bluuebunny/crossref_metadata_2025 huggingface dataset:
Council House Sales and Residualization
Authors: Williams N.J. , Sewel J. , Twine F.
Published: January 2009

It has been argued that council house sales will contribute towards a more general process of residualization of public sector housing. Empirical evidence is presented in this context derived from surveys of purchasers and non-purchasers of council dwellings in the city of Aberdeen. This evidence confirms that purchasers and non-purchasers exhibit different socio-economic characteristics and after only four years of the Right to Buy legislation significant numbers of households in social classes I, II and III have left the public sector via the mechanism of sales. The small number of sales relative to the stock as a whole, however, has meant that the overall contribution of sales towards residualization has been small. This evidence from Aberdeen is compared to evidence from elsewhere and related to the varying pattern of sales across the country as a whole.
Access to Primary Health Care: A Comparison of the US and the UK
Authors: Puffer Frank
Published: January 2009

This paper examines the extent to which low household income influences access to primary health care in both the US and the UK. The basic approach is to ask whether, given data about a person's age, sex, and self-reported general health status and history, extra information about whether or not they come from a low-income household adds a statistically significant amount to the probability of their obtaining various amounts of primary medical care. The measure of primary medical care is derived from the number of physician visits and it, along with the other data, is drawn from the 1977 US National Medical Care Expenditure Survey and the 1980 UK General Household Survey. Although the two surveys cover different sample periods, they are similar enough to make comparisons between the two countries possible. The main conclusion drawn from the study is that low household income is not an important determinant of the actual use of primary health care resources. Only with subgroups of the low-income population (UK women and US relatively unhealthy individuals) does there appear to be a statistically significant effect, which is quite small in comparison to other factors.
Egalitarians, Equalities and Welfare Evaluation
Authors: O'Higgins Michael
Published: January 2009

The focus of this paper is on the nature of the egalitarian policy objectives of the welfare state, and on the evaluation and assessment of social policies in the light of those objectives. This focus reflects the pervasive but often ill-defined presence of equality as an objective for social policy, without asserting that it is either unique or uncontested as an objective. The paper does not offer an evaluation of the success or failure of the welfare state in relation to equality; rather it is concerned with exploring what might be and is meant by equality as a target for social policy, with presenting some contrasting conceptions of equality, and with discussing the implications of the multiple meanings of equality for the way in which we think about issues in social policy and, in particular, about the impact of social welfare programmes.
Family allowances in Canada and Australia 1940–1945: A comparative critical case study
Authors: Watts Rob
Published: January 2009

Whilst quantitive and ‘positivist’ modes of comparative social policy can reveal significant structural factors involved in the making of welfare states, they too often ignore the role of human agency, intention and political processes. A critical-historical comparative case study of the introduction of ‘child endowment’ and of ‘family allowances’ respectively in Australia (1941) and in Canada (1944) reminds us of the interplay between structural constraints and human agency in the history of welfare states. Detailed analysis suggests that institutionalised arrangements in Australia after 1905 to resolve capital-labour conflict via arbitral and wage fixation mechanisms put the question of the adequacy of wages in meeting family needs and with it proposals for child endowment onto the public agenda as early as 1920. In Canada the absence of such mechanisms, and alternative welfare arrangements to deal with family welfare, combined to keep such proposals off the public agenda. After 1939 the development of ‘war economies’ in Australia and Canada created common contradictions for governments, trying to maintain both industrial peace and anti-inflation policies, which the introduction of family allowances in both countries were attempts to resolve. Consideration is also given to a range of political problems and contexts in both countries which this particular policy measure attempted to deal with.
In Pursuit of the Underclass
Authors: Macnicol John
Published: January 2009

The 1970s saw a wide ranging debate in Britain, initiated by Sir Keith Joseph, on the apparent existence of a ‘cycle of deprivation’. Most participants viewed this debate as having originated in the 1960s, but in fact versions of the general concept of an inter-generational ‘underclass’ have figured prominently in social debates during the past one hundred years. In particular, in the inter-war period there were several investigations of an hereditary ‘social problem group’, investigations which were crucial to a wider conservative social reformist strategy. These investigations produced inconclusive results, however, because ultimately the underclass is a statistical artefact, the existence of which can only be argued by the use of several serious methodological contradictions.
Choice in Residential Care: Myths and Realities
Authors: Vincent John A. , Tibbenham Alan D. , Phillips David R.
Published: January 2009

This paper examines the proposition that the welfare policies enacted and legitimised in the name of ‘choice’ have the effect of increasing the effective choice of service by consumers of welfare. The example of residential care of the elderly is used to illustrate the ways in which privatisation has influenced choices of care for elderly people in Devon. The paper reviews empirical material from two surveys of private homes in Devon in order to throw light on the ‘myths’ and realities of choice in residential accommodation and in other welfare provision available to the elderly in Devon. The paper identifies as the key debate the question of priorities: whether resources should be concentrated on providing suitable residential places for the increasing number of the very disabled elderly or used to increase the alternatives for the larger, more able groups. The latter option can perhaps be reasonably achieved through market mechanisms, whilst the former is more likely to require the specialised skills of social workers and other caring professionals. Although it is possible to argue that the growth in numbers of private old people's homes represents an increase in choice for the elderly, on closer examination this appears too simple an assertion. The expansion of the private sector has not necessarily expanded the range of alternative forms of care. In particular, there seems a major flaw in current policies by which the operation of the DHSS subsidy increases the availability of residential rather than domiciliary care.
Health Maintenance Organisations: Just What the Doctor Ordered?
Authors: Petchey Roland
Published: January 2009

Following its recent reorganisation of the management of the hospital sector of the NHS, the Government is currently engaged in a review of the primary health care sector. Certain of its proposals may be interpreted as suggesting movement towards a system modelled on American-style Health Maintenance Organisations (HMOs). This article seeks to explore the context in which HMOs have developed, to assess their current performance and to evaluate their potential impact on the health delivery system. It suggests that they must be understood primarily in the context of initiatives aimed at reducing health expenditure, and finds that the cost advantages claimed for them are achieved through reduced utilisation rather than through greater efficiency. It also argues that this reduced utilisation is likely to increase inequalities in health care.
The Inequalities in Health Debate: A Critical Review of the Issues
Authors: Carr-Hill Roy
Published: January 2009

There has been an ongoing dispute about inequalities in health ever since the suppressed publication of the Black Report in 1980. It has recently been given a new edge by three publications: the proceedings of an SSRC Workshop held in November 1983 and the Registrar General's Decennial Supplement for 1979–1983, and another half-suppressed report, this time from Health Education Council. The first and third broadly claim that inequalities in health are widening; the second that they are irrelevant. This paper reviews the debate since 1980 around the issues of measurement (how to assess differences between social groups and how to compare across time) and the four kinds of explanation examined by the Black Report. The concluding discussion emphasises the essentially political nature of the debate over the ‘trends’ but concludes that, whilst most agree on the importance of materialist/structuralist variables, there are differences in the policy implications of the different explanatory positions. However, on the whole these will not be resolved by ‘further research’: the time is long overdue for a redistribution of resources to eradicate poverty.
The Myth of Generic Practice: Specialisation in Social Work
Authors: Challis David , Ferlie Ewan
Published: January 2009

There has been continuing debate ever since the reorganisation of social services following the Seebohm Report as to the most appropriate mode of organising field social work. At different times various models have been proposed with more or less enthusiasm, some of which expect fieldwork caseloads to be of a generic kind and others which demand a greater degree of specialisation. This paper examines the extent of specialisation in social work based on a national survey of fieldwork organisation and considers some reasons why this trend to specialisation is evident, even in authorities with a strong commitment to community-based modes of provision.
Back to the Future: Statutory Sick Pay, Citizenship and Social Class
Authors: Taylor-Gooby Peter , Lakeman Susan
Published: January 2009

It is commonly argued that democratic-welfare capitalist societies face a continual tension between market individualist and need-oriented welfare values. If this is so, the attempt by the British Conservative Government of the 1980s to administer a brisk restorative to the welfare state with a purging dose of market principles seems likely to generate a tenacious opposition. This paper uses the transfer of sick pay responsibilities to employers through the 1983 Statutory Sick Pay scheme as a case study, to examine with what success market-based ideologies have encroached on people's conceptions of welfare citizenship.
The ‘Maschinenbeitrag’ Debate in Europe: In Search of the Optimal Financing Base for Social Security
Authors: Peeters Jan
Published: January 2009

In several West European countries the way in which social security is currently financed by payroll contributions is widely criticised for its negative effects on employment and on the future stability of social security revenue. The calculation of the contributions on a broader assessment base, that is, value-added, might be a plausible alternative. Since human labour is increasingly replaced by technology, could the latter's value-added be used for financing social insurance? This article reviews the major empirical studies on the economic effects of such a rebasing to a so-called ‘Maschinenbeitrag’. It shows that the economic and budgetary benefits are very uncertain; therefore a shift towards a fiscalisation of social security financing is suggested as an alternative line of policy.
Justice and the Bounds of Welfare
Authors: Edwards John
Published: January 2009

The welfare state is but the vehicle for the provision of welfare and the latter does not necessarily entail the former. Much recent debate occasioned by government policy and rhetoric has therefore confused means and ends. This paper argues that a defence of welfare must come before a concern for protecting the welfare state. A number of foundations for guaranteed welfare provision, including justice, rights and contract are considered but the most persuasive foundation for welfare as need-meeting is found to lie in the Kantian categorical imperatives. Not only do these provide a moral prescription that welfare ought to be provided, they also dictate the ways in which it ought to be provided. It is against these requirements therefore that the necessity of a welfare state as a means of providing welfare can be tested. The second part of the paper then considers how extensive a welfare state needs to be, and how the boundaries between the public and private domains in the provision of welfare may be drawn. The equality principle, allied to the notion of equality of welfare, is found to be a useful instrument in determining the bounds of the public domain but only (so the paper concludes reluctantly) when harnessed to objective specifications of need.
Political Acquiescence, Privatisation and Residualisation in British Housing Policy
Authors: Flynn Rob
Published: January 2009

This paper examines some of the social and political implications of retrenchment and privatisation in British housing policy. It reviews arguments and evidence about residualisation in the housing market, the effects of consumption sectoral cleavages, and attitudinal ambivalence to welfare, in an attempt to understand the apparent absence of discontent about inequalities in housing. It is argued that recent trends have exacerbated social fragmentation and reinforced tendencies to political acquiescence.
Early Retirement in a Period of High Unemployment
Authors: Laczko Frank , Dale Angela , Arber Sara , Gilbert G. Nigel
Published: January 2009

Early retirement is a policy for tackling unemployment which is popular among unions, employers and government, but there has been little recent research on its social implications for the individuals concerned. This article examines the reasons given by older men for retiring early and investigates the extent of income poverty in early retirement. Particular attention is paid to how early retirement is defined and to the differences between the early retired, the sick and the unemployed. Using data for men aged 60–64 from the General Household Survey for the years 1980–82 and from the Labour Force Survey of 1983, it is shown that ill-health is a less important reason for retirement than previous studies have suggested and that those who retire early are divided by class, with manual workers being more likely to retire early because of redundancy and more likely to be living on very low incomes than non-manual workers.
Housing and Health: A Case Study of Two Areas in West Belfast
Authors: Blackman Tim , Evason Eileen , Melaugh Martin , Woods Roberta
Published: January 2009

The issue of housing and health has received growing attention in recent years. This article reviews why this has been the case and presents the results of the authors' study of housing and health in two areas of West Belfast. A large scale household survey was carried out in Divis Flats and part of the Twinbrook estate, both deprived areas of public sector housing, to compare health and housing conditions. The health of children in Divis is shown to be much worse than the health of children in Twinbrook. Respiratory conditions, diarrhoea, vomiting and psychological distress were particularly common. The health of adults in Divis was also markedly worse than in Twinbrook, and the health of women generally worse than men. The authors conclude that Divis Flats is a contemporary public sector slum and support the case for clearance and rehousing. However, it is argued that the health problems of Divis are one, extreme, manifestation of a wider problem of ill health in low income, ‘mass housing’ areas.
Consumer Participation in Service Planning—the AWS Experience
Authors: McGrath Morag
Published: January 2009

This paper provides a case study of the involvement of carers in planning services for mentally handicapped people under the All Wales Strategy (AWS). After describing the structure for consumer participation in the AWS in Gwynedd, reasons for the low level of participation found are examined before considering what can be learnt from these early experiences. Major changes in the planning structure implemented after a review of the system are outlined. The paper ends with a discussion of the major operational principles which might underlie an effective system of consumer participation.
Family Food Systems, Preventive Health and Dietary Change: A Policy to Increase the Health Divide
Authors: Wilson Gail
Published: January 2009

Any preventive policy depends on a set of beliefs which will determine the point and method of intervention in a causative chain of events. In the case of heart disease, diet is seen as a causative factor. Prevention therefore demands a change in national diet. However, policy makers can view diet primarily as a matter of individual responsibility and preferences, or as a reflection of social structures. The individual approach emphasises health education. On the other hand, if dietary change is seen as related to structural factors such as income distribution, the division of resources within households and the power of the food industry, preventive policy must take different forms. The paper analyses food Systems in 61 inner city households in terms of gender, health beliefs, family preferences and status. The findings are compared with the results of large scale surveys. The conclusion is that health education needs to be more specifically directed at men but, more importantly, that a policy which ignores the structural features which limit individual capability for change will inevitably increase the health divide between rich and poor.
Class Mortality Differentials, Income Distribution and Trends in Poverty 1921–1981
Authors: Wilkinson Richard G.
Published: January 2009

The official figures which appear to show a widening of class differences in health in England and Wales during the post-war period have been controversial partly because they do not fit with common perceptions of what has happened to differences in the standard of living. As a result, a great deal of effort has gone into investigating suggested weaknesses in the decennial social class mortality data. Though initially plausible, the artifactual and selective explanations of the widening mortality differences which were put forward have not usually been borne out by closer investigations. The only fault in the broad picture presented by the official data which we do perhaps need to bear in mind is the tendency for a narrowing of mortality differentials among younger women to be masked by the widening among older women. This paper is an attempt to look at the other side of the coin—namely, to investigate trends in differences in the standard of living in relation to mortality differentials. It concludes that trends in mortality differences have not been related to trends in class differences inaverageearnings, but have been fairly clearly related to trends in relative poverty. Relative poverty and class differences in mortality declined before the war but have both increased, decade by decade, since the war. Younger women have perhaps been protected from the increase in relative poverty during much of the post-war period by their increased economic activity rates and the relative improvement in earnings of women in poorly paid manual occupations.
Gender and Poverty
Authors: Millar Jane , Glendinning Caroline
Published: January 2009

A recent edition of this Journal (Volume 16, Part 2, April 1987) was devoted to a number of articles on the definition and measurement of poverty. Surprisingly, perhaps, this did not include any specific discussion of gender differences in the causes, extent and experience of poverty. But such gender differences do exist, though they are often obscured by much research on poverty. Our initial response to the special edition on poverty was to write a reply discussing how the various contributors had ignored the issue of gender. But women cannot simply be ‘added in’ to existing analyses; instead a different analytic framework is required. This article therefore begins by looking at some of the widespread evidence of the economic disadvantage of women compared with men. We then go on to discuss why it is necessary to focus on the gender dimensions of poverty. We argue that this involves far more than simply disaggregating data to produce statistics about the situation of women. Rather, this focus leads us to explore the structural causes of women's poverty and the gendered processes in the labour market, welfare systems and domestic household which interact to create and maintain that disadvantage. In the final section we consider some of the important conceptual and methodological issues which must be tackled if we are to find ways to investigate and measure poverty which are not gender-blind.
The Second Marriage of Justice and Efficiency
Authors: van Parijs Philippe
Published: January 2009

No major reform of the welfare state has a chance of going through unless one can make a plausible case as to both its ‘ethical value’ and its ‘economic.value’, that is, that it would have a positive effect in terms of both justice and efficiency. In this essay, this rough conjecture is first presented, and its plausibility probed, on the background of some stylised facts about the rise of modern welfare states in the postwar period. Next, the focus is shifted to the current debate on the introduction of a basic income, a completely unconditional grant paid ex ante to all citizens. It is argued that if basic income is to have a chance of meeting the strong twofold condition stipulated in the conjecture, some major changes are required in the way one usually thinks about justice and efficiency in connection with social policy. But once these changes are made, as they arguably must be, the chance that basic income may be able to meet the challenge is greatly enhanced.
The Danish 1891 Act on Old Age Relief: A Response to Agrarian Demand and Pressure
Authors: Petersen Jørn Henrik
Published: January 2009

This essay presents the Danish Act of 1891 on old age relief as an alternative to the German social insurance approach and as a precursor to the British Act of 1908. The hypothesis is that a form of welfare provision for the elderly developed in Denmark under agricultural rather than the industrial conditions which conventional thinking usually assumes necessary for such welfare developments. The influence of the Danish scheme upon the debate in Britain is documented and discussed.
Keyworkers for Elderly People in the Community: Case Managers and Care Co-ordinators
Authors: Dant Tim , Gearing Brian
Published: January 2009

In the United Kingdom a range of services for elderly people in the community has developed that is delivered by a variety of professionals and administered within different organisations. This has resulted in a problem of co-ordinating services to meet the individual needs of the most frail elderly people. In the United States ‘case management’ has been introduced as a way of improving the co-ordination of care. Despite structural differences in the provision of health and social services between the United States and the United Kingdom, the concept of case management has influenced the design of a number of innovatory schemes in the United Kingdom, including the Gloucester Care for Elderly People at Home project (CEPH). These innovatory schemes have demonstrated the need for a ‘keyworker’ and clarified the tasks that are involved in taking responsibility for co-ordinating services to meet the needs of elderly people at risk of failing to cope at home. There is, however, a danger of proliferating the complexity of service provision by creating a new breed of professional; an alternative might be to alter the responsibilities, attitudes and team orientation of existing professional workers so as to include taking on the key worker role for some of their clients.
Patterns of Health and Illness Amongst Lone Parents
Authors: Popay Jennie , Jones Gill
Published: January 2009

In 1969, the British Government established the Finer Committee to consider ‘the problems of one parent families in our society’. Its report, published in 1974, concentrated on the economic circumstances of these families, though it also looked at other issues including the welfare implications for children. Since then there has been further research in Britain focused on the economic circumstances of one parent families and continued interest in the health, welfare and development of children in these families. What was missing from the deliberations of the Finer Committee and is still omitted from subsequent research activities, is any substantial consideration of the health and welfare implications of lone parenthood for the adults involved. Yet such research is important. Firstly, one parent families are a numerically important group amongst British families caring for dependent children and it is predictable that they will continue to be so. Secondly, research into the social and economic circumstances and the health experience of lone parents, is also essentially research into the nature and causes of gender inequalities, because lone parents are disproportionately female. Finally, research into patterns of health and illness amongst lone parents would also be relevant to those planning a range of health and social services. This paper therefore seeks to contribute to knowledge about the health status of lone parents. Using data from a national annual household survey (the OPCS General Household Survey) we describe the subjective experience of health and illness amongst lone mothers and fathers. This is compared to the experience of parents in couple households and of different groups of lone parents according to sex, marital status, socio-economic circumstances and ‘normative’ gender roles in order to explore the relative importance of this group of factors in the aetiology of the patterns described.
Getting on Their Bikes: Teenagers Leaving Home in Scotland in the 1980s
Authors: Furlong Andy , Cooney George H.
Published: January 2009

New restrictions on the payment of income support and housing benefit to young people are likely to affect their ability to leave the family home. Yet little is known about the sorts of young people who leave home and the likely effects of the changes. This paper uses nationally representative data to look at the characteristics of Scottish teenagers who have left home, the reasons they gave for leaving home and the sorts of problems they faced on leaving. We also examine the labour market experiences of teenage leavers, and compare their experiences with young people who remained in the family home.
Poor People, Council Housing and the Right to Buy
Authors: James Simon , Jordan Bill , Kay Helen
Published: January 2009

Data from the authors' qualitative study of decision-making in low income households casts new light on council house sales in a least-favoured housing estate. Under pressure from rising rents and rumours of privatisation, poor tenants are deciding to buy their houses as a way of securing their future in the area and controlling their personal environment, rather than as an escape from a residual ‘ghetto’ of welfare housing. This raises a number of issues in relation to current theories about housing tenure, especially those which distinguish sharply between the material and ideological bases of owner occupation and local authority tenancy. The authors argue that their respondents' reasons for wanting to buy do not constitute a rejection of collectivism as much as an attempt to preserve the endangered advantages of their situation on the estate.
Welfare Rights Work into the 1990s—a Changing Agenda
Authors: Alcock Pete , Shepherd Jane , Stewart Gill , Stewart John
Published: January 2009

The authors discuss the development of welfare rights advisory work in Britain, tracing its origins from the Community Development Projects of the late 1960s to services which are funded mainly by local government. Changes in social security legislation in 1980 introduced a largely non-discretionary regulated scheme which was quickly exploited by welfare rights advisers to maximise the take-up of single payments. Advisers and social workers were blamed for generating a deluge of claims by informing claimants of their right to extra benefit. Hence, in 1986, the government restricted entitlement to single payments. It is argued, on the basis of a survey of single payment queries made to welfare rights advisory agencies, that those restrictions foreshadowed the coming of the social fund—with its discretion, cash limit and extremely limited eligibility. The implications for welfare rights work in this changed climate are considered.
The Corporatisation of the United States Welfare State
Authors: Stoesz David , Karger Howard
Published: January 2009

This article examines the increasing importance of human service corporations within the American welfare state. In particular, the article investigates the historical and philosophical background of the corporatisation of welfare, the expanding social welfare market, and the scope of human service corporations. The consequence of corporatisation, including standardisation, commodification, and the oligarchic nature of human services are also examined. Lastly, the authors explore the implications of corporatisation for the future of the US welfare state.
Measuring Living Standards Using Existing National Data Sets
Authors: Hutton Sandra
Published: January 2009

The study reported on in this paper used existing data to create a broad measure of living standards as advocated by Townsend (1979) in developing his concept of relative deprivation. Linked data from the General Household Survey and the Family Expenditure Survey was used to compare the living standards of households at different income levels. A particular focus of the study was the living standards of households on supplementary benefit (as it was at the time of the surveys). Analyses showed that in general they score less well on individual indicators of living standards than other households of the same type on low incomes. A summary index was developed which indicated the similarity of standards of living for households on supplementary benefit (SB) irrespective of household type. The specific indices constructed for each of the family types investigated suggested that families on SB with children have a relatively lower standard of living than other families with children whereas elderly households on supplementary benefit are not so deprived in comparison with other elderly households.
Selectivity and Targeting in Income Support: The Australian Experience
Authors: Saunders Peter
Published: January 2009

The Australian income support system is often characterised as one of the most selective in the Western industrialised world. This paper examines the sense in which the Australian system is selective, and discusses the distinction between selectivity and targeting in income support provisions. Developments in social security outlays and recipient numbers over the last two decades are compared with those occurring since 1983, in order that the nature and impact of recent policies introduced to increase targeting can be identified. The analysis indicates that increases in recipient numbers have been the dominant factor underlying the past growth in social security expenditure. The distinction between selectivity and targeting of income support provisions is then explained with reference to the concepts of eligibility and entitlement. A framework is developed to illustrate how recent policies have restrained the growth in social security recipient numbers by policies which have increased income support targeting. These moves have not always produced a consistently more selective system of income support, an issue which is explored with the use of an index of the degree of selectivity of social security expenditures developed specifically for this purpose.
The Importance of Assessing the Effectiveness of Care: The Case of Hospices
Authors: Goddard Maria K.
Published: January 2009

The hospice sector has expanded and diversified rapidly in recent years and has become associated with the provision of highly specialised, good quality care for the dying. However, as resources for health and social care are increasingly stretched, it will become necessary to demonstrate, rather than to assert, that the hospice sector provides superior care. This paper considers critically the methodology that has been used in the evaluation of the effectiveness of hospice care, focusing on the design of evaluations, what is measured, who measures it and how it has been measured in practice.
Dual Welfare and Sex Segregation of Access to Social Benefits: Income Maintenance Policies in the UK, the US, the Netherlands and Sweden
Authors: Sainsbury Diane
Published: January 2009

In examining the sex of beneficiaries of income maintenance programmes, several country-specific studies suggest a pattern of segregation between women and men in access to types of benefit. Men are more likely to be recipients of social insurance benefits, whilst women often must rely on means-tested programmes, and frequently their claims to insurance benefits are via their husband. This conclusion is re-examined through a comparison of insurance and means-tested programmes in the UK, the US, the Netherlands, and Sweden. The purpose is to determine, first, to what extent such a pattern of segregation emerges in the four countries and, second, what mechanisms operate to exclude or include women. The comparison reveals that the Swedish case deviates from the other three countries, and policy constructions inhibiting and promoting greater equality between women and men in access to social benefits are discussed. The results also have theoretical implications for dual welfare as an analytical framework and feminist thinking about the welfare state.
Developing the Mixed Economy of Care: Emerging Issues for Voluntary Organisations
Authors: Lewis Jane
Published: January 2009

Responses from both voluntary organisations and statutory authorities to the community care legislation and the policy guidance stressed the importance of maintaining the concept of ‘partnership’ as local authorities move towards becoming ‘enabling authorities’. Using data from intensive observation and interviewing in two inner and two outer London Boroughs, this paper examines the nature of the redefined partnership and the implications of the emerging contract culture for voluntary organisations.
The Hidden Agenda: Abortion Politics in Israel
Authors: Yishai Yael
Published: January 2009

The paper examines the formulation and implementation of abortion politics in Israel. Liberalisation of abortion, triggered by the need to enable poor women to terminate unwanted pregnancies, enjoyed wide consensus. The highly controversial repeal of the social-cause clause, prompted by coalition bargaining, was aimed at encouraging fertility. Both policies failed to realise intentions of decision-makers. Liberalisation of abortion did not result in population control among the poor; restriction of abortion did not lead to increasing birth rates. The reasons for the unsuccessful impact are grounded in the hidden agenda, caused by the incompatibility between two policy goals: curbing birth rates among the poor and encouraging fertility among the Jewish population on the whole. The hidden agenda hindered the achievement of impact: population control policy was not followed up by family planning. Population growth policy was not followed up by economic incentives.
Area, Class and Health: Should we be Focusing on Places or People?
Authors: Macintyre Sally , Maciver Sheila , Sooman Anne
Published: January 2009

In Britain there has been a long tradition of research into associations between area of residence and health. Rarely has this involved investigating socio-economic or cultural features of areas that might influence health; usually studies use area level data, for example about specific pathogens or about levels of deprivation, as surrogates for individual level data, rather than being interested in the areas themselves. This paper reviews the literature on the relationship between area and health. It advocates directly studying features of the local social and physical environment which might promote or inhibit health, illustrating this approach with some findings from a study in the West of Scotland, and suggests that improvements in public health might be achieved by focusing on places as well as on people.
Social Security or Economic Insecurity? The Concentration of Unemployment (and Research) Within Households
Authors: Irwin Sarah , Morris Lydia
Published: January 2009

The social security structure has been seen as a serious disincentive to the employment of women married to unemployed men. The implied significance of this disincentive is not apparent from verbal accounts, where only a minority of such women cite social security considerations as having any direct relevance in their own labour force experience. Recent research, critical of the social security model, has been conducted with a view to exploring the employment strategies of couples. In such research, economic structure is seen as the context of household employment strategies but not, it appears, as part of their substance; household level processes and ‘external’ economic processes are separated. In this respect, such approaches parallel the social security model. The present paper is based on an analysis of the household circumstances and employment histories of 790 couples in Hartlepool. Our findings suggest that ‘strategies’ regarding household income maintenance are patterned in relation to labour demand and occupational opportunity. This association contributes to the coincidence of spouses' employment status and is indicative of the problems of separating employment demand and labour supply processes, a separation which leads the social policy literature to overstate the significance of social security disincentives to employment.
Efficient Targeting of Community Care: The Case of the Home Help Service
Authors: Bebbington Andrew , Davies Bleddyn
Published: January 2009

By 1985 community care, of which the home help service is one of the cornerstones, was on the brink of a major change which would fundamentally affect targeting. The new focus is a concentration on those in greatest need, responsiveness to the needs of carers, and to the potential for the self financing of care. The analysis given here indicates that huge changes in targeting of the service will have been needed from the situation in 1985 to meet these new policies, changes which might be expected to move the service away from its traditional role of monitoring the very old living alone. Analysis of the period between 1980 and 1985, using the General Household Survey, shows that the targeting effect of new policies is not easy to predict. The slight increase in home care during the period did not reflect an improvement in targeting on the demonstrably most needy, but instead apparently spread the service more widely. Re-examination of equity, territorial and gender issues shows that only limited progress had been made. Indeed, gender discrimination may even have increased.

While the UK may not wish to go as far as some other countries in allocating community care according to fixed eligibility criteria, come what may, targeting concepts will be increasingly salient for monitoring the community care policy's achievement.
Poverty Measurement and the Within-Household Distribution: Agenda for Action
Authors: Jenkins Stephen P.
Published: January 2009

Mainsteam poverty analysis is deficient because it ignores important within-household aspects. This point has been made by many, and stressed by feminists especially, yet mainstream poverty measurement practice remains unchanged. Why is this? What should we be doing? This paper examines anew the case for taking within-household factors into account in poverty measurement. The analysis reveals a number of unresolved issues including some problems with recent feminist arguments, but concludes that there is a good case for changing current practice. To demonstrate that this is feasible, four research projects are described. These are my agenda for action.
A Nation of Inheritors? Housing Inheritance, Wealth and Inequality in Britain
Authors: Hamnett Chris
Published: January 2009

This paper examines the growth of housing inheritance in Britain since the late 1960s using Inland Revenue statistics. It also uses survey evidence to examine the uneven distribution of inheritance by housing tenure, class and region, and assesses its implications for consumption cleavage theory. It argues that at present the social distribution of housing inheritance is far from equal, benefiting home owners and the professional and managerial classes, but that, over the next 40 years, it will become much more widespread as the post-war generation of home owners bequeathes property. It is likely, however, that the children of tenants will be generally excluded from housing inheritance which is largely confined to the children of home owners.
Muddle or Mendacity? The Beveridge Committee and the Poverty Line
Authors: Veit-Wilson John H.
Published: January 2009

The Beveridge Committee of 1942 is often assumed to have based its proposals for social security scales on a poverty line at the ‘human needs’ or social participation level. This is because of its ‘principle of adequacy of benefit in amount and time’. Using the Committee's working papers, this paper describes the discussions of the committee about the ideas of need and measures of poverty to be used. The evidence shows that the Committee knew very well that its proposed benefit levels were not enough for social participation. Because it consciously implemented the principles of minimum subsistence and less-eligibility in the face of inadequate wages, the proposed scales were arguably more austere even than Rowntree's ‘primary poverty’ standard which both he and Beveridge acknowledged was not sufficient to meet human social needs. Whether muddle or mendacity, this mystification has had serious consequences for the poor in Britain.
Labour Exchanges and the Labour Reserve in Turn of the Century Social Reform
Authors: Mansfield Malcolm
Published: January 2009

This article attempts to describe a major debate in turn of the century social reform through a close reading of the published works of Charles Booth, J.A. Hobson, William Beveridge, A.C. Pigou and others. My aim is to reconstruct the emergence and elaboration of a theory of labour market disorganisation, understood as the absence of effective norms governing employment relationships in urban labour markets subject to chronic over-supply. In so doing I shall take issue with a tendency in the historiography of social policy to fragment this debate into the development of two distinct conceptual frameworks corresponding to the social problems of poverty and unemployment more or less as we know them today.
Affordability for Housing Association Tenants. A Key Issue for British Social Housing Policy
Authors: Kearns Ade
Published: January 2009

As a result of changes to the financial regime for housing associations, affordability has become a major issue of debate in social rented housing in Britain. This paper assesses the implications of trying to construct a finance system for housing associations based on a regime of ‘affordable rents’ and the ‘safety net’ of Housing Benefits but with the state declining to define the central concept of affordability. Using examples of a number of Western countries, and empirical evidence from the sector in Scotland, the present position is criticised, and a route out of the policy vacuum is suggested. This is founded on the premise that housing is a means rather than an end, within a broader social policy. Given the political constraints, one solution lies in studies of the expenditure patterns and standards of living of different groups of housing association tenants, and in the creation of a sector-specific organisational subsidy to be available in addition to the usual producer- and consumer-subsidies.
Deprivation
Authors: Townsend Peter
Published: January 2009

Widening inequality in the distribution of resources, higher rates of unemployment and deteriorating conditions in the inner cities have concentrated attention in Britain, and elsewhere in Europe, upon the idea and exact meaning of ‘deprivation’. This scientific concept is used extensively not only in the analysis of social conditions but also, in an applied form, as an instrument of policy in allocating resources to particular regions, areas and services. This paper argues that the indicators which are chosen to represent the phenomenon are often unduly restricted and even involve double counting. As a result the distribution and severity of deprivation seems to be seriously misperceived and resources misallocated. A review of the available studies shows how the concept might be treated more coherently in relation to that of poverty.
Evaluating Adequacy: The Potential of Budget Standards
Authors: Bradshaw Jonathan , Mitchell Deborah , Morgan Jane
Published: January 2009

Since Beveridge, budget standards have been neglected in British social policy research. Empirical effort has concentrated on developing social indicator methods of investigating relative poverty. This paper explores the potential of budget standards for assessing whether the scale rates of supplementary benefit are adequate. Three applications of budget standard methodology are presented.
Is Low Spending or Low Income a Better Indicator of Whether or Not a Household is Poor: Some Results From the 1985 Family Expenditure Survey
Authors: McGregor P.P.L. , Borooah V.K.
Published: January 2009

The identification of the poor in this paper follows that of most contemporary applied work and consists of comparing a scaler indicator of welfare with a predetermined minimum level. The data is provided by the 1985 Family Expenditure Survey. Two measures of welfare are developed, one based on income which reflects the entitlement analysis of poverty and the other on expenditure, reflecting the standard of living. Households ranked very low by expenditure are considerably less likely to be ranked highly by income than vice versa. Further doubt on the rankings suggested by the income measure is provided by ownership of consumer durables. The expenditure measure suggests that the number of poor retired individuals is more than three times that implied by the income measure. The instability of the latter measure suggests that more confidence can be placed on assertions based on evidence employing the expenditure measure.