Making a difference? : implementation of the community care reforms two years on Public Deposited

Place of publication
  • London
  • King's Fund Centre
Publication date
  • 1995
  • 37
  • This paper reports on the second and final phase of a joint King's Fund Centre and Nuffield Institute for Health initiative on monitoring community care implementation. It provides an independent account of progress in implementing the community care changes which is based on sampling the experience and perceptions of a vertical cross-section of stakeholders in a range of localities across England. For the second year running the same five focus groups were used which were established in a range of localities (an inner and an outer London borough, two shire counties and a metropolitan authority). The 1995 round of focus group meetings took place against a changed background. A comparison of the findings from 1994 and 1995 indicates the persistence of some implementation issues; the disappearance of others and the emergence of new difficulties. Two key areas of improvement were identified: improved joint working between health and social services; greater flexibility and responsiveness of services. Alongside these two broad areas were areas of problematic implementation: service rationing; strains on the health and social care boundary; uncertain role of residential and nursing home provision; users and carers.
  • Pagination: v, 37p.
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