chapter  5
24 Pages

Policies for care in the community

Policiesinrelationtothecareandtreatmentofverydependent peoplehasbeenadominantthemewithinthe'service'streamof policyintheNHS.Bytheearly1960s,ithadbecomeapparent thatthecareandtreatmentoftheelderly,thosewithspecialneeds (termedphysicallyandmentallyhandicappeduntilthemid-1980s) andmentallyillpeople,whoserequirementswereforcarerather thancure,posedspecialproblemsforan'illness-based'NHS.Inthe 1970s,strategiesweredevelopedforeach'client'groupthroughthe preparationofreports,WhitePapers,andconsultativedocuments. Thepolicydocumentshadtwocommonthemes.First,thatservices shouldbeprovidedinthecommunityratherthanininstitutions,and second,thatthereshouldbecooperationbetweenhealthauthorities andlocalauthoritysocialservicedepartments.Theproblemsof achievingchangeformthethemeofthischapter.