Letters
Best providers should win contracts irrespective of their ownership
EDITOR,--Although J Grimley Evans's editorial on long term care in later life raises important issues, some of his assumptions and emotive language undermine the spirit of the open and informed debate that we so desperately need on the future of long term care in Britain.1 Although it is useful for commentators to acknowledge the diversity and range of philosophies of ownership in the independent sector--indeed, much of Britain's independent health and social care sector relates to such traditions as cooperation, mutuality, and charity--the debate should surely be the best way to ensure that people's needs are met. Indeed, the future demands a move away from the old and sterile world of the "them versus us," "public versus private" rhetoric beloved of politicians and activists on all sides.
Three quarters of all nursing and residential care homes in Britain are now provided by the independent sector,2 and a recent study by
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- Long term care in later life
- J Grimley Evans
BMJ 1995 311: 644.[Extract] [Full Text]
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