Primary care arrangements for elderly people in residential and nursing homes

BMJ 1999;318:666 ( 6 March )

Letters

Primary care arrangements for elderly people in residential and nursing homes

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EDITOR $---$ McCormack highlights variations, inequities, and problems in care for elderly people discharged after short stays inhospital.¹ Declining long stay provision in the NHS and shorteracute inpatient stays have increased pressure on community services,exacerbating perverse incentives between health and social care.¹As long term care of elderly people is redefined as social caregeneral practitioners have become responsible for the health careof increasing numbers of frailer residents of residential andnursing homes. Evidence on the effect of this is scarce.²

We conducted preliminary research by examining residents' arrangements for general practitioner consultations. We approachedtwo samples of homes in the independent sector: a 20% random sampleof nursing homes in Kent and 12 residential homes chosen froma study of social services organisation³ in Kent (n=4), London(n=3), and Sheffield (n=5). Letters to home managers were followedby telephone interviews (December 1997 to February 1998).

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Few homes . . . [Full text of this article]

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Community care for elderly people: Brendan McCormack
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Fahey, T., Montgomery, A. A, Barnes, J., Protheroe, J. (2003). Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study. BMJ 326: 580-580 [Abstract] [Full text]