Medical services for older people in nursing homes — Comparing services in England and The Netherlands

  • S. Conroy
  • T. Van Der Cammen
  • J. Schols
  • R. Van Balen
  • P. Peteroff
  • T. Luxton
JNHA: Geriatric Science


As Europe faces an ageing population with increasing pressure on long term care, it is important for different systems to be compared and contrasted for the benefit of all. We compare long term care in the Netherlands to England, by examining the different care models, in terms of patient outcomes, quality of care, continuity of care and funding.

Key words

Medical care older people long-term care England The Netherlands geriatric assessment health status continuing care 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    World Health Organization. The world health report 2006— working together for health. Geneva: WHO, 2006.Google Scholar
  2. 2.
    Spillman BC, Pezzin LE. Potential and active family caregivers: changing networks and the “sandwich generation.” Milbank Q 2000;78:347–74.PubMedCrossRefGoogle Scholar
  3. 3.
    Robine J-M, Michel J-P, Herrmann FR. Who will care for the oldest people in our ageing society? BMJ 2007 doi: 10.1136/bmj.39129.397373.BE.Google Scholar
  4. 4.
    Ribbe MW. Care for the elderly: the role of the nursing home in the Dutch health care system. Int Psychogeriatr 1993;5:213–222.PubMedCrossRefGoogle Scholar
  5. 5.
  6. 6.
    Macdonald AJD, Carpenter GI, Box O, Roberts A, Sahu S. Dementia and use of psychotropic medication in non-Elderly Mentally Infirm’ nursing homes in South East England. Age Ageing 2002;31(1):58–64.CrossRefGoogle Scholar
  7. 7.
    Netten A, Darton R, Bebbington A et al. Residential or nursing home care? The appropriateness of placement decisions. Ageing and Society 2001; 21: 3–23.CrossRefGoogle Scholar
  8. 8.
    van der Cammen TJM. Geriatric Medicine in the Netherlands. Eu J Ger 2004;6(2):65–66.Google Scholar
  9. 9.
    Schols JM, Crebolder HF, van Weel C. Nursing home and nursing home physician: the Dutch experience. J Am Med Dir Assoc 2004;5(3):207–12.PubMedCrossRefGoogle Scholar
  10. 10.
    Department of Health. Our health, our care, our say: a new direction for community services 2006.Google Scholar
  11. 11.
    Office of Fair Trading. Survey of providers of residential and nursing homes for older people (appendix E) 2005. Last accessed 24th September 2006.
  12. 12.
    Department of Health. Guidelines for the appointment of General; Practitioners with Special Interests in the Delivery of Clinical Services, Care of Older People, 2003. Last accessed 3rd October 2006.
  13. 13. Last accessed 3rd October 2006.
  14. 14. Last accessed 3rd October 2006.
  15. 15.
    Gladman J, Archard G, Morris J. Interface between primary and secondary medical care in the new NHS in England: the care of frail older people by GPs and consultant geriatricians. 2007.Google Scholar
  16. 16.
    Morrissey Y, Bowman C, Carpenter I. Assessment of patients in long-term care should be used to improve quality as well as allocate funds. Age Ageing 2006; 35:212–214.PubMedCrossRefGoogle Scholar
  17. 17.
    Fahey T, Montgomery A, Barnes J, Protheroe J. Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study. BMJ 2003;326:580.PubMedCrossRefGoogle Scholar
  18. 18.
    Arcares. Model for an Internal Quality System for Nursing homes (MIK-V: Model Intern Kwaliteitssysteem voor verpleeghuizen, 1995/1997). Utrecht, The Netherlands.Google Scholar
  19. 19.
    Ministry of Health, Welfare and Sport. Health Insurance in the Netherlands: the new health insurance system from 2006. Last accessed 24.9.6.Google Scholar
  20. 20.
  21. 21.
    Stout RW. Issues in long term care will not disappear. BMJ 2000;321(7271):1292–.PubMedCrossRefGoogle Scholar
  22. 22. Last accessed 24.9.6.
  23. 23.
    Reed J, Cook G, Childs S, McCormack B. A literature review to explore integrated care for older people. Int J Integr Care. 2005; 5: e17.PubMedGoogle Scholar
  24. 24.
    Briggs S, Atkins R, Playfer J, Corrado O. Why do doctors choose a career in geriatric medicine? Clin Med 2006;6:469–72.PubMedGoogle Scholar
  25. 25.
    Gibson MJ, Gregory SR, Pandya SM. Long-Term Care in Developed Nations: A Brief Overview. AARP Public Policy Institute (Washington) 2003.Google Scholar
  26. 26.

Copyright information

© Serdi and Springer Verlag France 2009

Authors and Affiliations

  • S. Conroy
    • 1
  • T. Van Der Cammen
    • 2
  • J. Schols
    • 3
    • 4
  • R. Van Balen
    • 5
  • P. Peteroff
    • 6
  • T. Luxton
    • 7
  1. 1.Division of Rehabilitation and AgeingUniversity of Nottingham, Medical School, Queen’s Medical CentreNottinghamEngland
  2. 2.Head Section of Geriatric Medicine, Department of Internal MedicineErasmus MCRotterdamThe Netherlands
  3. 3.Tilburg UniversityTilburgThe Netherlands
  4. 4.Maastricht UniversityMaastrichtThe Netherlands
  5. 5.Antonius Binnenweg RotterdamRotterdamThe Netherlands
  6. 6.Frankeland Schiedam RotterdamRotterdamThe Netherlands
  7. 7.CambridgeEngland

Personalised recommendations