Skip to main content

Client Demand and Welfare Rationing

  • Chapter
Access to Welfare

Part of the book series: Studies in Social Policy ((STUDSOPO))

  • 5 Accesses

Abstract

The precise role which clients play in the process of welfare rationing has yet to be clearly delineated, but it is clear that clients’ initial demands on the social services do play some part in determining the final distribution of welfare benefits. We can identify three separate areas of debate over the impact of client initiated demand on the rationing of welfare. First, writers on welfare issues have attempted to assess the impact of client demand on overall levels of social expenditure. The significance of client initiated demand as opposed to other factors such as the demands of industry in relation to overall social expenditure is extremely difficult to calculate. Since we are mainly concerned with the allocation of welfare benefits to clients rather than with the process of resource allocation to the social services, the relationship between client demand and levels of social expenditure will not be explored in this book. A second, controversial, aspect of client demand is the question whether or not clients over use or abuse the statutory social services. A third important question is whether clients themselves play a part in perpetuating social class inequalities in the distribution of certain welfare goods and services. Before exploring these issues further we should note the difficulties involved in any attempt to isolate, measure or evaluate client initiated demand for social services.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. See B. Showier, ‘Political Economy and Unemployment’ in B. Showier and A. Sinfield (eds), The Workless State (London: Martin Robertson, 1981).

    Google Scholar 

  2. A. Cartwright and R. Anderson, Patients and Their Doctors, Occasional Paper 8 (London: Journal of the Royal College of General Practitioners, 1979) p. 7.

    Google Scholar 

  3. Ibid, p. 11.

    Google Scholar 

  4. J. Fry, ‘The Content of Practice’ in J. Fry (ed.), Trends in General Practice (London: British Medical Journal, 1977) p. 37.

    Google Scholar 

  5. G. Stimson and B. Webb, Going to See the Doctor (London: Routledge & Kegan Paul, 1975) p.21.

    Google Scholar 

  6. M. Foster, ‘The Rationing of Primary Medical Care: A Case Study of Supply and Demand in General Practice’, unpublished MA thesis (Manchester University, 1978).

    Google Scholar 

  7. Ibid, p. 57.

    Google Scholar 

  8. D. Mechanic, ‘Correlates of Frustration Among British General Practitioners’, Journal of Health and Social Behaviour, vol. 11, no. 2 (1970) pp. 87–104.

    Article  Google Scholar 

  9. J. Buckle, Intake Teams (London: Tavistock, 1981) p. 27.

    Google Scholar 

  10. J. Mayer, ‘The Social Factors in Surgery Attendance’, Pulse, 28 May 1977, p. 8.

    Google Scholar 

  11. M. Cooper, Rationing Health Care (London: Croom Helm, 1975) p. 13.

    Google Scholar 

  12. Ibid, p. 14.

    Google Scholar 

  13. S. Rees, Social Work Face to Face (London: Edward Arnold, 1978) p. 36.

    Google Scholar 

  14. Ibid, p. 37.

    Google Scholar 

  15. J. Mayer and N. Timms, The Client Speaks (London: Routledge & Kegan Paul, 1970) p. 53.

    Google Scholar 

  16. Ibid, p. 105.

    Google Scholar 

  17. Ibid, p. 53.

    Google Scholar 

  18. R. M. Moroney, The Family and the State (London: Longman, 1976) p. 45.

    Google Scholar 

  19. T. Cresswell and P. Parker, ‘The Frail who Lead the Frail’, New Society, vol. 20, no. 504 (1972) p. 410.

    Google Scholar 

  20. Child Poverty Action Group, So Who’s ‘Better Off on the Dole, Poverty Fact Sheet (London: Child Poverty Action Group, 1980) p. 12.

    Google Scholar 

  21. A. Laurence, unpublished report summarised in P. Moore, ‘Counter-Culture in a Social Security Office’, New Society, vol. 53, no. 921 (1980) p. 69.

    Google Scholar 

  22. Child Poverty Action Group, So Who’s ‘Better Off on the Dole, p. 13.

    Google Scholar 

  23. Department of Health and Social Security, National Health Service: Twentieth Anniversary Conference (London: HMSO, 1968).

    Google Scholar 

  24. R. Titmuss, ‘Goals of Today’s Welfare State’, in P. Anderson and R. Blackburn (eds), Towards Socialism (London: Fontana, 1965) p. 360.

    Google Scholar 

  25. J. Le Grand, The Strategy for Equality (London: Allen & Unwin, 1982) p. 4.

    Google Scholar 

  26. A. Cochrane, Effectiveness and Efficiency: Random Reflections on Health Services (London: Nuffield Provincial Hospitals Trust, 1972).

    Google Scholar 

  27. P. Townsend and N. Davidson, Inequalities in Health — The Black Report (Harmondsworth: Penguin, 1982) p. 88.

    Google Scholar 

  28. Ibid, p. 81.

    Google Scholar 

  29. Ibid, p. 82.

    Google Scholar 

  30. Ibid, p. 88.

    Google Scholar 

  31. R. Titmuss, Commitment to Welfare (London: Allen & Unwin, 1968) p. 67.

    Google Scholar 

  32. K. MacDonald, ‘Time and the Working Class’, unpublished paper presented at the 1976 Conference of the British Sociological Association.

    Google Scholar 

  33. A. Cartwright and M. O’Brien, ‘Social Class Variations in Health’ in M. Stacey (ed.), The Sociology of the NHS, Sociological Review Monograph 22 (Keele: University of Keele, 1976);

    Google Scholar 

  34. I. C. Buchan and I. M. Richardson, Time Study of Consultation in General Practice (Edinburgh: Scottish Home and Health Dept, 1973).

    Google Scholar 

  35. Royal Commission on the National Health Service, Report, Cmnd 7615 (London: HMSO, 1979) p. 89.

    Google Scholar 

  36. P. Townsend and N. Davidson, Inequalities in Health — The Black Report, p. 89.

    Google Scholar 

  37. J. Le Grand, The Strategy for Equality, p. 33.

    Google Scholar 

  38. See M. Backett, ‘Health Services’ in F. Williams (ed.). Why the Poor Pay More London: Macmillan, 1977).

    Google Scholar 

  39. J. Le Grand, The Strategy for Equality, p. 35.

    Google Scholar 

  40. Where, ‘Parental Choice — For How Many?’, Where, no. 136 (1978) pp. 71–2.

    Google Scholar 

  41. Ibid, p. 71.

    Google Scholar 

  42. House of Commons Debates 1978–9, col. 185.

    Google Scholar 

  43. Ibid, col. 366.

    Google Scholar 

  44. R. Boudon, Education, Opportunity and Social Inequality (London: Wiley, 1974).

    Google Scholar 

  45. J. Le Grand, The Strategy for Equality, p. 64.

    Google Scholar 

  46. D. Black, Inequalities in Health (London: DHSS, 1980).

    Google Scholar 

  47. J. Le Grand, The Strategy for Equality, pp. 134–7.

    Google Scholar 

  48. Ibid, ch. 8.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Copyright information

© 1983 Peggy Foster

About this chapter

Cite this chapter

Foster, P. (1983). Client Demand and Welfare Rationing. In: Access to Welfare. Studies in Social Policy. Palgrave, London. https://doi.org/10.1007/978-1-349-86064-7_3

Download citation

Publish with us

Policies and ethics