Choice and responsiveness for older people in the "patient centred" NHS

doi:10.1136/bmj.328.7430.4

BMJ 2004;328:4-5 (3 January), doi:10.1136/bmj.328.7430.4

Editorial

Choice and responsiveness for older people in the "patient centred" NHS

New community care regulations mean that older people may notbe able to choose where they are treated

The first 150 words of the full text of this article appear below.

According to the health secretary, John Reid, a patient centredNHS driven by the principles of choice and competition willimprove equitable access to health care in particular for thepoor and disadvantaged. The patient, and not the provider, willbe king while NHS provision will still be provided on the basisof equal treatment for equal need. But it is difficult to reconcilethis vision of choice and equity with the Community Care (DelayedDischarge) Act, which comes into force in January 2004.

From January 2004 local authorities will be fined by the NHSfor failing to arrange social care services for patients whoare no longer appropriately situated in an acute hospital bed.Under the provisions of the Community Care Act social servicedepartments will have a minimum of two days to assess the needsof a patient and arrange a suitable package of care—whetherthis be at . . . [Full text of this article]

David R Rowland, research fellow

Allyson M Pollock, professor

(allyson.pollock@ucl.ac.uk), Public Health Policy Unit, School of Public Policy, University College London, London WC1H 9QU

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This article has been cited by other articles:

Wilkinson, D. G (2004). Older people and the "patient centred" NHS: Choice for mentally ill patients will be even less with new legislation. BMJ 328: 350-350 [Full text]
Moss, G. E (2004). Older people and the "patient centred" NHS: Prioritisation will be for financial reasons rather than by need. BMJ 328: 350-350 [Full text]
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