Maybe it is time to stop using organisations that work for profit, the third sector could be encouraged and supported to do more by running their own not for profit nursing and residential homes, so all the commissioned money goes into the care of the residents and not the pockets of the directors.
Important thing is to have good leaders who promote good culture and work together with CCG, social services and community Trust and also local nursing homes and reduce unnecessary admissions and investigation. Better working relation with all staff and consultant delivered 7 days service along with support services. Avoid wastage by unnecessary medication, investigations, admission and work with the family and patients. Some services work with neighbouring Trusts
Excellent article, especially highlighting the opportunity to think and commission differently.
More use needs to be made of the local voluntary and community sectors. http://www.useyourcommunity.com is a website which is a directory of local community organisations that people should be incorporating into local plans because health and social care professionals should learn to refer to local organisations