Integrated Care & Social Care

11.06.18

MPs call for ringfenced cash and ‘national transformation strategy’ for health and social care

Long-term dedicated funding for integrated health and social care services is necessary to secure a “holistic, joined-up and coordinated experience” for patients, according to a committee report.

MPs in the Health and Social Care Committee published their findings today into how to improve the standard and efficiency of health and social care delivered to the public, noting that difficulties to improve the service are often amplified by a lack of public understanding of the scheme.

In their report, the committee argued that factions of the department had “got off to a difficult start,” such as the sustainability and transformation partnerships (STPs), where local authorities and the NHS work together to provide coordinated care.

STPs struggled at the start due to the perception that the partnerships were a smokescreen for cuts, which “tainted the STP brand,” according to MPs.

MPs said poor communication between local bodies and communities caused this confusion, adding: “Trust in government, politicians and system leaders has long been low and despite doctors and nurses enjoying high levels of public trust compared to other professions, mistrust among the public plays into local changes to services.”

The committee members outlined several areas where legislative change may need to be evaluated, including changes to legislation covering procurement and competition, a merger of NHS England and NHS Improvement, and an improvement of the CQC’s regulator powers.

The legislative changes are part of a broader scheme of priorities for change, including the “development of a national transformation strategy backed by secure long-term funding” to accelerate progress towards more integrated care, a ring-fenced transformation fund, and a “clear and persuasive” explanation of the benefits of integrated health and social care.

“Transformation remains key to sustainability. What is now required is the dedicated national financial and leadership support to enable the NHS to transform at pace. Too often plans are constrained by the upfront funding needed to make them effective,” the report stated.

The MPs added: “The NHS is currently in survival mode, with NHS Providers struggling to recruit, train and retain staff and balance their books. A long-term funding settlement and effective workforce strategy are essential not only to alleviate immediate pressures on services, but to facilitate the transition to more integrated models of care.”

Julie Wood, chief executive of NHS Clinical Commissioners (NHSCC), said: “It was good to see that they have identified the efforts and progress that has already been made in ‘difficult circumstances’ but also rightly describe some of the main challenges that commissioners and providers are attempting to overcome as they strive to deliver the much-needed change at scale and pace within the current NHS framework.

Wood added that NHSCC had been asking the government for a “clear national narrative” and a ring-fenced transformation fund, and welcomed the support and recommendations in these critical areas.

Niall Dickson, chief executive of the NHS Confederation, said: “This is a landmark report. It rightly dismisses all the nonsense about privatisation, but it also challenges us all about how to shape the future and bring patients with us.

“The committee is spot on – there is too much jargon and there are too many acronyms. The promise of a longer term settlement provides a great opportunity to involve doctors nurses and managers as well as other frontline staff in setting shared goals for health and care  for the next decade.”

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

Councillors fear identity crisis following CCG merger

22/06/2018Councillors fear identity crisis following CCG merger

Members of one of Kent’s leading councils have voiced their concerns against an upcoming merger between CCGs in the area. Cllr Wendy P... more >
Top NHS England boss to leave the organisation

22/06/2018Top NHS England boss to leave the organisation

NHS England’s chief financial officer will leave the post after 11 years. Paul Baumann CBE, who joined NHS London in 2007, and took up... more >
Most urgent primary care services ‘good’ or ‘outstanding’

22/06/2018Most urgent primary care services ‘good’ or ‘outstanding’

Over eight in 10 primary care services are providing good care, despite mounting work force and commissioning pressures, the CQC has said. A... more >
Gosport scandal: ‘Blame culture’ must end says Hunt, practice ‘probably repeated elsewhere’

21/06/2018Gosport scandal: ‘Blame culture’ must end says Hunt, practice ‘probably repeated elsewhere’

Health and social care secretary Jeremy Hunt has hit back at claims from an expert on hospital mortality that the Gosport War Memorial scand... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

last word

Hard to be optimistic

Hard to be optimistic

Rachel Power, chief executive of the Patients Association, warns that we must be realistic about the very real effects of continued underfunding across the health service. It’s now bey... more > more last word articles >

the scalpel's daily blog

The impact of NICE on cardiovascular disease prevention

06/06/2018The impact of NICE on cardiovascular disease prevention

Professor Gillian Leng, deputy chief executive and director Health and Social Care at NICE, looks into what can be done to decrease cardiovascular disease nationally and how to prevent missed opportunities in the future. Cardiovascular disease (CVD) accounts for just over a quarter of deaths and affects around 7 million people in the UK. ... more >
read more blog posts from 'the scalpel' >

comment

Getting more out of our medicines

20/06/2018Getting more out of our medicines

Paul Chrisp, programme director of medicines and technologies at NICE, describes how the organisation is re-purposing drugs in order to improve p... more >
Under attack

20/06/2018Under attack

One attack against an NHS worker is one too many. But unfortunately, the trend in recent years has been alarmingly upwards, with no part of the N... more >
Lessons from WannaCry

20/06/2018Lessons from WannaCry

Sir Geoffrey Clifton-Brown, a member of the Public Accounts Committee, warns that the UK Government must take seriously the threat of a more soph... more >
A hostile environment

20/06/2018A hostile environment

Dr Terry John, chair of the BMA’s international committee, gives his thoughts on the government’s visa and immigration policy and its... more >
The Memorandum of Understanding: Privacy at risk

20/06/2018The Memorandum of Understanding: Privacy at risk

The Memorandum of Understanding (MoU) between the Home Office and NHS Digital meant that patient data and confidentiality was being put at risk a... more >

interviews

Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >
Tackling infection prevention locally

04/10/2017Tackling infection prevention locally

Dr Emma Burnett, a lecturer and researcher in infection prevention at the University of Dundee’s School of Nursing and Midwifery and a boar... more >
Scan4Safety: benefits across the whole supply chain

02/10/2017Scan4Safety: benefits across the whole supply chain

NHE interviews Gillian Fox, head of eProcurement (Scan4Safety) programme at NHS Supply Chain. How has the Scan4Safety initiative evolved sin... more >
Simon Stevens: A hunger for innovation

25/09/2017Simon Stevens: A hunger for innovation

Simon Stevens, chief executive of NHS England, knows that the health service is already a world leader when it comes to medical advances – ... more >

health service focus

View all News