Long read
The NHS long-term plan explained
On 7 January, the NHS long-term plan was published setting out key ambitions for the service over the next 10 years. In this explainer, we set out the main commitments in the plan and provide our view of what they might mean, highlighting the opportunities and challenges for the health and care system as it moves to put the plan into practice.
Comments
I have identified a 'gap' in the system, and a meeting is taking place with the CQC who have acknowledged my 'findings'.
Those patients subject to Section 117 of the 1983 MHA are most at 'risk', discharge from Hospital is the starting point, GPs in my area of West Berkshire are being instructed to discharge from future 'Care Plans' yet many remain on Section 117, they are no longer supported by CMHT.
A recent Public meeting with the CCGs confirmed the above, this goes against the the contents of the Care Act 2014 Statutory Guidance. CQC words not mine.
The above patients including those subject to a COP Order are denied Personal Budgets, Patient centred choice of Health and Social Care Provider.
West Berkshire Council removed ALL the Bus Passes from the Mentally Ill, however i have been successful in the re-statement of one, so will be pursing this based on 'Discrimination.
thathas resulted in constant multiple innitiative failers over the last 40 years trying to prop up a failing system with the same thinking,mentallity and indoctrinated staff that gives rathan meets the end user needs.
First let me say how thrilled I am reading you!
Isn't there anything you haven't yet found out about Integrated Care and you have not done an excellent job on it? Every publication from you is a precious sine qua non tool.
I really rarely have encountered such a useful and inspiring organization as King's Fund is in Integrated Care! Happy that you are there doing what you are doing.
Now as for the comment above which touches the core question how to expand the use of such professions which are the A and Z to any real model of Integrated Care and not just system's reorganization and specially to low middle income regions.
About the evidence, if it works: we do not have time to think if it works at scaled level. In general in healthcare reform that social care is so much needed and budgetary cuts are going to still be, dramatic.
If it has worked in 3-4 different pilot cases, bring the results and lets start multiplication
There are Forums that do this, we have created one ourselves to cover the need at European level with many UK partners we value uniquely in Social and Community Care in it. Please send us your work and join in. https://www.facebook.com/SocialCareForumEU/
On another level the issue Dean is raising on culture change is the No1 priority for any integrated care model with social care, development.
The key is there to propose win - win interconnected nodes in service planning and forecasting and delivery proving at co-production level the usefulness of the new workforce needed.
This is how we convinced investors, co-developers, political leaders and the existing workforce to buy in. It is indeed the most difficult part but if you create the win - win scheme for all involved they will support and ask for these new roles, specially if they save money, time and other valuable resources.