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In page Care in the Community:

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The National Health Service and Community Care Act 1990 was passed so that patients could be individually assessed, and assigned a specific care worker. In the unlikely event that they presented a risk they were to be placed on a Supervision Register. There have been problems with patients "slipping through the net" and ending up homeless on the street. There have also been arguments between Health and Social Services departments over who should pay.[citation needed]