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Equity in community care

L Challis1, M Henwood

  • 1School of Social Sciences, University of Bath.

BMJ (Clinical Research Ed.)
|June 4, 1994
PubMed
Summary
This summary is machine-generated.

The NHS and Community Care Act 1990 shifted community care to local authorities, highlighting equity concerns in resource distribution. Without monitoring, this risks creating divisions, especially between generations.

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Area of Science:

  • Public Health
  • Social Policy
  • Healthcare Management

Background:

  • The NHS and Community Care Act 1990 assigned community care organization and funding to local authority social services.
  • This coincided with the integration of health and social care services.
  • This integration increased the focus on equity within personal social services, a principle from the 1946 NHS Act.

Purpose of the Study:

  • To examine the equity implications of community care reforms.
  • To identify potential disparities in resource allocation and access to care.
  • To highlight the risks of intergenerational division due to current community care structures.

Main Methods:

  • Analysis of the policy shift introduced by the NHS and Community Care Act 1990.

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  • Examination of equity principles in relation to social services legislation (1946 NHS Act and 1948 National Assistance Act).
  • Identification of resource distribution challenges across client, income, generational, and geographic groups.

    • Main Results:

    • Equity has become a more prominent concern in community care following the 1990 Act.
    • Key equity issues involve the distribution of public resources among diverse client and demographic groups.
    • Current mechanisms are insufficient for monitoring access to care trends.

    Conclusions:

    • The current community care system faces significant equity challenges.
    • There is a risk of creating societal divisions, particularly impacting different generations.
    • Effective monitoring mechanisms are needed to ensure equitable access to community care.