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Legislating community care: the British experience, with US comparisons
Author(s)Rachel Filinson
Journal titleThe Gerontologist, vol 37, no 3, June 1997
Pagespp 333-340
KeywordsCommunity care ; Services ; Health services ; Social policy ; Law ; United Kingdom ; United States of America.
AnnotationThe National Health Service (NHS) and Community Care Act 1990 aimed to reduce unnecessary institutionalisation, improve the coordination of community-based long-term care, and to stimulate private service provision. In this paper, the author looks at some of the major principles of the Act and some aspects of its implementation, from a United States (US) perspective. An overview of four major principles of the legislation is provided: the elevation of the care manager role; the emphasis on inter-agency collaboration across the health and social care divide; privatisation of services; and support of informal caregivers. Preliminary findings related to their implementation indicate incremental rather than sweeping change. The elements of the new policy that borrow from US models of community care are highlighted. (AKM).
Accession NumberCPA-980812405 A
ClassmarkPA: I: L: TM2: VR: 8: 7T

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