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BJSW Advance Access originally published online on December 13, 2005
British Journal of Social Work 2007 37(2):299-312; doi:10.1093/bjsw/bch418
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© The Author 2005. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.

Part of the Problem or Part of the Solution? The Role of Care Homes in Tackling Delayed Hospital Discharges

Jon Glasby and Melanie Henwood

Dr Jon Glasby is a qualified social worker and a senior lecturer at the University of Birmingham’s Health Services Management Centre. Research and publication interests include community care for older people and the interface between health and social care.

Melanie Henwood is an independent Health and Social Care Analyst, with particular interests in the health and social care interface, continuing care and hospital discharge. She is a Specialist Adviser to the House of Commons Health Select Committee.

Correspondence to Dr Jon Glasby, Health Services Management Centre, University of Birmingham, Park House, 40 Edgbaston Park Road, Edgbaston, Birmingham B15 2RT, UK. E-mail: J.Glasby{at}bham.ac.uk

As part of current UK policies to reduce the number of delayed hospital discharges, a number of commentators have identified an alleged crisis in the care home market as one of key contributing factors. With local authorities under pressure to cut costs, it is argued, the number of care homes is reducing, and delays in hospital can often result. Behind this diagnosis is a series of assumptions about the role and nature of care home provision, the appropriateness of this form of service for many older people, and the need for more care homes to reduce the number of hospital delays. In order to explore and critique these assumptions, this paper reviews the role of care homes in tackling delayed discharges, and argues the need for fewer and different care home placements rather than more of this type of provision.

Keywords: hospital discharge, care homes, older people


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