Journal Article

Older People and Access to Care

Denise Tanner

in The British Journal of Social Work

Published on behalf of British Association of Social Workers

Volume 33, issue 4, pages 499-515
Published in print June 2003 | ISSN: 0045-3102
Published online June 2003 | e-ISSN: 1468-263X | DOI:
Older People and Access to Care

Show Summary Details


At the heart of a number of New Labour health and social policy initiatives are stated concerns with supporting independence, preventing deterioration and extending access to services. This article examines the potential impact of these initiatives, including Prevention Grants (Department of Health, 2000b), the National Service Framework for Older People (Department of Health, 2001a), the Fair Access to Care Services Guidance (Department of Health, 2002a), and the Single Assessment Process (Department of Health, 2002b), on older people with ‘low level’ needs who have increasingly been excluded from services targeted at those in high risk categories. Key standpoints for this analysis are research findings indicating what older people themselves want from preventive services. Central messages, consistent with those from other service user ‘groups’, are the need for support services that enable older people to continue to exercise choice and control over their lives. New preventive measures are evaluated in the light of these findings and found wanting. It is argued that recent policy initiatives are likely to do little to widen access to support services for those with low intensity needs, and, moreover, that the processes involved in identifying those at future high risk will detract from rather than enhance citizenship. A more diffuse approach to prevention is advocated, based on mutuality, community development, and capacity‐building.

Journal Article.  0 words. 

Subjects: Social Work

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