Proposals For a Single Health and Care System (Commission on the Future of Health and Social Care in England / The King’s Fund / BBC News)

Summary

The independent Commission on the Future of Health and Social Care in England has proposed the creation of a single health and social care system; asserting that the current system is not fit for purpose. The Commission’s interim report discusses the historical divide between the health and social care systems, the effects of our ageing society, and broad issues of affordability. It addresses the “lack of alignment” in funding, organisation and entitlement. Possible policy implications and options are explored.

“England needs a single health and social care system, with a ring-fenced, singly commissioned budget, and more closely aligned entitlements”.

Read more: A new settlement for health and social care. The Kings Fund.

Full Text Link

Reference

Barker, K. [and] Timmins, N. (2014). A new settlement for health and social care interim report from the Commission on the Future of Health and Social Care in England. London: Commission on the Future of Health and Social Care in England / The King’s Fund, April 2014.

The contents page comprises:

  • Introduction: A system no longer fit for purpose.
  • Where we are and how we got here.
    • Public debate clouded by poor understanding.
    • Defying notions of equity.
    • Sixty-six years on: 2014 is not 1948.
    • Improved integration is now essential.
    • Commissioning care is more fragmented.
    • How did we reach the health and social care divide?
    • How have NHS sources of finance altered over the years?
    • The shifting boundary between the NHS and social care.
    • Entitlements and boundaries have shifted markedly.
    • The role of carers in the two systems.
    • England and the United Kingdom’s place internationally.
  • Living with an ageing society.
    • Are we living longer, fitter lives, or longer, sicker ones?
    • The health costs of old age.
    • What has been driving health care costs?
    • Ageing is already well under way.
    • Will there be too few workers to pay for care?
    • All pensioners are no longer poor pensioners.
  • Is health and social care affordable?
    • Health as a ‘luxury good’.
    • An ever-higher share of GDP?
    • Multiple upward spending pressures.
    • The implications for government spending.
    • Deficit reduction and spending cuts.
  • Hard choices and options.
    • Meeting the costs – options for change.
    • Call for responses.
  • Appendix A: The terms of reference for and work of the commission.
  • Appendix B: Data.
  • Appendix C: The international context: How much greener is the grass elsewhere?
  • References and Further Reading.

Possibly of interest:

Full Text Link

Reference

Triggle, N. (2014). Call for merged ‘super’ health and care budget. London: BBC Health News, April 3rd 2014.

Further Information

The Barker Commission has also released a collection of four supporting background papers in addition to the main interim “Barker Report”:

Full Text Link

Reference

Gregory, S. (2014). Attitudes to health and social care: review of existing research. London: Commission on the Future of Health and Social Care in England / The King’s Fund, April 2014.

Full Text Link

Reference

Lloyd, J. (2014). Options for funding care. London: Commission on the Future of Health and Social Care in England / The King’s Fund, April 2014.

Full Text Link

Reference

Robertson, R. Gregory, S. [and] Jabbal, J. (2014). The social care and health systems of nine countries. London: Commission on the Future of Health and Social Care in England / The King’s Fund, April 2014.

Full Text Link

Reference

Culyer, AJ. (2014). Social values in health and social care. London: Commission on the Future of Health and Social Care in England / The King’s Fund, April 2014.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, International, King's Fund, Management of Condition, National, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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