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Will improve only when there are national standards and explicit funding
| The first 150 words of the full text of this article appear below. |
For an elderly person discharged from hospital in Britain, gaining access to continuing health care is like queuing for a car parking place in a multistorey car park on a Saturday afternoon. A "one in, one out policy" operates; you can never be sure how long you will have to wait; when you do get a place it is usually furthest away from where you want to be; and, if you miscalculate your length of stay against the amount paid, you will incur a hefty fine.
This picture will sound familiar to most community practitioners, but
earlier this year the Clinical Standards Advisory Group gave further
credence to professional concerns and made explicit the deficiencies in
the community care of older people.1 Its report,
Community Health Care for Elderly People, used the care of people discharged from hospital after treatment for fractured femur
as a tracer condition for identifying the
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