{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T18:43:15Z","timestamp":1766428995102,"version":"3.48.0"},"reference-count":8,"publisher":"BMJ","issue":"6883","license":[{"start":{"date-parts":[[1993,4,10]],"date-time":"1993-04-10T00:00:00Z","timestamp":734400000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1993,4,10]]},"abstract":"<jats:p>For the past decade patients with learning disabilities living in long stay mental handicap hospitals have been resettled in the community. Local authorities have also taken on the care of new patients who would once have been long stay residents. The imperfect data that are available suggest that in England about half the residents in mental handicap hospitals in 1981 are now the responsibility of local authorities; the figures for Wales and Northern Ireland are 38% and 33%. Data on revenue suggest that the savings to the health service are much less--perhaps 9% in Northern Ireland and 3.6% in England, although there have also been capital gains through the sale of hospitals. Existing methods of transferring money from health to local authorities--joint finance and \"dowries\" for individual patients--do not seem adequately to have compensated local authorities. Moreover, as patients still to be transferred are more severely disabled local authorities will require larger sums--about 26 000 pounds per patient per year plus 39 200 pounds in capital. If the government chooses not to transfer these resources from health authorities it will be switching funds away from learning disabled people to other care groups.<\/jats:p>","DOI":"10.1136\/bmj.306.6883.987","type":"journal-article","created":{"date-parts":[[2009,3,30]],"date-time":"2009-03-30T08:16:37Z","timestamp":1238400997000},"page":"987-990","source":"Crossref","is-referenced-by-count":6,"title":["Is the money following the clients with learning disabilities?"],"prefix":"10.1136","volume":"306","author":[{"given":"G R","family":"Glover","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Rohde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R D","family":"Farmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1993,4,10]]},"reference":[{"key":"ref_1","article-title":"Better services for the mentally handicapped. (para 51)","author":"D.H.S.S.","year":"1971","unstructured":"DHSS (1971). Better services for the mentally handicapped. (para 51) London: HMSO."},{"key":"ref_2","article-title":"Feb:col 207; 6 Feb:cols 280,289-92,257; 10 Feb:cols 377-9; 14 Feb:cols 653-6","author":"of Commons, House","year":"1992","unstructured":"House of Commons. Hansard 1992;5 Feb:col 207; 6 Feb:cols 280,289-92,257; 10 Feb:cols 377-9; 14 Feb:cols 653-6.","journal-title":"Hansard"},{"key":"ref_3","article-title":"The epidenmiologcv of severe inttellectuial intpairntenst. The dvnanties of prevalenice","author":"Frsers, T.","year":"1984","unstructured":"Frsers T. The epidenmiologcv of severe inttellectuial intpairntenst. The dvnanties of prevalenice. London: Academic Press, 1984."},{"article-title":"House of Commons Social Services Select Committee. Contmtnnitv care: Servkces for people wi\/th a ntenal handicap anid people with a mletntal illness. Eleventh report, Session 1989!90","year":"1990","key":"ref_4","unstructured":"House of Commons Social Services Select Committee. Contmtnnitv care: Servkces for people wi\/th a ntenal handicap anid people with a mletntal illness. Eleventh report, Session 1989!90. London: HMSO, 1990."},{"key":"ref_5","first-page":"646","article-title":"Differences in disability between people with mental handicaps who were resettled in the communitv and those who remained in hospital","volume-title":"B. M1J_","volume":"601","author":"Farmer, R.D.T.; Holroyd, S.; Rohde, J.","year":"1990","unstructured":"Farmer RDT, Holroyd S, Rohde J. Differences in disability between people with mental handicaps who were resettled in the communitv and those who remained in hospital. B.M1J_ 1990;601:646."},{"key":"ref_6","article-title":"Health services for tesitallv hantdicapped people, a policY statentetst. ILondon: North West Thames Regional Health Authority","author":"Kenny, D.J.","year":"1986","unstructured":"Kenny DJ. Health services for tesitallv hantdicapped people, a policY statentetst. ILondon: North West Thames Regional Health Authority, January 1986."},{"key":"ref_7","article-title":"Contiunitv care: utatnagintg the cascade of change","author":"Commission, Audit","year":"1992","unstructured":"Audit Commission. Contiunitv care: utatnagintg the cascade of change. London: HMSO, 1992."},{"key":"ref_8","article-title":"Care Itn the cossnnutnitt: challenige anid demionistratiOni","author":"Knapp, M.; Cambridge, P.; Thomason, C.; Beecham, J.; Allen, C.; Darton, R.","year":"1992","unstructured":"Knapp M, Cambridge P, Thomason C, Beecham J, Allen C, Darton R. Care Itn the cossnnutnitt: challenige anid demionistratiOni. Canterbury: Personal Social Services Research Unit, Universitv of Kent, 1992."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.306.6883.987","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.306.6883.987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T17:27:54Z","timestamp":1766424474000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.306.6883.987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,4,10]]},"references-count":8,"journal-issue":{"issue":"6883","published-online":{"date-parts":[[1993,4,10]]},"published-print":{"date-parts":[[1993,4,10]]}},"alternative-id":["10.1136\/bmj.306.6883.987"],"URL":"https:\/\/doi.org\/10.1136\/bmj.306.6883.987","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"type":"print","value":"0959-8138"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1993,4,10]]}}}