ABSTRACT

The challenge is…to ensure that we provide a seamless service based entirely around the needs and wishes of users of care and their carers.

(Virginia Bottomley, 1992)

WHAT IS A SEAMLESS SERVICE?

What exactly is ‘a seamless service’? How do we recognise one? Many of the community services for people with learning disabilities which I know are far from seamless, indeed some are not only coming adrift at the seams but the fabric is actually falling apart. ‘A seamless service’ may be a catchy phrase for the Secretary of State to use but does it mirror the reality of community care in the 1990s?