Antonio Gramsci (1891-1937), who died over 70 years ago, produced a complex body of theorisation which is mostly ignored within social work. In this paper it is maintained that there are a number of obstacles presented for those reading Gramsci. Nonetheless, these obstacles should not deter us from trying to engage with Gramsci. After briefly outlining his biography, the article focuses on just two of his key thematic preoccupations. First, the related ideas of Americanism, Fordism and Taylorism; second, the concept of hegemony. Although conceding that there are problems with his work, it will be argued that these theoretical formulations continue to be of potential use and might aid our understanding of social work and related forms of activity during a period of neoliberal inspired transformations. Furthermore, thinking with Gramsci, and other social theorists, might enable the social professions to help construct counter hegemonic strategies.