Care homes have operated in the shadows of public and political awareness for too long, with policy attention focused on reactions to service failure rather than the promotion of good care.
The connection between housing conditions and health has a long and well-evidenced historical provenance. But if integrating health and social care is a tough nut to crack, does the prospect of engaging with another massive system risk adding another layer of complexity?
Chris Ham argues that providers need to work together to form local systems of care, with leadership provided by the most experienced managers and clinicians in the NHS.
Richard Humphries looks at the options for CCGs and local authorities to work together to deliver integrated commissioning of health and social care services.
‘Enhanced care in care homes’, is one of the new care models set out in the NHS five year forward view. This is good news, as it's high time this issue was brought to the fore – for a number of reasons.
What then are we to make of the commitments made by the three main political parties?
Intellectually, the idea of working across boundaries in health care makes good sense but in practice it is not just difficult to achieve – it requires us to confront possibly our greatest flaw as a species.
While integrated care clearly means change for hospital-based professionals, it is not by definition opposed to the institutional interests of hospital providers, says Chris Naylor.
Last week’s announcement of plans to devolve responsibility for health and social care to statutory organisations in Greater Manchester is a bold initiative that could bring substantial benefits if implemented well.
As we head towards the general election, the government’s record on the NHS will come under intense scrutiny. Our review of NHS reform argues that this has been a parliament of two halves.
The NHS faces three major challenges in 2015: preparing for the spending review, achieving much closer integration of health and social care, and ensuring that the NHS has the leadership in place to deliver the highest possible standards of care within available resources.
The government expects councils and NHS partners to achieve way too much, with too little, too soon, says Richard Humphries.
Chris Ham reflects on the integrated care summit 2014 and the parallel universes of integrated care researchers and practitioners.
The third in a series of guest blogs that we are publishing in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Andrew Harrop of the Fabian Society argues that retired households should contribute more towards the costs of health and care.
The second in a series of guest blogs that we are publishing in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Andrew Haldenby and Cathy Corrie of Reform discuss why new NHS charges are necessary and why no political party wants to talk about them.
Nice one NICE: developing the policy narrative on preventing disability, frailty and dementia in later life
Integration cannot just be about treating frail older people, we need to think beyond health and social care, and NICE is leading the way with their new guidelines – out for consultation – on preventing disability, frailty and dementia in later life.
‘We need clinical commissioning groups to become accountable care organisations’ – that’s what Jeremy Hunt said recently in parliament. But what does this really mean and will it work in practice? Rachael Addicott gives her analysis.
The first in a series of guest blogs in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Nick Pearce of IPPR discusses how a dedicated NHS tax might work.
In his new blog, Chris Ham discusses the recommendations of his review of staff engagement in the NHS. The review found compelling evidence that NHS organisations with high levels of staff engagement – where staff are strongly committed to their work and involved in decision-making – deliver better quality care.
Although earlier rumours of the demise of the Better Care Fund – the government’s £3.8 billion pooled fund to promote integrated care – have turned out to be greatly exaggerated, the significance of the government’s latest announcement about the fund should not be.