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Centre for Policy on Ageing | |
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A survey of access to medical services in nursing and residential homes in England | Author(s) | Caroline Glendinning, Sally Jacobs, Alison Alborz |
Journal title | British Journal of General Practice, vol 52, no 480, July 2002 |
Pages | 545-548 |
Keywords | Health services ; Accessibility ; Care homes ; Nursing homes ; Social surveys ; England. |
Annotation | Residential and nursing homes make major demands on NHS services. Patterns of access to medical services for residents in homes were investigated by structured questionnaire in all nursing and dual registered home and 1 in 4 residential homes in 72 English PCT areas. There were wide variations in the numbers of general practitioners (GPs) providing services tom individual homes; this was not entirely dependent on home size. 8% of homes paid local GPs for their services to residents; these were more likely to be nursing homes (33%) than residential homes (9.5%) and larger homes (9.5%). Larger homes were more likely to encourage residents to register with a home. Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' care contractual obligations. Few homes had direct access to specialist clinicians. Extensive variations to homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes, and between those in homes and in the community. (OFFPRINT) (RH). |
Accession Number | CPA-090821001 A |
Classmark | L: 5CA: KW: LHB: 3F: 82 * |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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