On the Interdependence Between Social Care Provision and NHS Performance: a “Perfect Storm” Brewing for Winter? (BBC News / Nuffield Trust / ILC-UK / RCEM)

Summary

While the Government’s Spending Review gave scope for more money to be made available to support social care services, (i) by allowing local authorities to raise council tax by 2% and (ii) increasing the amount of money available for the Better Care Fund, leading commentators (including the Association of Directors of Adult Social Services, the Care Provider Alliance, and the NHS Confederation) have written a letter warning that funding pressures may still place services in the care sector at risk. The main reasons cited include increasing demand from an ageing population and rising cost pressures arising from the living wage.

Full Text Link

Reference

Triggle, N. (2015). Care sector ‘at risk despite promises of more money’. London: BBC Health News, December 9th 2015.

See also:

Full Text Link

Reference

Triggle, N. (2015). Is the care home market heading for a crash? London: BBC Health News, December 18th 2015.

Similarly, the International Longevity Centre has predicted that the ability to cope with demand by adult social care services in England appears to be worsening. Around 1.86 million people aged over 50 in England were estimated to have unmet care needs in 2012/13; this number had risen by 7% since 2006/07:

Full Text Link

Reference

Adult social care outlook ‘bleak’, warns think tank. London: BBC Health News, December 12th 2015.

This relates to:

Full Text Link

Reference

Franklin, B. (2015). The end of formal adult social care? A provocation by the ILC-UK International. London: International Longevity Centre (ILC-UK), Age UK and Centre for Later Life Funding, December 11th 2015.

Further, partly regarding a ComRes Survey for BBC 5 Live:

Full Text Link

Reference

Council tax rises ‘will not cover’ social care shortfall. London: BBC Health News, February 23rd 2016.

Research indicates that, last Winter, a small proportion (3.6%) of patients – predominantly the frail and elderly – occupied more than a third of hospital beds. The Nuffield Trust has explained how the NHS in England will struggle to cope this Winter without more capacity in care homes and other community settings to facilitate earlier discharge and so ease hospital pressures.

Full Text Link

Reference

Triggle, N. (2015). NHS discharge delays hit record levels. London: BBC Health News, December 10th 2015.

This relates to:

Full Text Link

Reference

The A&E winter crisis: lessons from last year. London: Nuffield Trust, December 9th 2015.

Further, related, recent commentary from BBC News:

Full Text Link

Reference

Triggle, N. (2015). A&Es ‘not equipped to cope with winter’. London: BBC Health News, December 18th 2015.

This relates to:

Full Text Link

Reference

RCEM Winter Flow Project. Analysis of the data so far: 17 December 2015. London: Royal College of Emergency Medicine (RCEM), December 17th 2015.

Possibly also of interest, more with a community mental health services emphasis:

Full Text Link

Reference

Kar, N. (2015). Lack of community care facilities for older people and increased rate of admission and length of stay in hospitals. Journal of Geriatric Care and Research (JGCR). 2015, 2(2): pp.28-30.

Broadly related press commentary:

Full Text Link

Reference

Triggle, N. (2015). Winter in the NHS: The lost beds problem. London: BBC Health News, December 10th 2015.

Earlier:

Full Text Link

Reference

Triggle, N. (2015). A&E waiting times ‘getting worse’. London: BBC Health News, November 27th 2015.

See also:

Full Text Link

Reference

Triggle, N. (2015). NHS pressure worsens as key targets missed. London: BBC Health News, November 12th 2015.

See further:

Full Text Link

Reference

Pym, H. (2016). A ‘good Christmas’ for the NHS – but what’s to come? London: BBC Health News, January 8th 2016.

Perhaps of fleeting incidental interest, on the Queen Elizabeth Hospital Birmingham (the biggest single-site teaching hospital in Europe):

Full Text Link

Reference

Pym, H. (2016). A day in the life of a hospital. London: BBC Health News, January 21st 2016.

January 2016 saw a surge in emergency hospital admissions:

Full Text Link

Reference

Triggle, N. (2016). A&Es struggle after ‘sharp rise’ in demand. London: BBC Health News, January 29th 2016.

More on the 8% year-on-year increase in attendances at major A&E centres:

Full Text Link

Reference

Pym, H. (2016). NHS: Surging patient numbers – what’s happening in A&E? London: BBC Health News, January 29th 2016.

88.7% of patients were dealt with in four hours during January 2016:

Full Text Link

Reference

Triggle, N. (2016). A&E delays ‘reach record levels’. London: BBC Health News, March 10th 2016.

NHS Funding and Trust Deficits

Analysis of the funding situation:

Full Text Link

Reference

Pym, H. (2015). An NHS funding plan at last – but what’s the catch? London: BBC Health News, November 24th 2015.

Full Text Link

Reference

Triggle, N. (2015). Health and care spending: The sting in the tail. London: BBC Health News, November 26th 2015.

Further:

Full Text Link

Reference

Pym, H. (2016). NHS finances – the short, the medium and the long term. London: BBC Health News, February 5th 2016.

Questions concerning the EU Referendum Debate are handled elsewhere.

A Health Foundation report examines the financial performance of the NHS in England, looking into the finances of NHS providers and the financial strength of the commissioners of care (i.e. NHS England and Clinical Commissioning Groups).

Full Text Link

Reference

Lafond, S. Charlesworth, A. [and] Roberts, A. (2016). A perfect storm: an impossible climate for NHS providers’ finances? An analysis of NHS finances and factors associated with financial performance. London: Health Foundation, February 29th 2016.

“The impact of the Spending Review on social care is uncertain, but overall will not be enough to close the funding gap, which we estimate will be between £2.8 and £3.5 billion by the end of the parliament”.

Full Text Link

Reference

Ham, C. McKenna, H. [and] Dunn, P. (2016). Tackling the growing crisis in the NHS: an agenda for action. London: King’s Fund, April 7th 2016.

NHS Performance Tracking

BBC News has set-up a special section to monitor how the NHS performs this Winter:

Full Text Link

Reference

The NHS in winter. London: BBC Health News, December 2015.

See also:

Full Text Link

Reference

Pym, H. (2015). The NHS in winter – an alphabet soup of stats. London: BBC Health News, December 11th 2015.

Full Text Link

Reference

Triggle, N. (2015). Winter pressures: a detailed look at how the NHS coping. London: BBC Health News, December 10th 2015.

In the Interests of Balance (Ever the Optimist)

Recognising the need for a countervailing perspective, a special page as been created to air viewpoints of a contrary (more positive) tone about the current and future position of the NHS and adult social care.

Cross-Party Commission Proposed

Former health secretaries / ministers Stephen Dorrell, Alan Milburn and Norman Lamb have recommended creation of a cross-party commission to review the future of the NHS and social care in England, as both systems face an “existential crisis” which transcends party politics in the face of rising demand relative to funding and capacity.

Full Text Link

Reference

Cross-party review ‘needed for health and care’. London: BBC Health News, January 6th 2016.

See also:

Full Text Link

Reference

Charities urge Cameron to boost NHS and social care. London: BBC Health News, January 9th 2016.

Public Dissatisfaction With the NHS?

Historically the largest rise in public dissatisfaction with the NHS has been recorded by the British Social Attitudes Survey. Reported levels of satisfaction with the NHS are still high by historical standards, overall.

Full Text Link

Reference

Triggle, N. (2016). Record rise in NHS dissatisfaction levels – survey says. London: BBC Health News, February 9th 2016.

April / June 2016 Updates

Full Text Link

Reference

Brimelow, A. (2016). Is the NHS in England stuck with soaring demand? London: BBC Health News, April 14th 2016.

Full Text Link

Reference

Statement on the monthly performance statistics for February 2016. London: NHS England, April 14th 2016.

Full Text Link

Reference

Triggle, N. (2016). A&E delays reach new record level. London: BBC Health News, April 14th 2016.

NHS failings Winter pressures all year round are alleged to have become the new norm:

Full Text Link

Reference

Triggle, N. [and] and Dreaper, J. (2016). Endless winter in NHS ‘puts patients at risk’. London: BBC Health News, June 21st 2016.

August 2016 Update on Winter Pressures: Commons Health Committee Inquiry

Full Text Link

Reference

Triggle, N. (2016). Why the NHS has the winter blues in summer. London: BBC Health News, August 23rd 2016.

This relates to a recent submission to the House of Commons Health Committee’s inquiry into winter pressures:

Full Text Link

Reference

Planning for winter pressure in accident and emergency departments inquiry: written evidence submitted by the Department of Health, NHS England and NHS Improvement (WIP0035). London: Department of Health; NHS England and NHS Improvement, August 2016.

October 2016 Update

Full Text Link

Reference

Triggle, N. (2016). Care sector woes leave frail at risk, regulator says. London: BBC Health News, October 11th 2016.

More on the knock-on impact for the NHS hospitals:

Full Text Link

Reference

Triggle, N. (2016). Safety fears in two-thirds of England’s A&Es, inspectors say. London: BBC Health News, October 13th 2016.

Government Response to House of Commons Health Select Committee

The Government’s response to the House of Commons Health Select Committee report on the relevance of the spending review for health and social care:

Full Text Link

Reference

Government Response to the House of Commons Health Select Committee Report into the Impact of the Spending Review on Health and Social Care (First Report of Session 2016–17). London: Department of Health, December 16th 2016. Cm 9385.

Professor Jane Cummings, Chief Nursing Officer (CNO) for England, calls for more “care closer to home”. NHS England spends an estimated £820 million per year treating older patients in hospital who should no longer be there:

Full Text Link

Reference

Chief nurse: ‘Cut hospital beds to increase care at home’. London: BBC Health News, December 27th 2016.

June 2017 Update: Plus ca Change?

Nothing ever changes?

Full Text Link

Reference

Pym, H. (2017). NHS – planning for winter already. London: BBC Health News, June 28th 2017.

Advertisements

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, Age UK, 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), Health Foundation, In the News, Integrated Care, Management of Condition, National, NHS, NHS Confederation, Northern Ireland, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s