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EDITOR
Scotland's first minister has announced that he intends to
implement free personal care in nursing homes for older people by April
2002.1 But the prime minister seems to believe that there
are better things to spend money on in the English NHS. He overlooks
the fact that the NHS Plan for England explicitly claims that it will
eradicate ageism in the NHS.
Older people need personal care, not because they are old but because
they have acquired disabling disease in old age. Thus the central
tenets of the NHS would seem to be broken if older people do not
receive the care they need, just because they are old. If this is a
form of rationing then its criteria need to be made explicit. The
current position that only care provided by registered nurses will be
freely provided by the NHS is an inadequate basis on which to
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