The impact of social capital on the personalisation of care
[Thesis]
Willmore, Nicholas Peter
University of Birmingham
2017
Thesis (D.B.A.)
2017
One of the tenets of personalisation was that people using services could achieve greater citizenship and help to design better supports if they were able to direct innovation in services. Implicit in this was an assumption that people using services would be able to utilise their social capital (resources based on social networks), an asset which was not prioritised by previous approaches to service delivery. This thesis sought to identify if social capital was present and if it was being accessed to support the personalisation of services, comparing and contrasting the situation in services for older people and for people with learning disabilities. Whilst an initial hypothesis was that service providers for these different groups charged different rates due to different levels of social capital, no difference in social capital was established between these two groups. People did have social capital, but it was not mobilised by individuals or state actors responsible for commissioning support. This led to a consideration of street-level bureaucracy and the environment shaped by austerity and the Care Act. The study concludes that the implementation of personalisation has frustrated the use of social capital, such that it has not contributed to the transformation of care.
HB Economic Theory; HM Sociology; HV Social pathology. Social and public welfare