The implementation of the NHS and Community Care Act, the greatly increased use of voluntary sector providers and the switch from grants to contracts form the background to this study. The article brings together two main themes in current social policy debate in the personal social services: regulation and quality assurance. Contracts are seen as increasingly significant forms of input, process and output regulation, although their impact depends upon their type and specificity and upon the capacity of purchasers to monitor contract compliance, and the sanctions available to them. Clarification of the conceptual framework is followed by the report of an empirical study of the position in a single large county. The results from this study are then discussed in the context of evidence from other parts of Britain and the United States. The main issues identified in this discussion are competition, consumer choice, user involvement, the dangers of excessive and inappropriate regulation, the importance of trust and risk, and the relationship of resources to quality.

Conventional methods of analysis of poverty assume resources are shared so that each individual in a household/family has the same standard of living. This article measures differences between spouses in a large sample in indicators of deprivation of the type used in recent studies of poverty at household level. The quite limited overall imbalance in measured deprivation in favour of husbands suggests that applying such indicators to individuals will not reveal a substantial reservoir of hidden poverty among wives in non-poor households, nor much greater deprivation among women than men in poor households. This points to the need to develop more sensitive indicators of deprivation designed to measure individual living standards and poverty status, which can fit within the framework of traditional poverty research using large samples. It also highlights the need for clarification of the underlying poverty concept.

The idea of the welfare state is commonly grounded in the principles of social rights, universality and solidarity. Over the past twenty years, welfare reforms have challenged the salience of this conceptualisation. This article argues that changes such as austerity measures, pension reform, administrative decentralisation and efforts to revive the obligation of citizenship have fostered a more discursive conception of social rights. When rights are discursive, the relative power of various clientele interests plays a greater role in the distribution of benefits than objective conditions of need. Also, such notions as universality and solidarity are giving way to selectivity and individual responsibility as the paramount principles of the welfare state.

The article discusses government policies towards unemployed people in the context of the development of ‘fair employment’ policy in Northern Ireland. It presents results from a survey of long-term unemployed people in West Belfast which challenge the direction and content of existing training and employment schemes, and their capacity to address inequalities in unemployment between Catholics and Protestants. The article argues that current supply side labour market policies are having limited impact in Northern Ireland and goes on to explore policies to influence labour demand. On the basis of interviews with employers, a number of policies are advocated, including giving priority to recruitment of long-term unemployed people in areas of high unemployment by means of making grant aid conditional.

This article argues for the centrality of the concept of social identity in contemporary analyses of social policy. It attempts to transcend arguments for or against postmodernism and argues that debates about ‘identity and difference’, when combined with an analysis of social relations, need not undermine a focus on structural inequalities and should be at the heart of theoretical considerations in social policy. It suggests that the concept of social identity is still poorly understood in recent debates and goes on to outline a provisional theory which distinguishes between ontological and categorical identity. Such a discussion, it is argued, may help suggest ways in which the role of social policy in the process of identity formation may be better understood.

A study of elite opinion on the nature and future of the welfare state in six European countries, conducted during 1994, found that most of the traditional differences of opinion between left and right were still valid. Public opinion studies have consistently found strong support for state welfare. Yet during the past decade or so, governments in Europe have been pursuing policies that are largely similar in the sense that they are leading towards the containment and retrenchment of state welfare. The pressures of economic globalisation and of national structural factors have led to the replacement of the dominant social democratic expansionist model of welfare with the neo-liberal contractionist model. The result is that in the same way that governments of the right pursued expansionist policies of welfare during the reign of the social democratic model in the 1960s and early 1970s, governments of the left have in the past few years pursued policies of containment and contraction and they are likely to continue do to so in the foreseeable future.

General Practitioner fundholding has been shown to enjoy a number of advantages over centralised systems of purchasing: it is more consumer sensitive, shakes up providers, shifts resources into primary care, enables expert understanding and skills to inform the purchasing function and ensures that treatment quality will have priority over cost savings. These benefits are offset by the very significant drawbacks of extra resources being needed for administration, limitations on purchaser power and the danger that the internal market principle will be undermined.

This article examines the extent to which these effects are applicable in the specific context of purchasing of community nursing services that took effect from April 1993. It is found that few of the above advantages are applicable in the community setting and that the disadvantages are particularly severe. The solution may be to combine formal centralised contracting with an element of competition at the operational level to produce a more ‘organic’ system than hitherto visualised.

The pervasive sense of crisis in Japan over the falling birth rate and aging society issues is generating an active public debate about gender, the family, the organization of the workplace and the policy approaches best able to cope with these problems. This article considers explanations for demographic change, then turns to current Japanese family policy, focusing on the contradiction between formal laws and policies which aim at supporting families and informal practices which make domestic responsibilities more burdensome. It attempts to provide insight into these policies by focusing on the policy process, identifying characteristic patterns and approaches, strengths and weaknesses of the Japanese political system.

Health visiting is adopting an enabling model of practice, which may promote social inclusion, but is under pressure to justify itself. The article focuses on health visitors' work with Pakistani women and comparable white women in Glasgow, examining the nature of health visiting and women's responses to it. Health visitors' perspectives involve the appreciation of cultural differences, building relationships with clients, and some stereotyping of clients. Techniques include highly valued home visiting, and processes of negotiation with clients. Problems faced include difficulties with interpreters, lack of training, relationships with other professions, recent changes in the NHS, and issues of stress and personal safety. Women's views of health visitors are generally positive, especially concerning home visits, time spent with clients, and gate-keeping access to GPs. Negative views came mostly from white women, and concerned the more controlling models of health visiting. Thus, enabling health visiting practice was widely appreciated, and could act as an inclusionary force, facilitating access to and use of health services. Exclusion was operating at institutional level, towards minorities and women of lower socio-economic groups, but was being actively resisted by practitioners.

This article briefly reviews American and British literature on welfare dynamics and examines the concepts of welfare dependency and ‘dependency culture’ with particular reference to lone parents. Using UK benefit data sets, the welfare dynamics of lone mothers are examined to explore the extent to which they inform the debates. Evidence from Housing Benefits data show that even over a relatively short time period, there is significant turnover in the benefits-dependent lone parent population with movement in and out of income support as well as movement into other family structures. Younger lone parents and owner-occupiers tend to leave the data set while older lone parents and council tenants are most likely to stay. Some owner-occupier lone parents may be relatively well off and on income support for a relatively short time between separation and a financial settlement being reached. They may also represent a more highly educated and highly skilled group with easier access to the labour market than renters. Any policy moves paralleling those in the United States to time limit benefit will disproportionately affect older lone parents.

This paper reviews the Reagan administration's attack on the US welfare system during the 1980s. The paper considers the origins, provisions and impact of Reagan's three major pieces of retrenchment legislation: the Omnibus Budget Reconciliation Act of 1981, the Social Security Amendments of 1983, and the Family Support Act of 1988. It is argued that Reagan's record in retrenching welfare was limited in budgetary terms, but was successful in making welfare programmes more restrictive. Reagan's welfare legacy is assessed in terms of his attempts at restructuring social provision and shifting the welfare debate to the right. The paper concludes by asserting that Reagan's critique of, and attack on, social provision was accepted by his presidential successors, George Bush and Bill Clinton.

There is an emerging interest within social and policy studies in the potential connections between linguistic practices and broader social processes. It is, however, difficult to find examples of research which take a fully discursive approach to policy analysis. Such a discursive approach might focus on how the use of language in the policy process is involved with social practices, such as the legitimisation of social relations or the construction of ‘knowledge’ of social reality. The article begins by exploring theoretical and methodological issues in relation to connecting micro aspects of language use, such as grammar and lexis, with the social construction of knowledge. It then uses discourse analysis to explore how the linguistic resources of a key British urban policy document, New Life for Urban Scotland, are involved with reproducing and sustaining a particular ‘knowledge’ or discourse about the causes of urban decline.

This paper reports the extent and nature of adult protection cases dealt with by two Social Services Departments during a twelve month period in 1995–6, within the framework of newly revised generic policies on abuse of vulnerable adults. The two counties varied in the level of reporting documented and in the number of cases logged for individuals who fall within the main four groups of ‘vulnerable adults’ covered by the policies. Arguments for consistent reporting are set out and the tension which exists between formal and informal approaches to the subsequent investigation of abuse discussed with reference to American vulnerable adult statutes. Adult protection work inevitably overlaps with existing planning and regulation systems such as social care assessment, care planning, the care programme approach and inspection and registration of residential homes. The point at which these systems need to be augmented by specific adult protection procedures is a matter of professional judgement and negotiation within and between agencies. Continued monitoring of cases reported under the procedures will allow these authorities to reflect on progress to date and may provide one set of norms against which other authorities can evaluate their own practice.

This article considers the current state of help with funeral expenses in Britain. It argues that assistance has been progressively and deliberately eroded to the point where the famous ‘from the cradle to the grave’ protection of the welfare state has been removed from increasing numbers of poor people. The article sets these developments within the context of the contemporary British funeral industry, with emphasis upon its treatment of less-well-off consumers. The changing nature of social security provision for funeral expenses is traced in detail, including the actions of the incoming 1997 Labour government. This article investigates the public health role of local authorities in the case of burials, concluding that such services are insufficiently robust to meet the new weight placed upon them. The article ends with a consideration of the impact which these different changes produce in the lives of individuals upon whom they have an effect.

The reforms of the welfare system under the 1945 Labour government are usually regarded as fundamental in creating the post-war welfare state. Yet, measured by their financial implications, and viewed in comparison with either pre-war Britain or other Western European countries in the same period, these reforms appear strikingly limited. Far from bringing a ‘New Jerusalem’, the 1940s reforms seem to have brought into being an austere, minimalist structure of welfare provision. The reasons for this are examined, especially the forces shaping the new social security system. It is argued that the combination of the Labour government's economic priorities, its acceptance of the Beveridge legacy and the Treasury pressure to limit the Exchequer's financial contribution to the new system, led to this austerity.

Bourdieu conceptualises most aspects of social life in terms of fields, which constitute sites of struggle over a central stake. The resources which are used in these struggles, and whose appropriation is at stake, are defined as types of capital: economic, cultural, social and symbolic. Each field involves a set of players, of agents who are engaged in practices and strategies on the basis of an habitus. It is contended in this article that such an approach can be usefully mobilised to develop a sociological analysis of welfare. The model has to be slightly altered to make it more adequate for the study of the welfare field. First, what Bourdieu calls political capital is given a more prominent place. Secondly, the focus is more definitely set on the rates at which types of capital are converted in the welfare field. It is argued that such a model satisfies the central requirements of a sociology of welfare, in that it places welfare activities within the wider social context while grasping their internal dynamic. It provides an effective framework for addressing the main questions which are raised by a sociology of welfare.

This article explores whether human service organisations in the voluntary sector possess characteristics which might assure them of possible comparative advantages over the for-profit and public sectors with respect to certain sorts of users. We argue that there are inherent structural characteristics of organisations in each sector (for example, ownership, stakeholders and resources) which predispose them to respond more or less sensitively to different states of ‘disadvantage’ experienced by their users. These states are defined as financial, personal, societal and community disadvantage. We suggest that voluntary organisations have a comparative advantage over other sector agencies in areas where their distinctive ambiguous and hybrid structures enable them to overcome problems of principal–agent gap, median voter reluctance, weak messages from politicians to staff and lack of market interest.

By taking ideas of comparative advantage into account, a coherent case can be developed regarding the strengths and weaknesses of the expanded role of voluntary agencies in welfare provision. In essence, the article contends that a diminution in stakeholder ambiguity, resulting from organisational growth, lowers the comparative advantage of voluntary agencies.

This article reviews the issues involved in policy choices with respect to universality and selectivity in income support to older people. It considers four questions: the practical meaning of universality and selectivity in the income support systems of various countries, the effectiveness of universal and selective arrangements in the alleviation of poverty among this group, the role of universal and selective arrangements in redistributing income among elderly people and the relative generosity of universal and selective arrangements. The article draws on data from the ‘second wave’ of the Luxembourg Income Study for six countries: Australia, (West) Germany, Norway, Sweden, the United Kingdom and the United States, concerning the incomes of elderly couples and single (non-married) women. It concludes that while selective income support arrangements achieve greater redistribution in favour of low income elderly people for the same expenditure than do universal ones, selective arrangements do not necessarily perform better in other respects, and, in particular, are associated with low levels of benefit income.

Peter Taylor-Gooby's recent contribution to the debate on globalisation and the logic of welfare retrenchment with which it has come to be so closely associated (1997), represents a valuable and timely intervention in a debate whose significance can scarcely be over-stated. Our assessment of the extent to which the contours of the contemporary global political economy circumscribe the parameters of the politically and economically possible is crucial to our understanding of the trajectory and future of the welfare state in a post-Keynesian era, as it is to any attempt to reclaim a positive agenda for welfare reform in a context in which social policy is increasingly being subordinated to the perceived imperative(s) of economic competitiveness. Yet, despite its important challenge to the equation of globalisation, ‘new times’ (however labelled) and welfare retrenchment, Taylor-Gooby's intervention is not unproblematic. The counterposing of an ‘old sociology’ concerned with class, capital and the state with a ‘new sociology’ of fragmentation and diversity (a sociology of and for new times) is ultimately unhelpful. It presents an artificially stark choice between a celebration of the novel that threatens to prove complicit with contemporary welfare reform on the one hand, and a reassertion of continuity and the continuing relevance of ‘second-best theory’ on the other. It is the argument of this brief response that is only by rejecting the dualistic pairings of ‘old’ and ‘new’ sociology, ‘old’ and ‘new’ times alike, that we can fashion a sociology and attendant political economy capable of detailing the complex and contingent processes currently restructuring the welfare state and of charting the space for positive alternative trajectories of welfare reform. In so doing we must resist the temptation to make do with second-best.

Contents

1 Social security and income maintenance

2 Health care

3 Education

4 Housing and environment

5 Personal social services

6 Law and the treatment of the offender

7 Unemployment and the labour market

8 Race relations

9 The voluntary sector

10 Local government

11 Gender

12 Demography