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Paying for long-term care: the shifting boundary between health and social care
- Author:
- WISTOW Gerald
- Journal article citation:
- Community Care Management and Planning, 3(3), June 1995, pp.81-89.
- Publisher:
- Pavillion
The delivery of services at the interface between health and social care is profoundly influenced by the historically different origins and purposes of these two forms of provision. Most fundamentally, the NHS was intended to provide a universal and comprehensive service, available to all on the basis of need rather than ability to pay. By contrast social care services retained some of the characteristics of the pre-1948 poor law out of which they emerged. Consequently, social care is selective, subject to means testing, and today, is provided within an increasingly mixed economy of care. Looks at: the changing boundary between health and social care; the implications of this shift; policy developments and responses; and options for the future.