'This is an ambitious book attemping to be relevant to a wide range of professionals in the health and welfare fields and to move from the macro policy context for change to the micro concerns of individual professional client relationships...There is much that will be of use and/or interest to both practitioners and researchers alike' - Social Policy Designed to lay sound foundations for continuing professional development in a world of rapid change, this Reader draws together key articles exploring the recent challenges facing professionals across the spectrum of health and social care. Topics examined include: accountability to service users, funders and communities; the skills needed for teamwork and collaboration; and ethical dilemmas of working in conditions of resource constraint, and engaging in questions of quality and performance review. The chapters reflect the similarities and differences between the NHS and social services. This a set book for the Open University course K302 Critical Practice in Health and Social Care.

Introduction PART ONE: CONTEXTUALISING: WORKING WITH CHANGING STRUCTURES Introduction Reshaping Welfare - L J C Jones

Voices from the Debate The Public Administration Model of Welfare Delivery - T Butcher Why Change Policy? Community Care in 1990 - J Lewis and H Glennerster Changes in Maternity Policy - Who, What and Why? - F Brooks Knights, Knaves or Pawns? Human Behaviour and Social Policy - J Le Grand PART TWO: CONNECTING: THEORY, VALUES AND PRACTICE Theory and Practice in Health and Social Care - N Thompson Applying Reflective Practice - C Nash Reflection and Reflective Practice - F H Quinn Requirements of a Caregiver - T Kitwood The Virtuous Therapist - R Barnitt Social Work Values - S Banks Anti-Oppressive Theory and Practice in Social Work - S Pinkney Working with Diversity - L Culley

Beyond the Factfile PART THREE: COLLABORATING: SHIFTING BOUNDARIES, CHANGING PRACTICE Keys to Collaboration - S Braye and M Preston-Shoot Safe Haven and Battleground - L Finlay

Collaboration and Conflict within the Treatment Team Structure and Meaning in Multidisciplinary Teamwork - C Cott A Split in the Mirror - K Dent-Brown

Using Psychotherapeutic Concepts to Understand Team Conflict Dropping 'E's - M Priestley

The Missing Link in Quality Assurance for Disabled People Quality in Personal Social Services - B Beresford, S Croft, C Evans and T Harding

The Developing Role of User Involvement in the UK PART FOUR: COPING: WITH CHALLENGES AND CONSTRAINTS Not Such an Ordinary Relationship - D Thompson, I Clare and H Brown

The Role of Women Support Staff in Relation to Men with Learning Disabilities Who Have Difficult Sexual Behaviour Care Costs - P Smith and E Agard

Towards a Critical Understanding of Care Confidentiality, Accountability and the Boundaries of Client-Worker Relationships - S Shardlow Obstacles to Medical Audit - N Black and E Thompson

British Doctors Speak The Accreditation Experience - E Scrivens Resettlement of People with Severe Learning Difficulties - C Corkish and B Heyman Juggling and Dealing - D Leat and E Perkins

The Creative Work of Care Package Purchasing Instruments of Government? Voluntary Sector Boards in a Changing Public Policy Environment - M Harris PART FIVE: CONSTRUCTING: PROFESSIONAL IDENTITIES Seeing Anew - D Fish and C Coles

Understanding Professional Practice as Artistry The End of Professionalism - G Southon and J Braithwaite Professionalism and Health Care - M Saks Social Work and Professionalisation - S Rashid

A Legacy of Ambivalence Nurses Taking on Junior Doctors' Work - S Dowling et al

A Confusion of Accountability Looking for New Codes in the Field of Predictive Medicine - L Archer Care and the Transformation of Professionalism - C Davies PART SIX: CREATING: A BETTER FUTURE? From Private Choice to Public Trust - M Barnes and D Prior

A New Social Basis for Welfare User Voice, Interprofessionalism and Postmodernity - S Biggs Handling the Wicked Issues - M Clarke and J Stewart