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In my opinion it started when Social care and NHS care split , the deviding line is so grey and I have seen more resources tied up in endless assesments to prove to either side that it is or isnt thier job to fund care , in the end the time and cost of all the professionals involved becomes more than the cost savings of delaying the decisions . Another unforseen consequence is that when a person is in an NHS bed the cost is born by the Health budget whereas the cost of home care or a residential home bed comes from the Social services budget , so it saves money for social services if people with some needs are in a hospital bed. And likewise if a person is not admitted to Hospital it saves the Hospital cash as the cost of care is then born by Primary health services ( GP and Community teams ) and social services
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