Elderly care home patients are having to pay up to £40 for private taxis to hospital appointments in Devon because of a change in policy.
South Devon Healthcare NHS Foundation Trust trust said eligibility for transport services had been reviewed.
Nigel Morris, manager of the Palm Court nursing home in Dawlish, said the situation was "awful" and "abhorrent".
He said residents who used wheelchairs were now required to use private transport to get to Torbay hospital.
The trust, which runs patient transport services in Torbay and South Devon, said its resources were "finite" and eligibility criteria for transport services now followed "national guidance".
'Should be ashamed'
Mr Morris told the BBC he first noticed the changes a couple of months ago when Torbay hospital told him there was a new telephone number to ring to arrange patient transport.
He said when he called the number he was put through to a taxi firm.
Mr Morris said: "I've been in this business for 40 years and this is the most broken system for the elderly that I've ever known.
"It's awful, it's abhorrent, they should be ashamed."
Mr Morris said the return journey to Torbay Hospital by taxi cost £40.
Read more...http://www.bbc.co.uk/news/uk-england-22770192
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