Local authority – Residential care home. The Court of Appeal, Civil Division, allowed the defendant NHS local health boards in Wales' appeal against the decision that their determination of a flat-rate payment to care homes, reflecting the estimated cost of the nursing element of the care required by each resident, but not the social care element, was unlawful. The distinction between nursing and social care services in s 49 of the Health and Social Care Act 2001 was effectively unrecognised in the judge's reasoning.