significant decline in the level of incrementalism in social service departments. In particular, non-incremental budgeting is strongly associated with the growth of day centre expenditure on the mentally ill and the elderly before 1982–3, and after that with the pursuit of the ‘community care’ strategy within state provided services for the elderly and children. Incrementalism as a general theory of agency budgeting is limited in its ability to explain variations in the degree of incrementalism between agencies, between component budgets and over time. The conclusion suggests that further research should seek explanations for these variations in the varying balance of the competing forces which shape outcomes in welfare bureaucracies and in the relationship between these forces and the organisation's environment.
Countering Moral Hazard in Public and Private Health Care Systems: A Review of Recent Evidence
Authors: Donaldson Cam , Gerard Karen
Published: January 2009

Within both publicly and privately financed health care Systems different funding mechanisms have evolved, or have been proposed, to deal with the problem of ‘moral hazard’. Moral hazard arises when financial incentives within the health care System lead to either inefficient demands for care by consumers or inefficient supply of care by providers. In this paper the problem of moral hazard is outlined in more detail, and different ways of countering moral hazard are reviewed in terms of three criteria: effect on patient utilisation of health services in general; effect on utilisation by different groups of patients; and effect on health status. It is concluded that evidence on different methods of funding health services can only be judged in the context of objectives. If the objectives of health care delivery are ‘maintenance or improvement of health’ and ‘equal access for equal need’ then charges and finance of care through health maintenance organisations both appear to be less favourable than ‘free’ care at the point of delivery whilst the latter is not necessarily more costly as a resuit. Research on other suggested alternatives is required, otherwise radical changes to health care financing in the UK will simply result in movement from one unproven system to another.
Legislating For Fair Employment: The Fair Employment (Northern Ireland) Bill, 1988
Authors: Miller Robert
Published: January 2009

Two decades ago allegations of religious discrimination and the onset of ‘the troubles’ led the British Government to institute a programme of administrative and legislative reform in the province. These reforms culminated in the Fair Employment Act (1976). More recently, the Government began a review of the efficacy of the existing legislation and this has now resulted in a new Fair Employment Bill for Northern Ireland. The new Bill should be seen as a serious attempt to grapple with the chronic problem of religious discrimination in the province. The realisation of equality of opportunity in Northern Ireland, however, continues to be as much a test of political will as of the ability of those who frame ‘fair employment’ legislation.
Improving the Doctor/Patient Relationship: A Feminist Perspective
Authors: Foster Peggy
Published: January 2009

Since the early 1970s British and American feminists have developed a comprehensive critique of the dominant doctor/patient relationship within mainstream health care services. In Britain, activists in the women's health movement have struggled to put into practice a model of health care delivery based on feminist principles, within which the doctor/patient relationship is radically redesigned. This paper will explore the principles and practice of this feminist health care model. It will then attempt to evaluate alternative strategies for strengthening and expanding feminist health care within the NHS. The paper will draw on data gathered by the author in 1987 through a series of unstructured interviews with feminist health care providers who were working within a variety of NHS settings in the North West of England.
Ambiguities and Contradictions in the Provision of Sheltered Housing for Older People
Authors: Clapham David , Munro Moira
Published: January 2009

This paper examines the current model of sheltered housing and explores a central contradiction in that model: namely that if only those people who most need and appreciate the unique features of sheltered housing were allocated places in schemes, the existing model ultimately could not provide sufficient support. This central contradiction leads to a fundamental lack of clarity in the role of sheltered housing. This is reflected in the ambiguities apparent in allocation practices, where judgements are typically made not only in relation to the tenants' needs and demands but also in relation to the impact on schemes. Evidence is presented from a recent study of sheltered and amenity housing in Scotland, which exposes these issues and suggestions are made as to how the traditional model of sheltered housing can be made more flexible and more suited to those who need and value it most.
The Division of Labour in Early Child Care—Mothers and Others
Authors: Mayall Berry
Published: January 2009

This paper is concerned with the work of child care and with the division of work between mothers and others. Drawing on research data, it explores the idea that this work takes place in a domain located between the public and the private. The perspectives of mothers and health visitors on child care and health care are considered, with particular reference to their perspectives on their own and others' knowledge and responsibility.
The Fall in the Number of Children in Care: a Demographic Analysis, 1977–1986
Authors: Timæus Ian
Published: January 2009

The determinants of the number of children in local authority care in England are examined using methods that distinguish the implications of current flows into and out of care from the continuing impact of past decisions. In the long term, the decline in the admission rate and the time that children can expect to spend in care between 1977 and 1986 would produce a 39 per cent fall in the number of children in care from that implied by flows into and out of care in 1977–8. These changes have been compounded by an 11 per cent decline in the size of the child population. In fact, though, the higher level of admissions in the past means that the number in care fell by only 29 per cent during this period. If admissions and rates of leaving care have remained at their 1985–6 levels since then, the number of children in care will drop by around 8,300 to under 59,000 in 1991.
Looking Forward to the Past? The Politics of Public Health
Authors: Baggott Rob
Published: January 2009

This article explores the role of political agents, institutions, circumstances, and ideas in the development of public health policies in Britain. The first part attempts to define public health. The second section of the article looks at the experience of the Victorian public health movement. The final part considers the re-emergence of the public health perspective. The underlying theme of the article is that an awareness of the political dimension, both contemporary and historical, improves our understanding of developments in the field of public health. The main conclusions reached are: first, that given the formidable political obstacles which exist, public health reform will only succeed if the reformers themselves operate with full awareness of the political dimension; second, that the modern public health debate is unlikely to be resolved in the short term.
Coping With Cutbacks and Managing Retrenchment in Health
Authors: Flynn Rob
Published: January 2009

This paper presents qualitative evidence about managers' perceptions of retrenchment in the National Health Service in England. It outlines the financial situation of six case-study district health authorities during the expenditure crisis of 1987/8, and presents the results of an interview survey of district general managers and directors of finance about the implementation of cutbacks. Similar policies of cost-containment and service reduction are mirrored by similarity in the views held by managers and treasurers. Key concerns included the need for a reconstruction of local priorities in service provision, and the advocacy of an extension of managerial control over hospital consultants. These issues are discussed briefly in the context of the recent government proposals to introduce market mechanisms into the NHS, and wider arguments about medical dominance and bureaucratic/professional conflicts.
Homeless Young People and Runaways—Agency Definitions and Processes
Authors: Liddiard Mark , Hutson Susan
Published: January 2009

This article looks at the problems of youth homelessness and running away, and analyses how the agencies who deal with these problems define them. Based on extensive research material, it presents three main findings. It illustrates that agencies appear to present the problems with which they deal to an outside audience, externally, in a number of different ways and that these statements do not depend solely on the characteristics of their clients. Instead, they also reflect the structure, purpose and resources of the involved agencies themselves. Additionally, however, agencies also appear to categorise their potential clients internally, in terms of who they can and cannot assist. To help reach these decisions, many of these organisations use a set of classifications linked to whether or not they perceive their potential clients to be deserving or undeserving. The paper concludes with the recognition that these labels are not in any way fixed. Rather, there are identifiable processes involved in these classifications.
Co-residence between Adult Children and their Elderly Parents in England and Wales
Authors: Grundy Emily , Harrop Anne
Published: January 2009

Co-residence between adult children aged 35 or more and their elderly parent(s) or parent(s)-in-law has been investigated using data from the Office of the Population Censuses and Surveys (OPCS) Longitudinal Survey and the 1985 General Household Survey supplement on informal carers. Overall 4 per cent of adults lived with a parent or parent-in-law but this proportion varied considerably with age, marital status and gender. Socio-economic differentials in co-residence were also found. These suggested that where the child is the provider of support to an elderly parent co-residence may be associated with socio-economic advantage. Differentials in co-residence rates and differences between co-residence data from the Longitudinal Study (LS) and data on co-resident carers from the General Household Survey (GHS) also point to the important role of elderly people as providers of support to adult children. In conclusion, the implications of these data for policies of community care are considered.
Mother's Employment and Child Health Care
Authors: Dowswell Therese , Hewison Jenny
Published: January 2009

A decline in the number of young people entering the UK labour force has led to growing interest in the recruitment and retention of women workers. As yet the child care needs of school age children have not been addressed. Using interview data the strategies mothers employ to meet their work commitments outside of school hours and during childhood illnesses are described. Although mothers remained the main carers of their children, they frequently depended on unpaid help from relatives. These informal arrangements were sometimes complicated and potentially vulnerable. This dependence on informal support networks has a range of policy implications.
Income Source as a Social Barometer
Authors: Day Beryl
Published: January 2009

This paper, based on an exploratory study of households in an English south coast town, argues that main income source is a significant factor to be taken into account when distinguishing between households. The research was triggered by information drawn from the 1981 Census showing that less than half the population of Great Britain experienced a direct relationship between current paid employment and income. It suggests that generalisations based on an assumption that household income drawn mainly from paid employment is the norm, marginalise more than half the population. The study draws attention to some of the issues highlighted when the focus of research is on sources of income. These are presented as supplementing, rather than negating, views from other perspectives. This exploratory study highlights additional insights having implications for social policy, while acknowledging that each merits more detailed attention.
Equity in Health and Social Care
Authors: Evandrou Maria , Falkingham Jane , Grand Julian Le , Winter David
Published: January 2009

This paper studies equity in the distribution of primary health care and domiciliary care for elderly people. The main data source is the 1980 GHS which has been linked to local authority data. An equitably distributed service is defined as one in which only variables which measure respondent's need for the service provide a significant explanation of whether the respondent receives the service. In the case of primary health care we find that for a number of groups defined by gender and age, economic and demographic variables have significant explanatory power. For two groups (males under 41 and females between 40 and 60), need was the only significant variable. For domiciliary care not only are variables which relate to the respondent's demographic and economic status significant but also variables which are concerned with local authorities' policies concerning supply. In general neither service is distributed equitably in the sense defined.
Problems in the Definition and Measurement of Poverty
Authors: Piachaud David
Published: January 2009

Three approaches to defining poverty levels are discussed—social consensus approaches, budget standard methods, and behavioural approaches. Each addresses different questions and none, of itself, has provided—nor, it is argued, could ever provide—an objective definition of poverty. The paper then raises problems that have been largely neglected in defining poverty. First, the treatment of time and home production: the time and ability of individuals to prepare food or to wash and feed without assistance, for example, vary greatly depending on circumstances and in turn affect income needs. Choices and constraints affecting the household formations in which people live and their budgeting behaviour are also important in assessing poverty. Individual variations in behaviour need to be explicitly recognised if practical definitions of poverty levels are to be found. Finally, the paper condemns discussions of poverty that are part of the problem rather than part of the solution.
Consensual Approaches to the Definition of Poverty: Towards an Alternative Methodology
Authors: Walker Robert
Published: January 2009

‘Consensual’ methods, which seek to establish poverty lines by reference to the views of society as a whole, are an important recent development. Three variants are recognised: those which require the public to estimate an adequate minimum income; those which ask people to specify a list of necessary items and those which ask what level of benefits the public is prepared to fund. This paper suggests that attempts to operationalise the consensual approach have been frustrated by their reliance on survey methodology. Some thoughts are offered on a possible methodology, based on the use of qualitative techniques, which would first explore consensus on the definition of poverty and then, if appropriate, seek directly to determine a socially approved budget standard.
Managing Threats to Welfare: The Search for a New Paradigm of Welfare
Authors: Titterton Michael
Published: January 2009

This article argues that dominant paradigms in the study of social welfare have neglected the role of creative human agency in responding differentially to threats of welfare across the lifespan. This is due to the preference for unitary categories of analysis which place vulnerable individuals into homogenous groupings and to the tendency to work with limited models of vulnerability and helpseeking. These paradigms are further characterised by a preoccupation with pathological views of health and welfare and by inadequate conceptualisations of mediating factors and coping across the life course. A new paradigm of welfare is called for, the focus of which would be on the differential nature of vulnerability and risk among individuals and their differentiated reactions to threats to welfare. Directions for empirical research within such a paradigm are outlined.
The Politics of Universalism: The Case of Finnish Sickness Insurance
Authors: Kangas Olli
Published: January 2009

This study identifies the general structural, political and institutional configurations which conditioned the emergence of national health insurance in Finland. Due to late industrialisation, the Finnish case allows the evaluation of the importance of the agrarian versus working class interests in the emergence of the Scandinavian model. The study also seeks to answer how the contending theoretical approaches of the development of the welfare state serve to explain the characteristics of Finnish sickness provisions. After the historical overview, the results of the historical processes are examined by comparing the quality of Finnish sickness insurance with the Swedish, German and British cases, each representing different ideal types of the modern welfare state.
Equality of Treatment for Housewives in Tax and Benefit Systems: A Proposal
Authors: Cuvillier Rolande
Published: January 2009

It is proposed in this article to integrate housewives into tax and benefit systems, in their own right, on the basis of what can be considered as ‘work’ in their case: housekeeping for a husband. The implications as regards the assessment of working time and earnings are examined, as well as the consequences from the point of view of liability to income tax and National Insurance contributions. The basis proposed would serve to recognise personal rights to social benefits to replace rights that are derived from a husband.

The author reviews a number of objections raised by the proposal. She considers that what is at stake is the selective protection of some men's domestic comforts, the status of housekeeping as an occupation and womens' freedom of occupational choice. A section is devoted to family responsibilities because they are often confused with housekeeping. In spite of the weight of habit and vested interest, the author thinks that it is possible to make progress while preserving the individual rights of older generations of women.
Managing Appeals: The Control of Housing Benefit Internal Reviews by Local Authority Officers
Authors: Eardley Tony , Sainsbury Roy
Published: January 2009

Studies of appeals in social security have tended to focus on the structure and performance of tribunals and other appeal bodies. Housing benefit differs from most other social security benefits in having a mandatory ‘internal review’ by officers before a disputed decision can be heard by the review board. The article draws on an evaluation of the housing benefit review system and shows how its two-tier structure has allowed wide variations in practice to develop among local authorities, such that officers can effectively control or manage claimants' access to the formal appeal hearing. We conclude that the existing structure obscures rather than enhances claimants' appeal rights in this area and discuss the possibilities for change.
The future of health care in Canada
Authors: Chappell Neena L.
Published: January 2009

Canada, like all industrialised countries, has become concerned over health care costs. Canada has reason to be concerned, with the most expensive system, on a per capita basis, of any country with national health insurance. This paper briefly reviews Canada's health care system, examines the rhetoric being adopted throughout the country at the current time, and discusses the changes which are now occurring. An assessment of whether change will lead to a more cost efficient and appropriate system for an aging society is then presented. It is concluded that there are profound changes taking place in the health care system in all provinces in Canada. Most of the changes to date reflect a restricting of current medical care by making ineligible previously eligible procedures, introducing user fees where there were none before, and in some instances including means testing where there was none before. In addition, hospital budgets are being cut and beds are being closed. However, a corresponding expansion of community programmes, while evident in the rhetoric, is less evident within current actions.
Men's and Women's Incomes: Evidence from Survey Data
Authors: Hutton Sandra
Published: January 2009

The article highlights the discordance between the reality and the perception of women's independence and equality. The changes in legislation and increased female participation in the labour market since the 1960s give the impression of considerable progress. Equal treatment of men and women has been proposed. Evidence from national survey data however, shows that women's income is still lower than men's with no matching increase with age and career. Social security policy has always been based on labour market participation but women's labour market participation is quite different from that of men. Because of childcare responsibilities many women work parttime at some time in their working lives. Equal pay legislation has had little influence on the incomes from part-time work. The failure of real income from part-time work to rise over time has been a major cause along with job segregation and the segmentation of the labour market in maintaining the difference between men's and women's incomes. Women's continued lack of personal income has consequences for the support for women and children, particularly evident in the case of lone mothers. The incomes available to a woman are unlikely to be high enough to provide an adequate independent living standard for herself and any dependent children.
The ‘Employer-dominated Households’ of National Health Service Staff
Authors: Tomlinson Dylan
Published: January 2009

The subject of this article is NHS staff accommodation, about which, as with other comparable forms of shared peer group housing, little is known. It is noted that there is no obvious reason why privileges, such as the provision of subsidised staff housing, should continue to be accorded to the professions by government, especially given the contemporary concern of the latter that state agencies should not be landlords on a large scale. NHS recruitment difficulties, and possibly also the need for mutual support felt by those in stressful ‘care’ occupations provide some grounds for staff accommodation to be provided. But it is argued in this article that it is rather the onset of citizenship and displacement of corporatism which implies a civic obligation on residents to take control of developing this sector of housing.
Parent Management Committees and Pre-school Playgroups: The Partnership Model and Future Management Policy
Authors: Brophy Julia
Published: January 2009

This article reconsiders the origins of ‘self management’ in pre-school daycare services in the light of new data from a national study of playgroups in England. In the absence of comprehensive nursery education, playgroup provision has mushroomed in Britain. ‘Parental involvement’ has been a central premise in the philosophy of playgroups. However, data now available suggest that aspects of this premise require reassessment.

The study establishes that ‘parents’ who are playgroup managers are in fact mothers mostly drawn from white, higher income, higher educated groups. Furthermore, they tend to be resistant to taking on such management functions. Playgroup workers in turn are dissatisfied with available levels of support and effective management. Both groups however are subject to structural pressures – not least of which is women's increased participation in paid employment – and many of these pressures are likely to increase in the 1990s.

The future management of this sector therefore requires reconsideration within a broader public sector policy framework. Such an approach should address both the real cost of effective management and such employment policies as may facilitate the involvement of all parents – irrespective of gender, income or ethnic group – in services for their children.
Postmodernism and Social Policy: A Great Leap Backwards?
Authors: Taylor-Gooby Peter
Published: January 2009

Postmodernism claims that the universalist themes of modern society (society-wide political ideologies, the nation-state, the theme of rational planning in government policy, the large-scale public or private sector bureaucracy) are obsolete, to be replaced by a plural interest in diversity and choice. These ideas have strong implications for both the theory of social policy, which typically stresses universal themes of inequality and privilege, and the practice of social policy, which relies on rational analysis to inform society-wide government provision. This article suggests that such an approach ignores the significance of market liberalism and the associated trends to inequality, privatisation, retrenchment and the regulation of the poorest groups. From this perspective, postmodernism functions as an ideological smokescreen, preventing us from recognising some of the most important trends in modern social policy. It is unfortunate if, at a time when the results of increasing inequality are everywhere apparent, one of the dominant approaches in social science obscures the issue.
Professionalism and Participation in School Budgeting in the USA
Authors: David Miriam E.
Published: January 2009

The purpose of this essay is to examine aspects of educational policy-making at the local level in the USA. I shall present some empirical evidence to support the claims that local control by citizens is an illusion rather than a reality and that the professional educators have a large measure of discretion in determining the organization of education in their local communities. The evidence is adduced from an intensive study of the budgetary process in four school districts and in essence shows that the size of the community is not a causative factor in determining the nature of control; nor is the form of government – namely town or city – found to have any appreciable effect upon the extent of citizen participation or control.
The Management and Politics of a Public Exposé: The Prestwich Inquiry 1922
Authors: Towers Bridget A.
Published: January 2009

This paper examines the dynamics of scandal creation and control involved in the public exposé of conditions and ill treatment at the public mental asylum of Prestwich, Lancashire in 1921. It identifies the groups and interests involved in orchestrating the public and official responses which culminated in a departmental committee of inquiry. It focuses particularly upon the conflicts and divisions within the bureaucratic institutions of the Board of Control, the Ministry of Health and the local asylum authorities, and argues that the Prestwich exposé was used in a strategy which established increased ministerial control of mental health services.
Tax Expenditure and Public Expenditure in the UK
Authors: Wilkinson Margaret
Published: January 2009

‘Tax expenditures’ are public revenue losses which result from special allowances and reliefs given to various categories of taxpayer for reasons of economic and social policy. In 1983/4 tax expenditures in the personal income tax system cost nearly £11 billion which was equal to 35 per cent of revenue from personal income tax or 9 per cent of total public expenditure. This paper assesses their significance in the context of public expenditure and tax policy. It identifies those allowances and reliefs in the personal income tax system which may be regarded as tax expenditures, evaluates them and compares their cost with direct expenditures in similar areas. Many tax expenditures are inequitable and inefficient; and they are difficult for governments to control. If they were reduced some public expenditures could be protected from cuts, or the general burden of income tax could be reduced.
Rationing, Choice and Constraint: The Allocation of Public Housing in Glasgow
Authors: Clapham David , Kintrea Keith
Published: January 2009

Social segregation in public housing has usually been explained in institutional terms by reference to the policies and practices of the local authority. This paper draws on data from a household survey of new council tenants in Glasgow to demonstrate that the outcome of the rationing process cannot be attributed to factors originating at the level of the institution alone. The research examines stages of the allocation process, in particular the behaviour of applicants in expressing preferences and their propensity to reject offers, as well as institutional factors. It is suggested that household choice behaviour, which is related to income, is important in determining social patterns in council housing.
Funding the National Health Service: the Continuing Search for Alternatives
Authors: Bailey Stephen J. , Bruce Allan
Published: January 2009

The article emphasises the urgent need for a reconsideration of potential sources of income for the National Health Service which could supplement rather than replace those from general taxation. They include local taxation, earmarked taxes, patient charges (hotel, prescription and other charges for non-clinical items), a lottery, income generation, charitable donations and patient ‘opting out’ of the NHS with private insurance. Analysis is set within the position statement provided by the 1989 White PaperWorking for Patientsand within a more general analytical framework paying attention to equity, accountability, value for money, management incentives and other criteria.

Each funding method is considered in terms of its consistency with the criteria of both the analytical framework and the White Paper. The differences between some of the alternative sources are found to be more apparent than real. Rather than providing a panacea for the perceived funding and rationing problems of the NHS, the danger is that new supplementary sources of finance may simply replace one set of problems with another. The new set may pose even more intractable problems and involve considerable short to medium term disruption of NHS finances. The inescapable fact is that decisions about the levels and quality of public service provision and their financing are ultimately matters of democratic accountability, decisions which cannot and should not be sidestepped by the convenience of income sources.
Those Missing Millions: Implications for Social Statistics of Non-response to the 1991 Census
Authors: Simpson Stephen , Dorling Daniel
Published: January 2009

This article highlights some of the issues raised by incomplete coverage of the 1991 census in Britain, illustrating how far-reaching are its implications across the spectrum of social statistics. The origins and the current state-of-play of the debate over the distribution of the non-response are summarised and the implications then assessed. For many census variables, non-response reduces the observed variation between areas, with consequences for the distribution of resources for local services. The implications for the reliability of the most basic of health statistics are raised through mortality rates. A rough estimate is made, and supporting evidence presented, of the possible numbers of households which were missed by the census. Some implications for housing needs assessments are illustrated along with the effect of the sudden upwards revision of official estimates of the dwelling stock and the resulting overall great uncertainty over the number of vacant dwellings in the country. Finally, recent research on the electoral implications of people's choice not to be registered is discussed as this may well help to understand census non-response. Such a pervasive degree of uncertainty across almost all figures concerning people has not been experienced in Britain since the last century. There is little reason to expect this uncertainty and the importance of its social policy implications to diminish in the future, without significant changes to census procedures and to the relationship between government and governed.
Work and Care in the Life Course: Understanding the Context for Family Arrangements
Authors: Yeandle Sue
Published: January 2009

The article develops a case study of the family and work history of an interviewee which is used to illustrate the context in which family arrangements for work, care and support develop. The study uses Finch and Mason's (1993) focus on human agency to develop a ‘family responsibilities account’, and then goes on to explore three aspects of the social structural context in which the life has been lived. These are developed from Connell's analysis (1987) of gender relations: constraints associated with the division of labour, with issues of power and with emotional and personal life (cathexis).

A detailed account of the life in question is given, and this is reanalysed using the four approaches indicated. The result is an overall account which emphasises the complexity of social life and of human decision-making, even at the apparently mundane level of choices about family life, paid employment, domestic work and the care and support of kin. The extent to which constraining factors interweave with individual agency is demonstrated, and the significance of the analysis for policymakers is noted: each change in arrangements for work and care in a life affects others, and policy must be made in an awareness of the complexity of its unintended effects as well as of its objectives.
Family Policy in France
Authors: Rodgers Barbara N.
Published: January 2009

To ask about a country's family policy is to ask how state action, government policies, are actually affecting families and the quality of family life – not just poor families, but all families in that country. French family policy is considered under three headings: (1) the political significance of the family in France, (2) the social security services designed to increase the economic viability of the family and to promote family welfare, and (3) the adjustment of French family policy to the changing economic situation and aspirations of ordinary families. Comparisons are drawn with British policies under each heading and the conclusion drawn that compared with Britain France has a more conscious, clearly defined concept of family policy, which finds expression firstly in statutory and voluntary institutions whose primary or even sole purpose is to promote the welfare of the family, and secondly, in a whole range of statutory benefits to which the parents of the nuclear family are entitled as of right.
The Objectives and Performance of the Mental Health Services in England and Wales in the 1960s
Authors: Maynard Alan , Tingle Rachel
Published: January 2009

The objective of this paper is to take the published Mental Health Service objectives of the British Government and to assess the extent to which these objectives had been attained by 1970. Our measures are those of input and the criteria by which we judge the services are those which were set forth in the White papers, the Hospital Plan for England and Wales (1962), and Health and Welfare (1963). By and large we find that the objectives were not met. Simple linear extrapolation of some of the trends in the data make us pessimistic about their attainment prior to 1980. These lessons should condition any optimism about the inevitability of more recent objectives (Department of Health and Social Security [1971] - the Keith Joseph proposals) being attained in the prescribed time period.