Ageing and the crisis in health and social care : global and national perspectives / Bethany Simmonds. [print]

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Front Cover -- Ageing and the Crisis in Health and Social Care: Global and National Perspectives -- Copyright information -- Table of contents -- Acknowledgments -- Series information -- 1 Introduction -- Contextualising care -- Setting the scene -- Key takeaways -- Outline of the book -- 2 Discourse, capital, intersectionality and precarity -- Introduction -- Neoliberal health and social care policy discourse: a Foucauldian analysis -- Governmentality and biopolitics -- Biomedical theorisation of ageing -- Social-gerontological theories of ageing -- Successful/active ageing theory

Bourdieusian theory applied to ageing -- Intersections of age, gender, disability and ethnicity -- Theorising precarity and ageing -- Conclusion -- 3 Globalisation, neoliberalism and welfare state models: a comparative analysis -- Introduction -- Globalisation and neoliberalism -- The origins of neoliberalism -- Welfare state models and their political underpinnings -- The UK welfare state system: a neoliberal/Anglo-Saxon archetype -- Competition, 'choice' and consumerism -- The Swedish welfare state: a social-democratic/Scandinavian archetype -- The Swedish health and social care system

The German welfare state: a corporatist/Continental European archetype -- The German health and social care system -- Conclusion -- 4 Failing health and social care in the UK: austerity, neoliberal ideology and precarity -- Introduction -- Austerity policies -- The Health and Social Care Act 2012 -- The Care Act 2014 -- Impact of austerity and neoliberal reform on service provision -- Failure of residential adult social care organisations -- The failure of Southern Cross -- Four Seasons -- Changes to the domiciliary ('home care') sector -- Precarious adult social care workers

Precarious health care workers -- The 'dementia tax' and the 2017 election -- Brexit and Boris -- Conclusion -- 5 Public health, emergency settings and end of life care -- Introduction -- Case Study 1: Preventing decline -- active ageing and public health -- Responses to images of active older people -- Importance of representations of ageing in public health information -- Case Study 2: older people falling and being attended to by paramedics -- Precarity of older people in emergency care -- Older people's choice and sense of being a burden -- Signposting in a fractured system

Precarity and making choices with older people in stressful, fragmented systems -- Case Study 3: negotiating end of life and advocating for the dying -- Discussing death -- Inadequate information: fragmented IT systems -- Lack of time and resources for sensitivity -- Patchy and inconsistent community end of life care services -- Advocating for the dying -- End of life postcode lottery -- Conclusion -- 6 The COVID-19 health and social care challenge -- Introduction -- The impact of COVID-19 on the UK -- Minority ethnic and working-class communities -- Men and health and social care workers.

Current and future provision of health and social care for older people is explored in this timely study. It draws on examples from the Germany, Sweden and the UK to measure the impact of trends including neoliberalisation and marketisation and it considers new solutions to contemporary challenges in a complex care system.