‘Paying our own way’: application of the capability approach to explore older people’s experiences of self-funding social care

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@article{abfea4e53bee46c78b8036f4ee8bcf26,
title = "{\textquoteleft}Paying our own way{\textquoteright}: application of the capability approach to explore older people{\textquoteright}s experiences of self-funding social care ",
abstract = "Adult social care policy in England is premised on the concept of personalisation that purports to place individuals in control of the services they receive through market-based mechanisms of support, such as direct payments and personal budgets. However, the demographic context of an ageing population and the economic and political context of austerity have endorsed further rationing of resources. Increasing numbers of people now pay for their own social care because either they do not meet tight eligibility criteria for access to services and/or their financial means place them above the threshold for local authority-funded care. The majority of self-funders are older people. Older people with complex and changing needs are particularly likely to experience difficulties in fulfilling the role of informed, proactive and skilled navigators of the care market. Based on individual interviews with older people funding their own care, this paper uses a relational-political interpretation (Deneulin, 2011) of the capability approach (CA) to analyse shortfalls between the policy rhetoric of choice and control and the lived experience of self-funding. Whilst CA, like personalisation, is seen as reflecting neo-liberal values, we argue that in its relational-political form, it has the potential to expose the fallacious assumptions on which self-funding policies are founded and to offer a more nuanced understanding of older people{\textquoteright}s experiences.",
keywords = "capability approach, eligibility, older people, self-funding, wellbeing",
author = "Denise Tanner and Lizzie Ward and Mo Ray",
year = "2017",
month = aug,
day = "17",
doi = "10.1177/0261018317724344",
language = "English",
journal = "Critical Social Policy",
issn = "0261-0183",
publisher = "SAGE Publications",

}

RIS

TY - JOUR

T1 - ‘Paying our own way’

T2 - application of the capability approach to explore older people’s experiences of self-funding social care

AU - Tanner, Denise

AU - Ward, Lizzie

AU - Ray, Mo

PY - 2017/8/17

Y1 - 2017/8/17

N2 - Adult social care policy in England is premised on the concept of personalisation that purports to place individuals in control of the services they receive through market-based mechanisms of support, such as direct payments and personal budgets. However, the demographic context of an ageing population and the economic and political context of austerity have endorsed further rationing of resources. Increasing numbers of people now pay for their own social care because either they do not meet tight eligibility criteria for access to services and/or their financial means place them above the threshold for local authority-funded care. The majority of self-funders are older people. Older people with complex and changing needs are particularly likely to experience difficulties in fulfilling the role of informed, proactive and skilled navigators of the care market. Based on individual interviews with older people funding their own care, this paper uses a relational-political interpretation (Deneulin, 2011) of the capability approach (CA) to analyse shortfalls between the policy rhetoric of choice and control and the lived experience of self-funding. Whilst CA, like personalisation, is seen as reflecting neo-liberal values, we argue that in its relational-political form, it has the potential to expose the fallacious assumptions on which self-funding policies are founded and to offer a more nuanced understanding of older people’s experiences.

AB - Adult social care policy in England is premised on the concept of personalisation that purports to place individuals in control of the services they receive through market-based mechanisms of support, such as direct payments and personal budgets. However, the demographic context of an ageing population and the economic and political context of austerity have endorsed further rationing of resources. Increasing numbers of people now pay for their own social care because either they do not meet tight eligibility criteria for access to services and/or their financial means place them above the threshold for local authority-funded care. The majority of self-funders are older people. Older people with complex and changing needs are particularly likely to experience difficulties in fulfilling the role of informed, proactive and skilled navigators of the care market. Based on individual interviews with older people funding their own care, this paper uses a relational-political interpretation (Deneulin, 2011) of the capability approach (CA) to analyse shortfalls between the policy rhetoric of choice and control and the lived experience of self-funding. Whilst CA, like personalisation, is seen as reflecting neo-liberal values, we argue that in its relational-political form, it has the potential to expose the fallacious assumptions on which self-funding policies are founded and to offer a more nuanced understanding of older people’s experiences.

KW - capability approach

KW - eligibility

KW - older people

KW - self-funding

KW - wellbeing

U2 - 10.1177/0261018317724344

DO - 10.1177/0261018317724344

M3 - Article

JO - Critical Social Policy

JF - Critical Social Policy

SN - 0261-0183

ER -