Degrees of separation : are local authorities changing their commissioning behaviour ? PSSRU
نویسنده
چکیده
Over the past 25 years, and more recently driven by the 1990 NHS and Community Care Act, the balance of social care provision has shifted from a position of in-house dominance towards a situation where the independent sector accounts for the majority of activity. This trend has been developing since the 1980s in residential care, but the independent sector only became the largest domiciliary care provider as recently as 1999. By 2001, it was offering 60% of all contact hours.
منابع مشابه
PSSRU Discussion Paper 1136
By separating purchasing from the traditional provider role, the new community care policy has brought about a fundamental change in the planning role of health and local authorities. The policy implies changed assumptions about what constitutes need and requires an improved understanding of local needs. The policy has not only placed a duty on local authorities to assess the needs of the popul...
متن کاملPSSRU Bulletin 11
Please note that this Acrobat™ format download may not exactly match the appearance of the original printed version of this publication (which is available from the PSSRU librarian: telephone 01227 827773). The authors retain the copyright in this publication. While it may be freely distributed as an Acrobat™ file, quotations must be acknowledged and permission for use of longer excerpts must b...
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