Abstract
In the UK, one of the effects of the National Health Service and Community Care Act 1990 has been to highlight the impact of policy changes and changes to service organization upon the types and levels of service provision. However, much of the existing literature on the use of community and long-term care services by people with dementia is based upon data collected prior to the implementation of the Act. The article identifies some of the methodological issues and highlights the increasing importance that is likely to be attached to incorporating the service preferences of people with dementia and their carers in the future.