CARE08072 2022 Markets, Audits and Affective Relations in Social Care
One of the most striking reconfigurations of Irish social care has been the entry of private for-profit companies into the social care sector, previously regarded as outside the market. The second major change in Irish social care is the development of the audit culture wherein care is measured, audited and regulated. This module examines the policy context that has given rise to these developments and the impact of marketisation and audits on the moral and ethical task of caring for another and the supports required for affective relations undertaken in the social care field. Whether for-profit provision and the auditing of affective relations is a positive development is the subject of intense debate, and the arguments for and against are examined in this module alongside a range of empirical evidence a range of social care contexts. Finally, the ethical and moral considerations for the affective sphere, arising from these developments are considered.
Learning Outcomes
On completion of this module the learner will/should be able to;
Analyse and think critically about core concepts in the study of both marketisation and audit cultures in social care (SP 5.14, 5.15)
Demonstrate knowledge of and ability to assess political and policy developments in auditing and marketisation across the social care sector in Ireland and abroad (SP 5.1, 5.2)
Outline the theoretical arguments in relation to for-profit provision of care and audit/regulation in social care and associated empirical evidence from a variety of jurisdiction (SP 5.5, 5.6)
Identify and discuss the ethical and moral implications of marketisation and audit cultures on affective relations in social care (SP 4.1, 5.2)
Teaching and Learning Strategies
The module takes a problem based learning approach where students are encouraged to learn basic concepts and then apply them to real world challenges in Irish social care. Teaching will be in the form of reading, discussion, applications to policy and practice context and the creation of solutions to challenges in the sector.
An active learning strategy will be adopted using case studies, debate, discussion and problem solving. Integrating prior knowledge of the sector gained through practice placement with new conceptual tools to develop own analysis is central to the approach. There will be a combination of lectures, tutorial and the use of Moodle as a repository for resources.
Module Assessment Strategies
There will be two assessments, one worth 70% (PBL Assessment) and the second worth 30%, which will allow student to demonstrate their understanding and analytic ability to address key challenges in Irish social care: how to manage the demands of markets, audits and regulation while maintaining an ethical and moral stance towards affective practices in social care.
The PLB approach will culminate in a simulation of problem and the application of learning to address a resolution. Assessment 1 will be a project working in pairs or threes to address the challenges facing the sector. Assessment 2 will be an individual portfolio of learning and reflection.
Repeat Assessments
Repeat Project
Indicative Syllabus
LO 1: Analyse and think critically about core concepts in the study of both marketisation and audit cultures in social care (SP 5.14, 5.15)
Key theoretical concepts and policy context: marketisation, commercialisation, privatisation, commodification, commissioning, managerialisation, regulation; markets and audits for affective relations in social care from a range of different perspectives
LO 2: Demonstrate knowledge of and ability to assess political and policy developments in auditing and marketisation across the social care sector in Ireland and abroad (SP 5.1, 5.2)
Introduction to markets in Irish social care: foster care and residential children’s care; home care and nursing homes, intellectual disability services
Overview and analysis of major non-profit and for-profit providers across sector
Regulation and audit in Irish social care: the evolution of regulatory approaches in the sector and the predominance of 'risk management'
New managerialism and social care: Standardisation, Surveillance and Measurement (SSM) Systems
LO 3: Outline the theoretical arguments in relation to commissioning and for-profit provision of care and audit/regulation in social care and associated empirical evidence from a variety of jurisdiction (SP 5.5, 5.6)
Theoretical and empirical implications of commissioning in service delivery: evidence from other jurisdictions
Theoretical arguments for and against market provision and empirical evidence across a range of jurisdictions
LO 4: Identify and discuss the ethical and moral implications of marketisation and audit cultures on affective relations in social care (SP 4.1, 5.2)
Affective relations in social care: theoretical and empirical underpinnings
Trust, integrity, care, compassion, solidarity and regulation, control, competition: theoretical arguments and empirical studies
Affective relations in professional practice: empirical evidence on audit, risk, markets and quality assurance
Coursework & Assessment Breakdown
Coursework Assessment
Title | Type | Form | Percent | Week | Learning Outcomes Assessed | |
---|---|---|---|---|---|---|
1 | Problem based enquiry: challenges in Irish social care (SP 5.6, 5 .14 & 5.15) | Coursework Assessment | Group Project | 70 % | Week 9 | 1,2,3 |
2 | Portfolio of Learning & Reflection (SP 4.1, 5.1, 5.2, 5.5, 5.6) | Project | Written Report/Essay | 30 % | Week 11 | 4 |
Full Time Mode Workload
Type | Location | Description | Hours | Frequency | Avg Workload |
---|---|---|---|---|---|
Lecture | Lecture Theatre | Theoretical concepts | 1 | Weekly | 1.00 |
Problem Based Learning | Flat Classroom | Simulation and Application | 2 | Weekly | 2.00 |
Independent Learning | Not Specified | IL | 4 | Weekly | 4.00 |
Required & Recommended Book List
2020 Labours of Love. The Crisis of Care. Granta
2015 The Privatization of Care: The Case of Nursing Homes. Routledge
2018 Marketisation, Ethics and Healthcare Policy, Practice and Moral Formation Oxon
2016 Caring democracy: Markets, equality, and justice New York University Press
2021 The adult social care market in England Department of Health and Social Care, Ministry of Housing, Communities and Local Government
Module Resources
Vaittinen, T., Hoppania, H. K., & Karsio, O. (2018). Marketization, commodification, and privatization of care services. In J. Elias & A. Roberts (Eds.), The handbook of international political economy and gender (pp. 379–391). Cheltenham, UK/ Northampton, MA: Edward Elgar Press
Needham, C. Hall, K. Allen, K. Burn, E. Mangan, C. Henwood, M. (2019) Market Shaping and Personalisation in Social Care: A Realist Synthesis of the Literature. University of Birmingham, Health Services Management Centre.
Social Policy and Administration
Current Sociology
European Journal of Social Policy
Journal of Care and Caring
Critical Social Policy
Mulkeen, M. (2016) Going to Market! An exploration of markets in social care in Ireland. Administration Vol 20(2)
Kruse, F. Ligtenberg, W. Oerlemans, A. Groenwoud, St. & Jeurissen, P. (2021) How the logics of the market, bureaucracy, professionalism and care are reconciled in practice: an empirical ethics approach.BMC Health Services Research Vol 20 (1024)
McMahon, S. (2021) What’s the “problem” with Irish youth work? A WPR analysis of value for money policy discourse and devices. https://www.youthandpolicy.org/articles/whats-the-problem-irish-youth-work/
Richardson, B. (2020) Commodification and care: An exploration of workforces’ experiences of care in private and public childcare systems from a feminist political theory of care perspective. Critical Social Policy https://doi.org/10.1177/0261018321998934
Fine, M. (2018) The marketization of care: Global challenges and national responses in Australia. Current Sociology, https://doi.org/10.1177/0011392118765281
Lollich, L. (2017) The Commodification of Care: a Critical Exploration of the Marketing Mix for Domiciliary Care at the End-of-Life. https://dbsbusinessreview.ie/index.php/journal/article/view/5
Baker, N. (2021) For-profit companies playing bigger role in residential care for vulnerable children. https://www.irishexaminer.com/news/spotlight/arid-40706681.html
Brennan, D. Cass, B. Himmelweit, S. & Szebehely, M. (2012). The marketisation of care: rationales and consequences in nordic and liberal care regimes. Journal of European Social Policy, 22(4), 377–391
Costello, P. (2020) Opinion: Foster care is in trouble in Ireland and its privatisation is not the answer https://www.thejournal.ie/readme/fostering-coronavirus-5160844-Sep2020/
Cullen, P. (2019) The discursive politics of marketization in home care policy implementation in Ireland, Policy and Society, 38:4, 606-625
Visiting speakers