Intended for healthcare professionals

Letters Care homes post-covid-19

Cultural challenges are limiting changes to social care

BMJ 2021; 372 doi: (Published 01 March 2021) Cite this as: BMJ 2021;372:n571
  1. Gabrielle Silver, chief executive
  1. CHS Healthcare, Sutton Coldfield B72 1RT, UK
  1. gabrielle.silver{at}

Manthorpe and Iliffe state that sustainability in the care home market is intrinsically linked to self-payers subsidising local authority funded placements.1 As described, this imbalance and chronic underfunding for local authority placements is unsustainable—it needs examination and an open and honest conversation.

I work for an organisation that supports people in their transition between health and social care. We work alongside NHS teams as a dedicated support for patients and their families who are inevitably experiencing …

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