Clicca qui per scaricare

Microimpresa: l’innovazione riuscirà a trasformare i servizi di cura?
Titolo Rivista: SALUTE E SOCIETÀ 
Autori/Curatori: Kelly Hall, Catherine Needham, Kerry Allen 
Anno di pubblicazione:  2015 Fascicolo: Lingua: Italiano 
Numero pagine:  18 P. 51-68 Dimensione file:  65 KB
DOI:  10.3280/SES2015-001005
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 

Defined as very small enterprises with five or fewer workers, micro-enterprises are organisations established and managed by local people, including those who are themselves disabled. They are viewed as particularly innovative as their personalised nature challenges traditional ways of providing social care. As a result, they have been promoted as part of the English government’s "personalisation" agenda. Yet there is little empirical evidence to support the benefits of micro-enterprises over larger care providers. This paper reports early findings of two year study evaluating the performance of micro-enterprises within adult social care in England, focusing in particular on the extent to which they are innovative. It draws on two data sources; an evidence review of non-traditional services and service users, and interviews with micro-enterprise staff and coordinators across three English case study sites. The paper reports that microenterprises do appear to be more innovative than larger care providers as they are able to provide more person-centred and targeted services. We argue that they display three types of innovation; who innovations (targeting non-traditional service users), what innovation (non-traditional services) and how innovations (more interaction and flexibility in care provision).

Keywords: Microimpresa, assistenza sociale, personalizzazione, innovazione sociale, Inghilterra

  1. Gosen J., Prasad S. (2009). Creating Comparative Advantage for Micro-Enterprises through E-Governance. Journal of Electronic Governance, 2(2/3): 239-250 Greenhalgh T., Robert G., Bate P., Kyriakidou O., Macfarlane F., Peacock R. (2004). How to spread good ideas. A systematic review of the literature on diffusion, dissemination and sustainability of innovations in health service delivery and organization. London: National Institute for Health Research Hatton C., Waters J., Routledge M. (2013). National Personal Budgets Survey 2013. London: Think Local, Act Personal
  2. HM Government (2007). Putting people first: A shared vision and commitment to the transformation of adult social care. London: HM Government
  3. Hopkins A. (2007). Delivering Public Services: Service Users’ Experiences of the Third Sector. A Report to the Office of the Third Sector by the National Consumer Council. London: National Consumer Council
  4. Kirkpatrick I. (2006). Between markets and networks: The reform of social care provision in the UK. Revista de Analisis Economico, 21(2): 43-59
  5. Lloyd L. (in pubblicazione). Can personalisation work for older people? In: Needham C., Glasby J., a cura di, Debates in Personalisation. Bristol: Policy Press
  6. Lockwood S. (2013). Community assets helping to deliver health and well-being and tackle health inequalities. Journal of Integrated Care, 21(1): 26-33
  7. MacDonald A., Heath B. (2008). Developing services for people with dementia: Findings from a research in a rural area. Quality in Ageing, 9(4): 9-18
  8. Macmillan R. (2012). ‘Distinction’ in the third sector. Third Sector Research Centre Working Paper 89. Birmingham: Third Sector Research Centre
  9. Manthorpe J., Moriarty J., Stevens M., Hussein S., Sharif N. (2010). Black and minority ethnic older people and mental well-being: possibilities for practice. Working with Older People, 14(4): 32-37
  10. McCabe A., Phillimore J., Mayblin L. (2010). ‘Below the radar’ activities and organisations in the third sector: a summary review of the literature: briefing paper. Brimingham: Third Sector Research Centre
  11. Means R., Richards S., Smith R. (2008). Community Care (4th edition). Basingstoke: Palgrave
  12. Moriarty J. (2008). The health and social care experience of black and minority ethnic people. London: Race Equality Foundation
  13. NAAPS (National Association of Adult Placement Schemes) (2008). Micro markets project: Report on progress after one year. NAAPS
  14. NAAPS (National Association of Adult Placement Schemes) (2010). Cuts or Putting People First, London: National Association of Adult Placement Schemes
  15. Needham C. (2011). Personalising Public Services: Understanding the Personalisation Narrative. Bristol: the Policy Press
  16. Needham C., Mangan C., Dickinson H. (2014). Twenty-First Century Public Servant: Eight Lessons from the Literature. Birmingham: Public Services Academy
  17. Needham C., Tizard J. (2010). Commissioning for Personalisation: from the fringes to the mainstream. London: Chartered Institute of Public Finance and Accountancy/Public Management and Policy Association
  18. Osborne S.P., Chew C., McLaughlin K. (2008). The once and future pioneers? The innovative capacity of voluntary organisations and the provision of public services: a longitudinal approach. Public Management Review, 10(1): 51-70
  19. Seebohm P., Chaudhary S., Boyce M., Elkan R., Avis M., Munn-Giddings C. (2013). The contribution of self-help/mutual aid groups to mental well-being.
  20. Health and Social Care in the Community, 21(4): 391-401 Sin C.H. (2006). Expectations of support among White British and Asian-Indian older people in Britain: the interdependence of formal and informal spheres. Health and Social Care in the Community, 14(3): 215-224
  21. Skills for Care (2013). The size and structure of the adult social care sector and workforce in England 2013, September. Leeds: Skills for Care
  22. Soteri-Proctor A. (2011). Little big societies: micro-mapping of organisations operating below the radar. Birmingham/Southampton: Third Sector Research Centre
  23. Truswell D. (2011). Black, minority ethnic and refugee communities and the National Dementia Strategy: the London experience. Diversity in Health and Care, 8: 113-119
  24. Unison (2013). Unison’s Ethical Care Charter. London: Unison Walsh K., O’Shea E. (2008). Responding to rural social care needs: Older people empowering themselves, others and their community. Health and Place, 14: 795-805
  25. Williams R. (2010). Innovation. In: Ashworth R., Boyne G., Entwistle T., a cura di, Public Service Improvement: Theories and Evidence. Oxford: Oxford University Press
  26. Baxter K., Glendinning C., Greener I. (2011). The implications of personal budgets for the home care market. Public Money and Management: 31(2): 91-98.
  27. Bovaird T. (2013). Third sector service delivery: marrying scale and responsiveness. In: Changing Realities of the Third Sector. Birmingham: TSRC/ESRC
  28. Buckingham H. (2012). Capturing Diversity: A Typology of Third Sector Organisations’ Responses to Contracting Based on Empirical Evidence from Homelessness Services. Journal of Social Policy, 41: 569-589
  29. Cant B., Taket A. (2005). Promoting social support and social networks among Irish pensioners in South London, UK Diversity. Health and Social Care, 2:
  30. 263-270 Carr S. (2014). Social care for marginalised communities: understanding self-organisation for micro-provision. Health Services Management Centre Policy Paper 18. Birmingham: Health Services Management Centre. Disponibile al sito: (Ultimo accesso 10/10/14)
  31. Chew C. (2008). Social Enterprise in Charities: Towards Hybrid Organisational Forms of Voluntary and Charitable Organisations. The UK’ Research Working Paper No.49. Cardiff: ESRC Centre for Business Relationships, Accountability, Sustainability and Society (BRASS), Cardiff University
  32. Chew C., Osborne S.P. (2008). Strategic positioning in UK. Charities that provide public services: implications of a new integrating model. Public Money and Management, 28(5): 283-90
  33. Chew C., Osborne S.P. (2009). Exploring strategic positioning in the UK charitable sector: emerging evidence from charitable organisations that provide public services. British Journal of Management, 20: 90-105
  34. Community Catalysts (2011). Enterprise for all: care or community support services run by people who have experienced them: a practical guide for enterprising people. Harrogate: Community Catalysts
  35. Community Catalysts (2014). Microenterprise. Disponibile al sito: www.communitycatalysts. (Ultimo accesso 10/10/14)
  36. Daly M. (2013). Juicing, dancing and sewing: how micro-providers are adding colour to personalisation, Community Care. Disponibile al sito: www.communitycare. (Ultimo accesso 10/10/14)
  37. Davidson E., Packman C. (2012). Surviving, Thriving or Dying: Resilience in small community groups in the North West of England. Manchester: Manchester Metropolitan University
  38. Department of Health (DH) (2010). Supporting Micro Markets. London: Department of Health
  39. Department of Health and NAAPS (2009). Supporting micromarket development: a concise practical guide for local authorities. London: Department of Health
  40. Dickinson H., Glasby J. (2010). The personalisation agenda: implications for the third sector. Birmingham: Third Sector Research Centre
  41. Di Maggio P.J., Powell W.W. (1983). The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American sociological review, 48: 147-160
  42. Donahue K. (2011). Have voluntary sector infrastructure support providers failed micro organisations? Voluntary Sector Review, 2(3): 391-398
  43. Fox A. (2013). Putting people into personalisation, A ResPublica Green Paper. Lincoln: ResPublica Trust
  44. Glasby J., Littlechild R. (2009). Direct payments and personal budgets: putting personalisation into practice. Bristol: Policy Press
  45. Glendinning C., Challis D., Fernandez J.-L., Jacobs S., Jones K., Knapp M., Manthorpe J., Gosen J. (2009). Creating Comparative Advantage for Micro-Enterprises Through E-Governance. International Journal of Electronic Governance, 2(2-3): 239-250., 10.1504/IJEG.2009.02913DOI: 10.1504/IJEG.2009.02913

Kelly Hall, Catherine Needham, Kerry Allen, in "SALUTE E SOCIETÀ" 1/2015, pp. 51-68, DOI:10.3280/SES2015-001005


FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche