Long term care for older people

doi:10.1136/bmj.325.7365.660/a

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Dementia is main issue

Tom R Dening (tom.dening@addenbrookes.nhs.uk), consultant psychiatrist

Cambridgeshire and Peterborough Mental Health Partnership NHS Trust, Box 311, Fulbourn Hospital, Cambridge CB1 5EF
Handon Cottage, Markwick Lane, Loxhill, Godalming, Surrey GU8 4BD

EDITOR—Heath makes a convincing case for abandoning the distinction between personal care and nursing care in England, and therefore for following the Scottish example of providing free personal care for older people in need of it.1 Frank as this editorial is, it does not go to the root of the issue.

There is not a single mention of the importance of dementia in determining the levels of care needed by older people. Moreover, there is a …