Holistic assessment of people’s need for services demands that not only social care needs, but also health care needs are addressed. A package of care will commonly contain both elements; co-ordination of services is then of primary importance. The reason why such co-ordination is in practice so difficult to achieve often relates back to historical divergences between services, compounded by different budgetary arrangements and, in some cases, by a difference in perspectives between services, or between individuals within them.
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