Since it's a British journal, it may not be widely available in the US. I can think of three options:

1) Did you check and see if the library can get it through interlibrary loan?
2) I did a little searching and it appears that you can purchase the article on-line at http://journals.cambridge.org/action...=29&issueId=04
3) You could send a reprint request to Ian James (Ian James, Centre for the Health of the Elderly, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE, UK. E-mail: ianjamesncht@yahoo.com) and see if he'll send a reprint.