Intended for healthcare professionals


Primary care arrangements for elderly people in residential and nursing homes

BMJ 1999; 318 doi: (Published 06 March 1999) Cite this as: BMJ 1999;318:666
  1. Shane Kavanagh, Research fellow (,
  2. Martin Knapp, Professor
  1. Personal Social Services Research Unit, University of Kent at Canterbury, Kent CT2 7NF
  2. Personal Social Services Research Unit, London School of Economics and Political Science, London WC2A 2AE

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    EDITOR—McCormack highlights variations, inequities, and problems in care for elderly people discharged after short stays in hospital.1 Declining long stay provision in the NHS and shorter acute inpatient stays have increased pressure on community services, exacerbating perverse incentives between health and social care.1 As long term care of elderly people is redefined as social care general practitioners have become responsible for the health care of increasing numbers of frailer residents of residential and nursing homes. Evidence on the effect of this …

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