This text aims to provide a unique insight into the world of
community care in the 1990s. It presents findings from a national
study of social care from the perspective of the 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
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