This title was first published in 2000: Caring for Older People provides a unique insight into the world of community care in the 1990’s. It presents findings from a national study of social care from the perspectives of older service users, their carers and care managers. Descriptive findings from this longitudinal study - conducted by the PSSRU from 1994 and funded by the Department of Health - are set in the context of the history of community care and developments since the passage of the 1990 NHS and Community Care Act. The study’s findings highlight important challenges for policy and practice development in the new millennium.



This work from the "Personal Social Services Research Unit" looks back to the early stages of community care, comparing them with today's emerging policy with a view to improving community care still further. The book describes the first stages of the local development of the community care policy reforms laid out in the 1989 Caring for People white paper and the subsequent 1990 NHS and Community Care Act. It spans the period between the mid-80s, when the policy initially began to crystallize, and the beginning of 1993, when the reforms were formally implemented. By "vision" the authors mean the underlying logic and content of policy in the broadest sense - about what might be potentially achieved, and by what means. "Reality" on the other hand refers to those elements of the community care world which are adapted and used to achieve the policy ends - structures,procedures, resources, values and commitments - the "real" world.