This report from the Policy Exchange think-tank asserts that NHS funding arrangements encourage acute hospitals to admit patients instead of trying to treat patients at a community level or in their own homes. It shows that by international standards patients in England with chronic diseases / long-term conditions (such as dementia) are more likely to be admitted to hospital and have a longer length of stay (LOS) once admitted.
This report indicates how a greater emphasis on integrated and community-based care might be the only viable way forwards given recent trends in hospital admissions and NHS finances.
Featherstone, H. [and] Skelton, D. [ed.] (2012). All together now: competitive integration in the NHS. London: Policy Exchange, 2012.
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 5, January 2013].