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Health and social care integration: Department of Health, Department for Communities and Local Government and NHS England
— report by the Comptroller and Auditor General | | Corporate Author | National Audit Office - NAO |
| Publisher | National Audit Office, London, 8 February 2017 |
| Pages | 56 pp (HC 1011 Session 2016/17) |
| Source | Download: https://www.nao.org.uk/wp-content/uploads/2017/02/Health-a... |
| Keywords | Health services ; Services ; Coordination ; Interaction [welfare services] ; Policy ; Government publications. |
| Annotation | This report examines the case for integrating health and social care systems, and the progress the Department of Health (DH), the Department for Communities and Local Government (DCLG) and NHS England have made towards integrating health and social care services. The National Audit Office (NAO) finds that nearly 20 years of initiatives to join up health and social care by successive governments has not led to system-wide integrated services; and that the DH, DCLG and NHS England have not yet established a robust evidence base to show that integration leads to better outcomes for patients., sustainable financial savings or reduced hospital activity. Although initiatives such as the Better Care Fund have improved joint working and achieved improvements in some areas, the savings or service targets predicted for 2015-16 have not been achieved. The report recommends establishing the evidence base for what works in integrating health and social care as a priority; and reviewing whether current approaches to integrated health and social care services being developed, trialled and implemented are the most appropriate and likely to achieve the desired outcomes. It identifies three main barriers to integration, especially in local areas: misaligned financial incentives, workforce challenges, and reticence over information sharing. Planning for integration needs to be on a whole-system basis, with the NHS and local government as equal partners; and appropriate national structures need to be put in place to align and oversee all integration initiatives as a single, coordinated programme. Their development of measures that capture the progress of implementing more patient-centred integrated care needs to be completed. (RH). |
| Accession Number | CPA-170210008 E |
| Classmark | L: I: QAJ: QK6: QAD: 6OA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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