This fourth edition of the text has been fully updated and includes a number of new features and topics and covers the changes to the structure of the NHS. The book brings together research, policy and practice relating to older people in today's society. It incorporates literature from other relevant sources including the social sciences and medicine. Anthea Tinker examines the impact of legislation introduced since 1992, notably within the NHS as well as implementation of the Community Care Act. The text also seeks to highlight issues of current concern, such as abuse of the elderly.