This article considers the ethical dimensions of attempts to ‘personalise’ health and social care services in the UK. Personalisation is identified as closely related to efforts to introduce elements of neoliberal marketisation into public service provision, particularly through the introduction of consumer choice for services users. We consider two areas of ethical concern surrounding personalisation: its contribution to social justice agendas and the enhancement of service users’ autonomy. While personalisation in general, and consumer choice in particular, has been presented as (...) positively contributing to both social justice and autonomy, we critically revaluate these claims. We draw on the work of Nancy Fraser and relational theories of autonomy to highlight the ethical complexities of personalisation and the potentially negative effects that the extension of consumer choice may have on promoting social justice and supporting substantive forms of autonomy. We suggest that understanding and negotiating these complexities imposes ethical constraints on the ways in which, and extent to which, health and social care services can be defensibly personalised. (shrink)

This paper will suggest some key elements needed to adequately ground a concept of oppression relevant to the ethics of the social professionsFootnote11. The ‘social professions’ is a useful phrase employed by Sarah Banks (2004) and includes social work, community and youth work, and other professions where human services are offered., and demonstrate how a coherent account of such a concept can be offered, drawing on recent work in social, moral and political philosophy: an account that both supports and challenges (...) the social professional. The ethical commitment of social professionals in many countries to an ‘anti-oppressive’ approach to their work has not always been well understood by those who have supported the idea, or by those critical of it. The aim of this paper is to contribute to the understanding and development of anti-oppressive values and practice in the social professions through a review of recent work relevant to the concept of oppression. It argues that a substantial, critical concept of oppression should underpin any social professional ethics. (shrink)