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08.02.12

Joined-up thinking

Integration of services has long been a buzzword in the NHS, but not enough has been done to make this a reality, the Health Select Committee suggests.

Its chair, Stephen Dorrell, notes that leading politicians in the 1960s were advocating it back then, but still fragmentation remains.

With elderly care especially, the integration of commissioning, services and delivery of care could cut costs dramatically, improve treatment for patients whilst allowing them to maintain independence and strip away confusion for them as to who is responsible for their care.

But knowing something is a good idea, and being able to put this into practice are two very different things. Most people wholeheartedly agree that health and social care must become more streamlined, however efforts to actually achieve this have been more of a struggle.

Awaiting the Government’s white paper on elderly care, both those working in the health services and those who rely on them will be hoping for a comprehensive plan of action to implement integration as well as the impetus to drive change through.

Tell us what you think – have your say below, or email us directly at [email protected]

Comments

Len Doyle   17/11/2015 at 15:45

I work in a community centre for vulnerable adults and frequently see the people who fall through the cracks. e.g. last week I had a chap turn up in hospital pyjama bottoms, having been discharged into a homeless situation with a care plan! He was housed immediately into unsuitable accommodation and then evicted after two days because his behaviour was a danger to other tenants. For example, he left a frying pan on heat and forgot about it. Having been evicted, he is considered to be voluntarily homeless. His CMHT can't contact him now because he is rough sleeping and has no phone. The local "rough-sleeping team" can't house him because he is not suited to B&B, because his mental health problems make him a risk to others. I'm told the local mental health services don't regard him as severe enough to merit them taking him in. The Housing Department doesn't answer the phone, promises return calls and then doesn't make the return call. This is an everyday example! The professionals all think they are trying hard and largely, I think they are. However, there is still a confused older man rough-sleeping and highly vulnerable out there because he doesn't fit any of the "commissioner's criteria". And that seems to me to be the issue. Commissioners pay for certain services, but with very specific criteria. Step outside the box and you fall into a void. Depressed? OK, self-refer to CBT/IPT/DIT or whatever. Depressed with a drink/drugs problem? Sorry, that's another department. But, the other department doesn't deal with depression - just drink and drugs remedies. The list goes on and on!!

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