• Health and Trust Relations

      Powell, Jason; University of Chester (Sryahwa, 2018-09-13)
      The paper is a critical review of the problems and implications of trust and in managing health in the British health system. It is a system in need of strong management in the light of the global downturn in recently. Despite of policies on leadership in health in the UK, the macro issues for why the needs of diverse groups are not met are difficult to understand at particular levels of analysis. The central problem has been lack of ‘trust’ relations. The paper detangles the implications of different forms of trust in order to understand health relations in health contexts which has implications for practitioner, policy makers and medical personnel.
    • Social Policy and Narrative: The Global and State Contradictions of Care

      Powell, Jason; University of Chester (Sryahwa, 2018-10-01)
      This article provides a critical assessment of the assumptions and narratives underpinning the development of social policy initiatives targeting caring relationships based upon family ties. At the time of writing in late 2018, the impact of globalization has had a profound impact but we cannot underemphasise state power in examining care policy, theory and practice. Hence, deploying a narrative approach attention is drawn to the ways in which family identities are open to a far greater range of negotiation than is assumed by policy. Drawing on the United Kingdom as a case example, questions are posed about intergenerational relations and the nature of late life citizenship. The comparatively recent invention of narratives supporting ‘informal care’ and the link with neo-liberal and ‘third way’ notions of active citizenship are explored. As is the failure of policy developments to take into account the diversity of care giving styles and the complexity of caring relationships. It is argued that the uneven and locally specific ways in which policy develops enables the co-existence of a complex range of narratives about family, caring and ageing which address diverse aspects of the family life of older people in often contradictory ways.