Governance of local care and social service
The introduction of the Dutch Social Support Act (in Dutch: Wmo) in 2007 symbolises a major welfare state reform in the Netherlands. It concerns the decentralisation of tasks and responsibilities with regard to social care and support. This reform is not only a matter of shifting tasks and responsibilities from central government to local government; the Wmo was also intended to cause a paradigm shift that should change the way in which clients, citizens, governments and providers act and think. The core of this paradigm is formed by the compensation principle which describes the replacement of citizens’ rights on care by an obligation for municipalities to compensate citizens. If the Wmo is however purely regarded as a decentralisation of tasks, its implementation may, three years after its introduction, be considered a success. After all, municipalities are making serious efforts to regulate home care and social support. Most crucially, however, is the question whether this actually leads to a realisation of the Wmo’s underlying goals and ambitions. This question is addressed in this report.
|Keywords||Wmo, governance of local care, governance of social service|
|Publisher||Instituut Beleid en Management Gezondheidszorg (iBMG)|
|Note||The summary is an English translation of an article written for and published in the Dutch healthcare journal, ‘Zorgvisie’ (August 2010).|