Letters Barker & Burstow’s care packages for England

The need for effective ownership and leadership of care home policy and practice

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g6308 (Published 29 October 2014) Cite this as: BMJ 2014;349:g6308
  1. Clive Bowman, honorary visiting professor1
  1. 1City University, London EC1V 0HB, UK
  1. bowmanclive{at}gmail.com

Illiffe and Manthorpe may be right in asserting that the market in social care has failed but the accompanying photograph caption, “The Poor Law’s long shadow,” is insightful.1 Poor laws sought to deal with poverty and the “feckless and the reckless.” People needing care …

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