Abstract
The Department of Health in England and Wales has recently pulled off a remarkable trick. They have managed to spend a great deal of money by committing themselves to paying for free nursing care for all older people who need it, saving around £5000 per year for each of the estimated 42 000 retired people living in nursing homes. That, however, is not the trick. What the announcement did was merely to bring those living in nursing homes in line with older people living either in the community or in hospital. The trick was that the Department of Health was able to give grave offense in doing so to older people, their carers, care assistants, national charities and the nursing and social care professions by continuing to have older people pay for what it defines as ‘personal’ care.
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