How has this legislation impacted on provision?
• Ended long-standing state monopoly on provision of statutory HSC services (NHS/Local Authorities)
• Introduced 'internal market'
• State became an enabler rather than main provider
• Act created NHS Trusts -provider organisations who made contracts with purchasing bodies
• Local authorities restructured so internal market could work in social services
○ Purchaser = made needs assessments then buy in 'care packages' from private, voluntary or statutory sector providers
• Also impacted on adult care -people with chronic or long-term care needs would be provided with sufficient support to live in own homes or domestic setting
Every local authority now legally bound to assess the care needs of any person with physical disability, disabling illness, terminal illness, sensory impairment, learning disability or mental health problem
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