Health outcomes (especially Funding sucked from social At a time of - PowerPoint PPT Presentation

The Vicious Circle of a Broken Health and Social Care System • 30% reduction in number of elderly receiving social care in the last 5 years Shocking reductions in spending • 5% real reduction in care home fee on social care rates in the last 3 years Health outcomes (especially Funding sucked from social At a time of rising need and cost for the elderly) are the worst care to solve the NHS crisis in Europe Creates a huge crisis in The NHS (GPs and A&E)

Integrated Care Delivered Across All Care Settings The end-to-end Care is management of Coordinating patient/user support at home : Planned supported discharges . coordinated and the care needs of domiciliary care, supported living, social Redirecting patients to community services managed across individuals, care and home health care... ‘One - avoiding hospital admission all community vulnerable ‘high integrated Service” care settings risk’ cohorts and (including whole populations. complex home healthcare & nursing) Whole person Rapid response integrated and reablement assessments & services with full care planning step up and step (covering major down services. domains of social, Treatments & cognitive and outpatient physical needs) services in community. Robust and Acute in-reach valid framework service for of outcomes Coordinating patient/user support at home: Residential and nursing care facilities . admission and quality domiciliary care , supported living, social Offering a range of social care and health avoidance and indicators. Joint care and home health care... ‘One services, treatments and procedures. planned and funding case integrated Service” supported mix. Risk discharge stratification Shared patient / user records; integrated IT systems; equitable resource allocation; standardised ‘best- practice’

Eight imperatives to achieve integrated care § Merge health and social care, from scale-efficient health economies down to ministerial level. § Merge the ‘entitlement systems’. § Introduce scale-efficient expert commissioning that wraps money around the individual (‘better care fund’ is not the answer). § Support care packages that build an intermediate care sector (disband system resilience groups). § Accelerate personal budgets. § Create one regulator – CQC – and regulate for cycles of care. § Mandate minimum fee rates for nursing homes and domiciliary care. § Support a new intermediate nursing qualification in the community.