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1.
Health Soc Care Community ; 30(5): e1711-e1720, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-34633108

RESUMO

The Care Act 2014 imposed new statutory duties on English local authorities in relation to family or informal carers and it broadened carers' statutory entitlements to assessment, care and support, irrespective of eligibility for local authority funding of the person they care for. Despite this legislative framework, local authorities appear to be translating the new legal obligation into practice in different ways. This paper draws on evidence from in-depth interviews held during 2017-2018 with key stakeholders in three English local authorities to investigate whether and how local efforts meet the Act's intention of supporting carers. We explored local goals associated with supporting carers, local authorities' approaches to needs assessment and service provision as well as barriers and facilitators to adoption of the new legal obligations towards carers. The paper draws on Twigg, J., & Atkin, K. (1995), typology to explore perceptions of local stakeholders of the interaction between formal care system and carers post-Care Act. The findings indicate that despite a clear Care Act emphasis on meeting carers' needs, when faced with financial constraints the formal care system approaches carers mainly as a resource and often supports carers to keep cared-for people away from health and social care systems. Although replacement care is a vital element in the Care Act's ambitions to support carers, in sampled authorities, it was often newly being subject to needs thresholds and financial assessment of people they care for, leading to reported conflicts of interests between carers' needs and those of cared-for-people. The Care Act is nonetheless seen as having made progress in legitimising carers' needs as clients. Social care professionals increasingly emphasise the importance of meeting carers' needs and well-being as valued and desirable outcomes.


Assuntos
Cuidadores , Apoio Social , Humanos , Avaliação das Necessidades
7.
Popul Stud (Camb) ; 72(2): 201-216, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29521596

RESUMO

In research and policy discourse, conceptualizations of fertility decision-making often assume that people only consider circumstances within national borders. In an integrated Europe, citizens may know about and compare conditions across countries. Such comparisons may influence the way people think about and respond to childrearing costs. To explore this possibility and its implications, we present evidence from 44 in-depth interviews with Polish parents in the United Kingdom and Poland. Explanations of childbearing decisions involved comparisons of policy packages and living standards across countries. Individuals in Poland used richer European countries as an important reference point, rather than recent conditions in Poland. In contrast, migrants often positively assessed their relatively disadvantaged circumstances by using the Polish setting as a reference. The findings could help explain why, despite substantial policy efforts, fertility has remained at very low levels in poorer European countries, while migrants from those countries often have higher fertility abroad.


Assuntos
Atitude Frente a Saúde , Tomada de Decisões , Fertilidade , Dinâmica Populacional , Adulto , Comparação Transcultural , Europa (Continente) , Feminino , Política de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Polônia , Fatores Socioeconômicos , Migrantes , Reino Unido , Adulto Jovem
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