1.   Cases were closed when a client died, moved away, or went into permanent institutional care.

2.   Even so, they were generally being sustained at home at a cost below that of institutional care.

3.   First is the possibility of an unnecessary increase in the number of old people consigned to institutional care.

4.   In institutional care there should be no place for such people.

5.   Institutional care is provided by a private company as well as by the state.

6.   Only then will the extra community care money be released - provided the forecast expenditure on institutional care is reasonably on course.

7.   The avoidance of unnecessary institutional care by assessment of need for care.

8.   These are all special categories that need institutional care.

9.   This interpretation assumes that the objective need for institutional care has not been reduced by improved health and fitness of old people.