By Carol Lupton
Within the context of the "cross-cutting" coverage targets of the present Labour govt, "Working jointly or pulling apart?" examines the contribution of the NHS to the multi- company and inter-professional baby defense approach. making use of the insights of coverage community and inter-organisational research, the textual content: presents precise info at the present function performed through a number of healthiness pros inside baby safeguard; investigates the character and operation of the principal coverage neighborhood and native supplier networks; considers the tensions bobbing up from variations strength and data, organisational cultures and agendas, and governance and legislation; examines the effect of wider socio-political adjustments at the operation of the kid safety approach, at either imperative and native degrees. "Working jointly or pulling apart?" is aimed toward all these operating in baby safeguard, at either strategic and frontline degrees, in the NHS and different companies. furthermore, it may be of curiosity to employees and scholars on undergraduate or postgraduate classes in overall healthiness, social paintings, public and social coverage.
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Extra info for Working Together or Pulling Apart: The National Health Service and Child Protection
Policy communities and provider networks in child protection for children’s services lies with the Secretary of State for Health, although in practice this is discharged by a parliamentary Under-Secretary of State who is not a Cabinet minister. Within the DoH, child protection is located under one of two children’s services branches of the Social Care Group (see Figure 2). Applying the Wilkes and Wright (1987) typology, child protection can be understood as a specific policy dimension of the ‘children’s services’ sub-sector of the broader ‘social care’ policy sector, itself located under the overall policy area of ‘health’.
Whereas the latter is well established and taken for granted, the former implies change and disturbance: “... the crossing of boundaries between mutually exclusive, competitive or previously unrelated interests or domains” (Webb, 1991, p 231). Although underpinned by the inclusive approach of the 1989 Children Act, interdepartmental collaboration in child protection remains susceptible to potential conflicts of interest between participants with different policy agendas. Thus, for example, there may be tensions between the child welfare concerns of the DoH and the community safety/youth justice objectives of the Home Office or between the aim of enhancing social inclusion and the exclusive tendencies of the Department for Education and Employment’s (DfEE’s) educational marketplace.
The growth of the paediatricians’ interest in child abuse supports the argument of Gusfield (1989) that the claim for territory by a professional group rests on its ability to secure ‘ownership’ of a particular phenomenon: “To ‘own’ a social problem is to possess the authority to name that condition a ‘problem’ and to suggest what might be done about it” (Gusfield, 1989, p 433). The focus on the signs of physical abuse which could be empirically observed strengthened the expertise of the doctor as central to its diagnosis and treatment (Kempe and Kempe, 1978).
Working Together or Pulling Apart: The National Health Service and Child Protection by Carol Lupton