When it comes to carers, you've got to be grateful that you've got a carer coming in: Older people's narratives of self funded care in England

Tanner, Denise, Ray, Mo and Ward, Elizabeth (2022) When it comes to carers, you've got to be grateful that you've got a carer coming in: Older people's narratives of self funded care in England. Ageing and Society . pp. 1-22. ISSN 0144-686X

Full content URL: https://doi.org/10.1017/S0144686X22000691

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When it comes to carers, you've got to be grateful that you've got a carer coming in: Older people's narratives of self funded care in England
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Abstract

The number of older self-funders in England is growing in the context of tight eligibility criteria and fixed financial thresholds to access statutory adult social care. Older people who self-fund their social care fall largely under the radar of statutory services and of research. Our study aimed to listen closely to the stories that older people tell about finding, managing and paying for their care. We interviewed 65 older people living in the community who were funding all or some of their social care. This paper focus on narrative analysis of selected transcripts from these interviews. It sheds light on how older people represent their experiences of self-funding and what underpins these constructions. A key finding is that the disjunctions within older people’s accounts between the care they want and the care they receive reflects wider political and structural tensions in the funding and delivery of care. Older self-funders temper their expectations in light of their experience of shortfalls in the system. This enables them to adjust to the deficiencies but obscures and perpetuates poor care. The discussion considers the findings in relation to: the fundamental disjunction between body labour and commodified care; the shared precarity of older people and care workers; and the individualisation of risks that makes older people and their carers responsible for making a failing care system ‘work’. Our analysis adds to the case for major reform of adult social care, including a revaluing of the status and employment conditions of front-line care workers.

Keywords:care, self-funding, Older people's experiences, Narrative analysis
Subjects:L Social studies > L500 Social Work
L Social studies > L410 UK Social Policy
L Social studies > L510 Health & Welfare
Divisions:College of Social Science > School of Health & Social Care
ID Code:53515
Deposited On:24 Feb 2023 10:41

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