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Long Term Care: Whose Responsibility?

Margaret Richards examines where the responsibility for long term care currently lies, under several different scenarios

1 March 1997

Long Term Care - Whose Responsibility?

Margaret Richards examines where the responsibility for long term care currently lies, under several different scenarios.

Given this country's consistently high level of commitment to the NHS over the past 50 years, it is surprising that there has been so little informed debate about the serious erosion of the fundamental "cradle to grave" philosophy of healthcare in respect of patients (often elderly) with chronic physical or mental impairments, who need long term nursing care.

Even if it were conceded that some form of "rationing" of NHS resources has become inevitable as a consequence of expensive technological advances, coupled with increasing public expectations of medical science, the publicity afforded to issues which could quite properly be regarded as on the margins of "health" care (some aspects of assisted reproductions, for example) has tended to eclipse the fact that older clients are f...

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