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Continuing health care: the local development of policies and eligibility criteria
- Authors:
- LEWIS Helen, WISTOW Gerald, ABBOTT Stephen
- Journal article citation:
- Health and Social Care in the Community, 7(6), December 1999, pp.455-463.
- Publisher:
- Wiley
In 1995 the Department of Health issued guidance on continuing health care following the health service commissioner's finding against Leeds Health Authority for failing to provide long-term care. Under this guidance, health authorities were required to agree continuing health care policies and eligibility criteria with fundholders and local authorities. This study investigates the extent to which the drafting of local policies and criteria, within the framework of national guidance, led to consistency between health authorities. Discusses the results.
The development of domiciliary care: mission accomplished?
- Authors:
- WISTOW Gerald, HARDY Brian
- Journal article citation:
- Policy and Politics, 27(2), April 1999, pp.173-187.
- Publisher:
- Policy Press
The development of domiciliary care through the independent sector was central to the successful implementation of the 1993 community care changes. A considerable degree of success has been achieved: there has been substantial growth in the volume of home care hours funded by local authorities, and all of it concentrated in the independent sector. However, purchaser-provider relationships have created some provider instability and threatened continuity of care for users. Argues that the continuing task for local authorities as purchasers is to develop relationships with their providers which ensure that the quality of care services, and the way they are delivered, are consistent with user-defined standards.