Centre for Policy on Ageing
 

 

Elderly people and the boundary between health and social care 1946-91
 — whose responsibility?
Author(s)Paul Bridgen, Jane Lewis
Corporate AuthorNuffield Trust
PublisherNuffield Trust, London, 1999
Pages124 pp (Nuffield Trust grant report, no 1)
SourceThe Nuffield Trust, 59 New Cavendish Street, London W1M 7RD.
KeywordsNational Health Service ; Services ; Community care ; Coordination ; Social policy.
AnnotationThe creation of the boundary between health and social care was a side effect of compromises in setting up the National Health Service (NHS). During the 1990s, this boundary has increasingly been recognised as a major policy issue with regard to provision for older people. This study presents a thorough investigation of central government's policy, based on archival sources. It shows that while the problem has been defined differently over time, there has been more continuity than change. The boundary issue has manifested itself as a struggle over the respective responsibilities of health and local authorities, with both seeking to avoid caring for a group of people who were in need of nursing and/or medical attention on a regular, but not constant, basis. The authors conclude that more attention to the nature of social care provision as a whole is needed. Getting rid of the financial boundary between health and social care would make it easier to tackle this issue. (RH).
Accession NumberCPA-001027002 B
ClassmarkL4: I: PA: QAJ: TM2

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