NHS and Community Care Act 1990
The NHS and Community Care Act 1990 was the first major reform of the NHS since it began in 1948.
Based on the 2 white papers 'Working for Patients' (1989) and 'Caring for People' (1991), this was the first legislation to try to bridge the gap between health boards and local council social services.
Under the act, social care departments were given the responsibility for community care for older people. These services would be geared to what the older person needed rather than what was actually available. These needs were learnt following a community care assessment.
Home care, day care and respite care were to be developed to help people live in their own homes wherever possible.
This legislation was the first time that the needs of carers were taken into account.
The information was last updated on: 27th August 2020