I agree with the comments that this may affect the elderly badly unless there is more cooperation between health and social services. In the short term, before the winter, it need to be addressed between the social services and the PCT how we can work together and have systems and groups who can make this work at the patient level. It is paramount that these discussions start soon and workable arrangements are explored.
I agree with the comments. It will be important to develop levers to drive Health and Social Care together. Any artificial redefinitions of Health or Social Care to move the money accross sectors ( eg making reablement or mental health a health financial responsibilitymay put a negative focus on 'boundary' issues and reinforce differences. An approach re 'total place' and outcomes should drive shared responsibility and pooling of budgets.