public health and social care

15.06.16

Health and social care integration plans at risk due to funding shortages

Key health and social care bodies have set out their vision for how services can be integrated by 2020, but warned it’s at risk because of funding shortages.

‘Stepping up to the place: The key to successful integration’ is a joint report from the LGA, NHS Confederation, Association of Directors of Adult Social Services (ADASS) and NHS Clinical Commissioners which argues that local systems should embed integration as ‘business as usual’ in order to achieve it by 2020.

However, it says that service integration may not be possible until national leaders address the shortfall in funding, particularly in public health and community services.

Cllr Izzi Seccombe, the LGA’s community wellbeing spokesperson, said: “Health and social care faces major financial and demographic challenges meaning we have to change our model of support. We believe a shared local vision based on local populations’ health needs, and developed with local leaders is the most effective way of using public resources to improve health and wellbeing.

“The central purpose of integration is to meet the needs of communities, achieve the best possible health and wellbeing outcomes for residents, enable them to keep well, remain independent and allow them to contribute to the prosperity of their local areas.

“Political leadership and democratic accountability will be crucial in ensuring that integration plans are focused on getting better health outcomes, improving services and addressing the financial challenges.”

The County Councils Network warned recently that problems affecting the NHS, such as delayed transfers of care, are being made worse by cuts in social care funding.

The new report also warns that full integration may not be possible because of the disparity in funding between the health service, which is free at the point of access, and social care, which is means tested.

It says that greater dialogue is also needed between local political, clinical, commissioning and community leaders in order to begin action to implement integration. This should include ensuring that local systems have the right level of accountability, resources and staff training to deliver the changes needed.

However, a recent PSE investigation revealed that Council involvement in the ongoing and arguably momentous Sustainability and Transformation Plans (STPs), designed to integrate health and social care across 44 ‘footprints’, has been inconsistent nationwide. Our FoI investigation also found that over two-thirds of councils had been shut out from STP health leadership talks.

Harold Bodmer, president of ADASS, said: “The report outlines a number of health and social care services that have made significant progress to integrate and transform care.

“While there are excellent examples, more needs to be done at a national level to provide support, guidance and investment in the vision so that all local leaders across the country can work to make transformation happen at a faster rate.”

The organisations will publish a self-assessment toolkit to help local system leaders judge how capable they are of delivering integration by next month.

Their vision for an integrated system includes creating personalised care plans to place the individual at the heart of services and allow them to address their own care, and preventing problems from developing by addressing wider issues which affect the health of the population and lead to health inequalities.

They also say that greater shared leadership is needed, potentially including co-commissioning health and social care services, reforming payment systems and ensuring a free flow of information.

Have you got a story to tell? Would you like to become a PSE columnist? If so, click here.

 

 

 

 

Comments

There are no comments. Why not be the first?

Add your comment

 

related

public sector executive tv

more videos >

latest public sector news

Council’s £5m plan for EV charging network

14/02/2020Council’s £5m plan for EV charging network

North Lanarkshire Council’s Environment and Transportation Committee has given its backing to a potential £5m project of investment i... more >
LEP establishes £2m flood recovery fund for SMEs

14/02/2020LEP establishes £2m flood recovery fund for SMEs

The Leeds City Region Enterprise Partnership (the LEP) has announced a £2m recovery fund for businesses in Calderdale that suffered in the ... more >
Northern Powerhouse Minister Jake Berry steps down

14/02/2020Northern Powerhouse Minister Jake Berry steps down

Last night, (Feb 13) Conservative MP, Jake Berry took to twitter to announce he has stepped down from government and his roles as Northern Powerh... more >

editor's comment

25/10/2017Take a moment to celebrate

Devolution, restructuring and widespread service reform: from a journalist’s perspective, it’s never been a more exciting time to report on the public sector. That’s why I could not be more thrilled to be taking over the reins at PSE at this key juncture. There could not ... read more >

last word

Prevention: Investing for the future

Prevention: Investing for the future

Rob Whiteman, CEO at the Chartered Institute of Public Finance (CIPFA), discusses the benefits of long-term preventative investment. Rising demand, reducing resource... more > more last word articles >
Council’s £5m plan for EV charging network

14/02/2020Council’s £5m plan for EV charging network

North Lanarkshire Council’s Environment and Transportation Committee has given its backing to a potential £5m project of investment in electric vehicle (EV) charging and electricity n... more >
LEP establishes £2m flood recovery fund for SMEs

14/02/2020LEP establishes £2m flood recovery fund for SMEs

The Leeds City Region Enterprise Partnership (the LEP) has announced a £2m recovery fund for businesses in Calderdale that suffered in the Storm Ciara floods. Working in partnership wi... more >

the raven's daily blog

Utilising data to best deliver meaningful public services

14/11/2019Utilising data to best deliver meaningful public services

Public Sector Executive’s Matt Roberts explains how living in a modern, interconnected world, as we do, means public sector organisations cannot afford to ignore the role of data. Data is all around us in the modern age. Unseen, the d... more >
read more blog posts from 'the raven' >

comment

Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Being on the receiving end of some “thanks” can make communit... more >
How community-led initiatives can help save the housing shortage

19/06/2019How community-led initiatives can help save the housing shortage

Tom Chance, director at the National Community Land Trust Network, argues that community-led initiatives are a productive way of helping to solve... more >
Aberdeen's green transport fleet attracting international attention

19/06/2019Aberdeen's green transport fleet attracting international attention

Aberdeen City Council’s hydrogen spokesperson, councillor Philip Bell, highlights the Granite City’s determination to play a leading ... more >
A fifth of public sector workers have never received a thank you from the people they serve

13/06/2019A fifth of public sector workers have never received a thank you from the people they serve

A fifth of the country’s public sector workers say they have NEVER received a ‘thank you’ for doing their job as Public Service... more >

Interviews

Artificial intelligence: the devil is in the data

17/12/2018Artificial intelligence: the devil is in the data

It’s no secret that the public sector and its service providers need to invest in technology to help make better use of their resources. Bu... more >
Digital innovation in the public sector: The future is now

17/12/2018Digital innovation in the public sector: The future is now

One of the public sector’s key technology partners has recently welcomed a new member to its team. Matt Spencer, O2’s head of public ... more >
New Dorset Councils CEO on the creation of a new unitary: ‘This is going to be the right decision for Dorset’

05/11/2018New Dorset Councils CEO on the creation of a new unitary: ‘This is going to be the right decision for Dorset’

The new chief executive of one of the new unitary authorities in Dorset has outlined his approach to culture and work with employees, arguing tha... more >
Keeping the momentum of the Northern Powerhouse

15/10/2018Keeping the momentum of the Northern Powerhouse

On 6 September, the biggest decision-makers of the north joined forces to celebrate and debate how to drive innovation and improvement through th... more >

Public Sector Focus

View all News