Intended for healthcare professionals

This Week In The Bmj

Community Care Act has targeted care better

BMJ 1999; 318 doi: (Published 06 February 1999) Cite this as: BMJ 1999;318:g

The Community Care Act was meant to ensure better targeting of levels of care for elderly people. On p 366 Crawford et al show that it succeeded in Belfast. They examined physical dependency and mental state in all elderly residents admitted to residential (216) or nursing care (540) in the year before and the year after implementation of the act (1993). After 1 April 1993 admissions to residential care increased and those to nursing care decreased, while dependency levels increased in nursing homes and fell in residential homes.