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Centre for Policy on Ageing | |
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The concepts of community care and primary care in the UK
— the 1960s to the 1990s | | Author(s) | Jane Lewis |
| Journal title | Health & Social Care in the Community, vol 7, no 5, September 1999 |
| Pages | pp 333-341 |
| Keywords | Community care ; General practice ; Health services ; Social policy ; Histories. |
| Annotation | Historical methods, primary and secondary sources including government documents, journals and the professional press are used to investigate the changing definitions of community care and primary care in health policy since the 1960s. While policy makers have tended to separate community care and primary care, professional roles have tended to cut across both sectors. The emergence and substantially separate development of the two concepts in policy and professional practice from 1960 to 1990 is described and analysed, illustrating the structural constraints on integration, but noting the increasing tendency for boundaries to be called into question. The impact of the NHS and Community Care Act 1990, implementation of reforms during the 1990s, and policies being implemented by the Labour government are examined. Community care and health care have continued to be treated separately by policy makers. Policy for the former has largely been driven by governments' concern to control social security and NHS spending, whilst the latter has focused on the role of general practitioners (GPs) in implementing market reforms. The continued dominance of primary care may continue to be an obstacle to integrating community and primary care. (R. |
| Accession Number | CPA-991005234 A |
| Classmark | PA: L5: L: TM2: 6A |
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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