Published 1 September 2009, doi:10.1136/bmj.b3533
Cite this as: BMJ 2009;339:b3533

Letters

Nursing homes

Quality reflects leadership

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

Whether "not-for-profit" or "for-profit" care homes provide differing outcomes remains fraught with difficulties.^{1 2}

Care homes generally are becoming more important in health and care systems. Residential care may have fallen in popularity with improvements in housing and support, but the needs of an increasing number of people with dementia have undermined a simplistic notion of the care home in the same way that specialties replaced the surgical and medical beds of a general hospital in the 1950s.

Bupa’s 35 000 care home beds in homes in the United Kingdom, Spain, Australia, and New Zealand show striking variation and diversity of use, healthcare support, and commissioning and regulation. In the UK at least half of the pressure sores observed developed before admission to a care home. Restraint is generally now synonymous with the use of sedative drugs, and prescribing varied threefold between primary care trusts across over 5000 beds in for-profit . . . [Full text of this article]

¹ Bupa Care Services, Bridge House, Horsforth, Leeds LS18 4UP

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