Comparison of residential and nursing home care before and after the 1993 community care policy

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Abstract
The NHS and Community Care Act 1990 moved responsibility for supplementing those in residential and nursing home care from social security to local authorities and was accompanied by a transfer of funds.1 This system was implemented on 1 April 1993 with the aim that care should be provided and funded in accordance with the person's need for care. For the first time the level of dependency and need would influence financial support for admission to an institutional care facility. If the aim was achieved and care is now better targeted a clearer differentiation in levels of dependency between residential and nursing care would be expected after 1 April 1993, with a higher level of dependency in nursing homes. View this table: Mean (SE) scores for each measure of dependency by type of care and period of admission. Increasing dependency is indicated by increase in physical dependency or behavioural rating score or decrease in abbreviated mental score, Barthel index, information or …