Re: NHS Malaise
Originally Posted by Cinderella
Social care and community services are unable to react quickly enough to help free up hospital beds. Not all the problems are medical.
There was the Health and Social care act 2012 which was to revolutionise care :
Here is an extract from a Nuffield paper responding to the consultation and giving detail on attempts to plan for the changes and come up with models of integrated care in the new world. :
"Needs assessment and service specification: Most of the eight study sites spent a considerable amount of time, effort and resources on assessing local health needs,
reviewing current service provision, and devising new care pathways. The PCTs typically worked with many different professional and user groups in this review and
design activity, which was helpful in bringing them together and improving plans, but extremely time-consuming and expensive.
This suggests that commissioners will need to set aside considerable resources for this
, and perhaps focus initially on a specific service for which data can be effectively collected, collated and synthesised; detailed costings can be drawn up; and a new care pathway agreed among a relatively small group of professionals, carers and patients. Such work can then be extended across the wider patch to enable integrated care to be developed and tested out ‘at scale’. There is also a need for the NHS Commissioning Board (NHSCB) to develop templates and guidance on the commissioning of integrated care so that clinical commissioning groups (CCGs) can avoid reinventing
the wheel many times over."
Here is the link :