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

Four Derbyshire CCGs consider merger to deal with £95m deficit

15/08/2018Four Derbyshire CCGs consider merger to deal with £95m deficit

CCGs in Derbyshire are to discuss plans on how they can source £51m of savings. After a three-week public consultation period, which e... more >
Plans for single AO across three CCGs in doubt due to localism fears, but full merger still possible

15/08/2018Plans for single AO across three CCGs in doubt due to localism fears, but full merger still possible

Plans to create a single accountable officer (AO) for three major Leicestershire CCGs have been cast into doubt, as concerns were raised about a ... more >
NHS England blocks expansion plans for ‘GP at Hand’ app citing safety fears

15/08/2018NHS England blocks expansion plans for ‘GP at Hand’ app citing safety fears

Plans to expand the ‘GP at Hand’ smartphone app outside of London have been blocked by NHS chiefs citing patient safety concerns. ... more >
CQC praise of former special-measures Sherwood FT marks start of ‘next stage of journey’

15/08/2018CQC praise of former special-measures Sherwood FT marks start of ‘next stage of journey’

A Nottinghamshire trust that had previously been in special measures has gone through significant improvements, according to the health inspector... 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 NICE impact on falls and fragility fractures

10/08/2018The NICE impact on falls and fragility fractures

Falls should not be an inevitable part of ageing – and their snowball effect means the consequence of falls are far from limited to just hospital admissions, says Professor Gillian Leng, deputy chief executive and director of health and social care at NICE Almost a third of over-65s in the UK have a fall at least once a year, with a... more >
read more blog posts from 'the scalpel' >

comment

Listening to the frontline

15/08/2018Listening to the frontline

Professor Wendy Reid, executive director of education & quality and national medical director at Health Education England (HEE), shares insig... more >
Medication without harm

15/08/2018Medication without harm

The World Health Organization’s (WHO’s) Third Global Patient Safety Challenge, ‘Medication without harm,’ is ambitious, b... more >
Stepping up the fight against AMR

15/08/2018Stepping up the fight against AMR

Professor Mark Baker, director of the Centre for Guidelines at NICE, explains what the organisation is doing to support the fight against antimic... more >
Population health for the 21st century

15/08/2018Population health for the 21st century

NHS Partners Network (NHSPN) chief executive David Hare discusses the themes covered at his organisation’s Confed18 panel debate on populat... more >
The NHS is not an easy target

15/08/2018The NHS is not an easy target

Helen Vernon, chief executive at NHS Resolution, talks about a recent court case which firmly demonstrates that there is no space for contempt, d... 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