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Neo-Liberal Individualism or Self-Directed Support: Are We All Speaking the Same Language on Modernising Adult Social Care?

  • Alan Roulstone (a1) and Hannah Morgan (a2)

This article explores recent developments in the modernisation of adult social care through the lens of changes to English day services. Drawing on wider policy debates, it argues that Disabled Peoples' Movement and governmental ideas on self-directed support, although superficially similar, are growing increasingly apart. It is argued that in the absence of adequate funding and exposure to organisations of disabled people, day service recipients risk moving from a position of enforced collectivism to an enforced individualism characteristic of neo-liberal constructions of economic life.

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Barnes C. (1990), Cabbage Syndrome: The Social Construction of Dependence, Brighton: Falmer Press.
Barnes C. and Mercer G. (2006), Independent Futures: Creating User-Led Disability Services in a Disabling Society, Bristol: The Policy Press.
Bates P. (2007), ‘Safe and sound’, Mental Health Today, February, 32–34.
Beck U., Giddens A. and Lash S. (1994), Reflexive Modernisation: Politics, Traditions and Aesthetics in the New Modern Social Order, Stanford, CA: Stanford University Press.
Beresford P., Shamash M., Forrest V., Turner M. and Branfield F. (2005), Developing Social Care: Service Users’ Vision for Adult Support, London: SCIE.
Bornat J., Johnson J., Pereira C., Pilgrim D. and Williams F. (eds.) (1993), Community Care: A Reader, 2nd edn, London: Palgrave Macmillan.
Breakthrough UK (2007), ‘Policy think tank response to the Life Chances Report’, available at
Campbell J. and Oliver M. (1996), Disability Politics: Understanding Our Past, Shaping Our Future, London: Routledge.
Care Services Improvement Partnership (CSIP) (2008), Presentation by the Director of Adult Social Care Policy, CSIP, Stadium of Light, Sunderland, February 2008.
Charlton J.I. (2000), Nothing About Use Without Us: Disability Oppression and Empowerment, California: California University Press.
Commission for Social Care Inspection (CSCI) (2008), The State of Social Care in England 2006–2007, London: CSCI.
Dalton R. and Keuchler M. (eds.) (1990), Challenging the Political Order: New Social Movements and Political Movements in Western Democracies, New York: Oxford University Press.
Davey V., Fernández J.L., Knapp M., Vick N., Jolly D., Swift P., Tobin R., Kendall , Ferrie J., Pearson C., Mercer G. and Priestley M. (2006), ‘Direct payments: a national survey of direct payments policy and practice’, available at: (accessed 14/03/08).
Dean H. (2007), ‘The ethics of welfare-to-work’, Policy and Politics, 35, 4, 573–90.
Department of Health (DoH) (2001), Valuing People: A New Strategy for Learning Disability for the 21st Century, CM 5086, London: Department of Health.
Department of Health (DoH) (2002), Towards Person Centred Approaches: Guidance for Implementation Groups, London: Department of Health.
Department of Health (DoH) (2003), Fair Access to Care, London: Department of Health.
Department of Health (DoH) (2005), Independence, Wellbeing and Choice: Our Vision for the Future of Social Care for Adults in England, Green Paper, London: Department of Health.
Department of Health (DoH) (2006), Our Health, Our Care, Our Say: A New Direction for Community Services, White Paper, London: Department of Health.
Department of Health (DoH) (2007a), Putting People First: A Shared Vision and Commitment to the Transformation of Adult Social Care, London: Department of Health.
Department of Health (DoH) (2007b), Independence, Choice and Risk: A Guide to Best Practice in Supported Decision Making, London: Department of Health.
Driedger D. (1989), The Last Civil Rights Movement, London: Hurst & Co. and Disabled Peoples’ International.
Durkheim E. (1893), On the Division of Labour in Society, New York: Free Press.
Finkelstein V. (1987), ‘Disabled people and our cultural development’, Paper presented at the first annual meeting of Disability Arts in London, Published in DAIL No. 8.
Glasby J. and Littlechild R. (2002), Social Work and Direct Payments, Bristol: The Policy Press.
Glasby J. (2005), ‘Direct payments and the social model of disability’, Social Work and Social Science Review, 12, 2, 4858.
Glasby J. and Littlechild R. (2006), ’An Overview of the Implementation and Development of Direct Payments’, in Leece, J. and Bornat, J. Developments in direct payments, Bristol: The Policy Press.
Glendinning C., Challis D., Fernandez J., Jacobs S., Jones K., Knapp M., Manthorpe J., Moran N., Netten A., Stevens M. and Wilberforce M. (2008), ‘Evaluation of the individual budgets pilot programme: final report’, Social Policy Research Unit, University of York, York.
Gordon G., Goward P., Richardson M. and Ramcharan P. (2006), Learning Disability: A Life Cycle Approach to Valuing People, Maidenhead: Open University Press.
Griffiths R. (1988), Community Care: Agenda for Action, London: HMSO.
Henwood M. and Hudson B. (2007), ‘Here to stay? Self-directed support: aspiration and implementation’, Report Commissioned by the Department of Health, Melanie Henwood Associates, Towcester.
HM Government (2003), ‘Community Care (Direct Payments) Act 2003’, Statute.
Holman A. and Collins J. (1997), Funding Freedom: A Guide to Direct Payments for People with Learning Difficulties, London: Values into Action.
House of Lords Select Committee on Health (2007), Proceedings, London: House of Lords Library.
Hurstfield J., Parashar U. and Schofield K. (2007), The Costs and Benefits of Independent Living, Leeds: Department for Work and Pensions.
Ibsen Consortium (2007), ‘Individual budgets evaluation: a summary of early findings’, Study for the Department of Health, available at
Inglehart R. (1990), ‘Values ideology and cognitive mobilisation in new social movements’, in Dalton R. and Keuchler M. (eds.), Challenging the Political Order: New Social. Movements and Political Movements in Western Democracies, New York: Oxford University Press.
Ivory M. (2008), ‘Do you believe in ULOs?’, Community Care, 27 March, 24–7.
Kings Fund Centre (1984), An Ordinary Working Life: Vocational Services for People with Mental Handicap, London: King's Fund.
Komter A. (2005), Social Solidarity and the Gift, New York: Cambridge University Press.
Leece J. and Bornat J. (eds.) (2006), Developments in Direct Payments, Bristol: Policy Press.
Levitas R. (1998), The Inclusive Society? Social Exclusion and New Labour, Basingstoke: Palgrave.
Linton S. (2007), My Body Politic, Michigan: Michigan University Press.
Local Government Association (2008), ‘Fair care campaign speech’, 7 February, available at
Lukes S. (1973), Individualism, Oxford: Blackwell.
Malhotra R. (2005), ‘The politics of the disability rights movements’, New Politics, 8, 3, 36.
Marx K. and Engels F. (1948[1992]), Manifesto of the Communist Party, Oxford: Oxford University Press.
Morris J. (2008), ‘Inside the belly of the beast’, Conference keynote, Disability Studies Association Conference, 3–5 September, Lancaster.
National Centre for Independent Living (NCIL) (2006), ‘Review of adult social care’, National Centre for Independent Living, available at
National Centre for Independent Living (NCIL) (2007), ‘Spending review 2007: cuts in adult social care set to continue’, National Centre for Independent Living, available at: = view&id = 59 (accessed 13/11/08).
National Social Inclusion Programme (2008), From Segregation to Inclusion: Where Are We Now? A Review of Progress Towards the Implementation of the Mental Health Day Services Commissioning Guidance, London: Department of Health and National Social Inclusion Programme.
Office for Disability Issues (2008), Independent Living: A Cross-Government Strategy about Independent Living for Disabled People, Office for Disability Issues, London: TSO.
Oliver M. (1990), Politics of Disablement, Basingstoke: Macmillan.
Oliver M. and Barnes C. (2008), ‘Talking about us without us? A response to Neil Crowther’, Disability and Society, 23, 4, 397–399.
Prime Minister's Strategy Unit (PMSU) (2005), Improving the Life Chances of Disabled People, Final Report, London: PMSU.
PSSRU (2006), Unit Cost of Health and Social Care, Kent: PSSRU.
Riddell S., Pearson C., Jolly D., Barnes C., Priestley M. and Mercer G. (2005), ‘The development of direct payments in the UK: implications for social justice’, Social Policy and Society, 4, 1, 75–85.
Roulstone A. (2000), ‘Disability, dependency and the new deal for disabled people’, Disability and Society, 15, 3, 427–43.
Sapey B. and Pearson J. (2004), ‘Do disabled people need social workers?’, Social Work and Social Science Review, 11, 3, 5270.
Shakespeare T. (2006), Disability Rights and Wrongs, London: Routledge.
Smith A. (1776[1976]), An Inquiry into the Nature and Causes of the Wealth of Nations, Chicago: University of Chicago Press.
Whittaker A. and McIntosh B. (eds.) (2000), Unlocking the Future, London: King's Fund.
Williams V. and Holman A. (1993), ‘“It's about your life”: people with learning difficulties and direct payments’, in Bornat J., Johnson J., Pereira C., Pilgrim D. and Williams F. (eds.), Community Care: A Reader, 2nd edn, London: Palgrave Macmillan.
Woodin S. L. (2006), ‘Social relationships and disabled people: the impact of direct payments’, unpublished Ph.D., University of Leeds.
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Social Policy and Society
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