Where Did We Go Wrong? An Analysis of Conflicts of Interest, Perverse Financial Incentives and NOMBism
This chapter is concerned with the conflicts that arise between sectional economic interests and the interests and needs of service users. It engages with the concern that since the 1980s when marketisation and privatisation within social work began to gather pace, sectional economic interests have gained dominance over the interests of clients in social care (Carey, 2008; Davies and Leonard, 2004; Harris, 2003; Wrennall, 2007, 2010). It aims to identify the mechanisms through which the ascendancy of sectional interests over clients’ interests is secured and reproduced, and to consider how social workers might ethically engage with the problem.