BMA criticises guidance on long term care

BMJ 1995; 310 doi: (Published 04 March 1995) Cite this as: BMJ 1995;310:550

Health authorities in England and Wales are under orders from the NHS Executive to deliver and fund “a full range of services” to meet the long term health needs of elderly people. But the 17 page guidance document issued last week that sets out the NHS's responsibilities for continuing care was criticised by the BMA as “signalling the end of the welfare state.”

The guidance says that authorities that have withdrawn long term health care will have to reinstate it. The document affirms that the provision of continuing physical and mental health care is an integral part of the NHS's responsibilities. This is stated to include specialist clinical supervision in hospital or a nursing home, rehabilitation, palliative care, respite care, and community support. All health authorities and general practice fundholders must arrange and fund a full …

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