Choice, consumerism and devolution: growing old in the welfare state(s) of Scotland, Wales and England

被引:28
|
作者
Moffatt, Suzanne [1 ]
Higgs, Paul [2 ]
Rummery, Kirstein [3 ]
Jones, Ian Rees [4 ]
机构
[1] Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne NE2 4AX, Tyne & Wear, England
[2] UCL, Dept Mental Hlth Sci, London, England
[3] Univ Stirling, Sch Appl Social Sci, Stirling FK9 4LA, Scotland
[4] Bangor Univ, Sch Social Sci, Bangor, Gwynedd, Wales
关键词
choice and consumerism; UK devolution; welfare states; inequality; SOCIAL CITIZENSHIP; PEOPLE; POLICY; HEALTH; CARE;
D O I
10.1017/S0144686X11000602
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
The introduction of choice and consumer mechanisms in public services has been identified as a fundamental shift in welfare service provision internationally. Within the United Kingdom (UK), such mechanisms developed and integrated into English services have not been replicated in their entirety in Scotland and Wales. For the first time since the inception of the UK welfare state, there are now formal differences in entitlement for older people as a result of devolution. This paper uses comparative policy analysis to review a range of sources not hitherto brought together in order to explore how these concurrent developments - choice and devolution - impact on people over state retirement age. We also consider the extent to which a more consumerist approach to public services might redress or increase later-life inequalities. Drawing on theoretical research and policy evidence, we argue that for many people over state retirement age, the prospect of becoming a consumer in these varied contexts is difficult and unwelcome. We suggest that although it is too early in the devolutionary process for any significant impact of these divergent policies to materialise, continued policy divergence will lead to different experiences and outcomes for older people in Scotland, Wales and England. We conclude that these divergent social policies offer significant research opportunities, particularly concerning their impact on later-life inequalities.
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页码:725 / 746
页数:22
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