Social services must embrace major change if it is to remain
part of the mainstream of social care in Britain, argues Ray
Jones.
As the social policy of this government rapidly evolves, it is
vital that social services seize the opportunity to become part of
the mainstream of policy development. Indeed, there is now hope of
repairing the damage caused by the increase in organisational
fragmentation and complexity during the past two decades.
For example, in the health service the complicated, almost
incomprehensible structures that have developed with GP
fundholding, health trusts and health authorities have led to
confusion about accountability and responsibility. There has been a
similar experience in education, with grant maintained schools,
locally managed schools and education authorities.
In looking towards a new integrated framework for planning and
delivering services, several local authorities have already set up
committee and management structures giving greater strategic
coherence to services. This includes, for example, the
establishment of joint social services and housing departments,
children's committees and policy directorates. Even at the Local
Government Association, social services issues are considered by a
health and social affairs committee, rather than a social services
committee.
However, it also ought to be recognised that central government
is not primarily committed to local government but is looking to
promote local democracy. It is questioning and challenging local
government committee structures and processes and local
government's departmentalism.
At some stage, the Labour government is also likely to want to
address the chaos of council structures, following the disjointed
progress of local government reform. This is likely to be further
motivated by the development of regional government and by Labour's
ambition to have more control nationally over social policy
strategies and the allocation of resources.
What is important for social services is to recognise the trends
that the government is keen to promote. It will be crucial to make
sure the skills, expertise and perspectives of social services are
integrated into the agencies that are likely to develop to deliver
the government's agenda.
One possible model for an integrated health and social care
service would combine elements of the government's national
strategy with the local sensitivity necessary for its
implementation. The driving force for the delivery of services
would be the development of combined primary care and community
care trusts.
For children and families services it is also possible to look
towards the development of new integrated local authority education
and children's services departments. This recognises that, with
increased devolution of power to individual schools, it is special
education that is a major day-to-day management and operational
concern of education departments. This responsibility links very
closely with many of the child care responsibilities of social
services departments.
We can also imagine a future where secondary schools, with their
local catchment of primary schools, cluster together into
management groups that can assist them in managing the devolved
budgets and the provision - or purchasing - of central support
services.
This could develop along similar lines to primary care and
community care trusts in the health service, with local education
and children's services being based around a management grouping of
schools that have devolved budgets. Decentralised children and
families services could be located in this management cluster,
recognising that schools could become major local community
resource centres.
Greater integration of health and social care services, and
potentially of education and children's services, presents real
opportunities. It is important that social services engage in
discussion about these opportunities, as failure to do so is likely
to lead to the increasing marginalisation of social services and a
future that is shaped by the other players. We must not allow
social services to be treated as an afterthought: it should be
central to the development of new service models. The future can be
bright - but the future may not be the continuation of separate
social services departments.
There are plenty of signs already of the potential
marginalisation of social services. Having successfully tackled, on
behalf of the government, the difficult task of capping escalating
residential and nursing home expenditure - which increased from
£10 million in 1982 to £2.4 billion in 1992 - many social
services departments are now experiencing reductions in funding in
real-terms, despite the increasing need and demand for services.
The result is greater rationing of services.
Indeed, when the government does make relatively small sums of
additional funding available for social services this is often
through bids which have to be made to local health services -
winter pressure funding and mental health challenge funding are
prime examples. This would seem to reflect the government's concern
that, if it funds local authorities directly, it will not be able
to control and shape their priorities.
The NHS might be seen as undemocratic at a local level, but
local authorities are viewed as lacking a national strategic and
priority-setting structure.
By contrast with social services departments, the health service
and education authorities are getting real-terms increases in their
budgets. This suggests the future shape of national, and indeed
local, political priorities. This is borne out by the fact that
these are the agencies that are increasingly given responsibility
for the strategic development of services - for example, through
the wide-ranging health improvement plans of the health service and
the early years initiative in education authorities.
Furthermore, social services are penalised for providing
services directly. The new Labour government has made it even more
difficult for local authorities to provide residential care. It has
further restricted the availability of capital finance for social
services and has amended the standard spending assessment funding
formula so that those authorities that transfer homes out of their
direct control no longer have to suffer a reduction in their
standard spending assessment.
Add to this the equal opportunity challenges being mounted by
trade unions, which are leading to higher costs for local authority
services, and relate this to the government's drive towards Best
Value, and it is not difficult to see departments moving hurriedly
away from direct provision of residential care and potentially home
care.
Social services developed around the core professional
discipline of social work. The social work training council CCETSW,
with its funding and accountability linked to the Department of
Health, is soon to be replaced by a national training organisation
for social care, responsible to and potentially funded by the
Department for Education and Employment.
Also on the cards is the General Social Care Council to regulate
standards and employment within social care - including the private
and voluntary sectors - and this will have a much broader remit
than social work. A further reform is that probation officers will
no longer be trained as social workers, while the move towards the
appointment of care managers in many authorities also reflects a
reshaping - though not a loss - of the skills and perspectives of
social workers themselves. These alterations to the role of social
work may be an increasing trend.
It should also be noted that the government's emphasis on
dealing with social exclusion has not given a high profile to
social services. The social exclusion agenda has been linked with
education: tackling school non-attendance, illiteracy and numeracy
are key goals. It also includes promoting better health - with the
recent government Green Paper linking health promotion with changes
in lifestyle, environmental issues and tackling poverty - and
policies to tackle unemployment, homelessness, community safety and
crime. These policies, quite rightly, have a much broader remit
than social services. Indeed social services may be seen as only a
relatively minor player in all of this.
All of the above may seem rather pessimistic. However, it is
also possible to be optimistic and to grab all the opportunities
there are, before the points of view, expertise and commitment
found in social services are devalued and lost. These strengths are
more likely to be preserved by going with the flow of social policy
and integrating into new organisations which serve the government's
agenda.
More than 25 years after the birth of social services and 50
years after the advent of the welfare state it is time for a
rethink.
Indeed it is more than timely. If we fail to take stock, social
services may well have to endure the trauma of gradually withering
into a residual, stigmatising and increasingly underfunded welfare
agency. It will become marginalised and struggle to assist those
who are marginalised in our communities. Instead, there is now the
chance to evolve a new approach, but this requires that we do not
just seek to defend current vested interests and empires. Thriving
in the future demands a willingness to engage positively in shaping
that future.
Ray Jones is social services director, Wiltshire Council.