Community Care: Policy and Practice by Robin Means, Randall Smith

By Robin Means, Randall Smith

This new version of the textbook on care locally assesses the influence of neighborhood care on clients and carers, and the altering roles of social prone, overall healthiness care and different pros. robust emphasis is put on the ancient and foreign context, in particular the significance of the eu Union, and on offering a balanced overview of achievements and screw ups so far, the coverage schedule of recent Labour and the most demanding situations for the longer term.

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Topliss claims that 'this has meant that the claims of the disabled have had to compete with the claims on the local authority budget of all other sections of the community' and that 'the sort of massive reallocation of expenditure needed to implement the ... Act fully, in the absence of special ear-marked funds, has apparently proved politically impossible for local authorities' (p. 114). On residential care for physically disabled people, the National Assistance Act 1948 did make reference to the specific needs of younger physically impaired people as being different from those of frail elderly people.

1980, p. 42). Ryan and Thomas (1980, p. 107) summed up the overall situation in the following way: This Act established the basis of a separate and unified service, which would exclude mental defective people from other welfare and social agencies as well as from the general education system. The total number of 'defectives' under the care and control of the mental deficiency legislation rose rapidly. Figures supplied by Tredgold (1952) and quoted by Malin eta!. (1980, p. 43) show that numbers rose from 12,000 in 1920 to 90,000 by 1939.

The remaining medical provision together with other workhouse provision also ceased to be the responsibility of the 62 Poor Law boards, and was transferred to 145 counties and county boroughs, each of which was required to establish a public assistance committee. The workhouse was retitled the public assistance institution (PAl). However, the 1929 Act made little attempt to abolish the taint of pauperism. For example, entry to a PAl meant that the new elderly 'inmate' was disqualified from receiving a pension unless he or she was admitted specifically for medical treatment and even then pension rights were lost after three months.

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