Notes to editors
1. For further information or interviews, please contact The King's Fund press and public affairs office on 020 7307 2582 or on our out- of-hours mobile 07584 146035. An ISDN line is available for interviews on 020 7637 0185.
2. The King's Fund is a charity that seeks to understand how the health system in England can be improved. Using that insight, we help to shape policy, transform services and bring about behaviour change. Our work includes research, analysis, leadership development and service improvement. We also offer a wide range of resources to help everyone working in health to share knowledge, learning and ideas.
3. Integrating health and social care: Where next? and Integrating health and social care in Torbay: Improving care for Mrs Smith will be launched at The King’s Fund event Integrated care: realising the vision on Thursday 31 March 2011 and will be available to download.
4. The three outcomes frameworks are as follows:
NHS outcomes framework Published 20 December 2010. The first NHS outcomes framework sets out the outcomes and corresponding indicators that will be used to hold the NHS Commissioning Board to account for the outcomes it delivers through commissioning health services from 2012/13. The framework sets direction of travel in the journey towards improving outcomes, and offers an opportunity for the NHS to begin to understand what an NHS focused on outcomes means for individuals, organisations and health economies.
Transparency in outcomes:a framework for adult social care Alongside the Social Care Vision, the Department of Health launched Transparency in Outcomes: a framework for adult social care - a consultation on a new strategic approach to quality and outcomes in adult social care. The consultation, which closed on February 9 2011 envisages an enabling framework which places outcomes at the heart of social care, improves quality in services, and empowers citizens to hold their councils to account for the services they provide. The next stage will be co-produced with partners, based on responses to this consultation.
Healthy Lives, Healthy People: transparency in outcomes, proposals for a public health outcomes framework The consultation is ongoing and closes on 31 March 2011.
5. Health and wellbeing boards will be responsible for producing joint strategic needs assessments and developing a joint health and well-being strategy for their local areas. The core members of HWBs will be GP consortia, the Director Adult Social Services, Director of Children’s Services, Director of Public Health and the local HealthWatch. However, HWBs have not been grated sufficient powers to meet the expectation that they will join up commissioning between the NHS and local authorities. For example, there is no requirement for them to have regard to their views.
6. Impact of integration in Torbay:
- Average number of daily occupied hospital beds reduced from 750 to 528 in the ten years from 1998/9.
- Lowest use of emergency hospital admissions in the region in 2009/10, 2025 bed days per thousand population compared to an average of 2778
- Delayed hospital discharges have been reduced to a negligible number, with such patients readily identified and managed
- Hospital stays (bed days) for older people with two or more admissions were reduced 2003-2008 by 24% for the over 75s and 32% for the over 85s, significantly out-performing peer-group comparators (47% of the average)
- Progress has also been made in social care from a low base, as illustrated by:
In the three years from 2007/8 TCT has been financially responsible for 144 fewer people over 65 in residential and nursing homes
- There has been a corresponding increase in the use of home care services, some of which is now being targeted on preventive low-level support
- The rate of use of Direct Payments is one of the best in the region.
- The Care Quality Commission has judged Torbay to be “performing well” in 2010.