Abstract
This chapter focuses on the 1990 NHS and Community Care Act. The Act had its genesis in increasing concerns about the funding of care for older people within an increasing market of private care homes. The Act led to a purchaser-provider divide within adult social services, the introduction of care management within social work, and a separation of adults and children’s services within the personal social services. This chapter also notes the move away from confinement of disabled people in large institutions and the impact of the disability movement and the move towards independent living and direct payments.
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