The final report from the independent Commission on the Future of Health and Social Care in England examines the current health and social care systems and proposes a new approach that redesigns care around individual needs. The commission has concluded that this vision for a health and care system fit for the 21st century is affordable and sustainable if a phased approach is taken and hard choices are taken about taxation.
What do you think?
- About the new settlement the commission is proposing?
- How it could be achieved?
- How it should be paid for?
Tweet using #barkercomm or comment on Chris Ham's blog, Now is the time to create a combined health and social care system.
This is an abridged version of the final report. Download the full version, including all 12 recommendations, here:
The proposal to increase National Insurance from wealthy people fine, but not from older people because they use the care system more. Older people have worked all their lives and paid National Insurance to cover their needs in old age. They may never have needed care before getting older. Why do we always have money for bombs, for killing innocent people and not have enough money for health. We should perhaps take a few billions from the Royal family. They are the ones who have never paid into the system. Why do we have money to bail out bankers who have been incompetent. We need to ensure care is available for those who need it. Taking more from the poor and middle will cause more ill health. Many studies have found that the greatest cause of ill-health is poverty.
The last 2 years of my elderly father's life were blighted by the daily battle we fought with different parties ... trying to understand the health and social care system, its processes and learning how to ask the right questions to the right people to get the help he so badly needed. Dementia is a terrible thing to witness ... we must be much better at helping sufferers and their carers. The current system is failing our elderly people.
The financing needs careful thought .... I agree some of the benefits (TV licence, winter heating allowance) need to be means tested, we see on TV wealthy pensioners who want to pay these benefits back but have no mechanism to do so.
My father only needed social care in the last 2 years of his 85 year life - but when he did need it - it was his lifeline. He paid for it all as his savings were above the threshold for financial assistance. I have no issue with us all paying for our own social care (via insurance if necessary).
We do need a joined up, fully integrated health and social care system that helps us all get the help we need, when we need it.
I agree we need a joint budget as no one is purely health or socially affected by their needs, however we also need to reduce the layers of burocracy within all the systems in order to save money. We used to recognise complex cases, finish CHC, its unworkable and will always create dispute and appeals. The concept is too difficult for most to understand or agree with, it is also too open to interpretation.
I agree reduce prescription cost and review the ridiculous systems that give some people all prescriptions free, regardless of relation to the initial diagnosis, such as hypothyroidism. However I feel if we made everyone pay a small amount, it wound reduce the massive waste and cost that I see, even as little as 25p an item would make people more considerate when ticking that repeat box. In view of our ageing demographic and the percentage of prescriptions issued to the over 60s, we have to enforce a greater degree of responsibility, give people something for free and they wont respect it-fact.
In order to make hospital admissions shorter we must spend more on staffing and not making 'patients' of people, by enabling earlier. We also need more community based rehab facilities, we have to be realistic about the age and frailty of some people and they do need longer to recover their independence, and confidence, hospital admission is incredibly disempowering in itself.
Time to get off my soapbox, thank you for listening to my ramblings, as a proud hardworking nurse I salute the NHS and celebrate our countrys willingness to try and support people but agree it is time for change, but please let the government either take a back seat or talk to the professionals that are feeling unheard and frustrated by systems that hinder rather than help them provide their services.