The Care Quality Commission (CQC) recently released their annual State of Care report, which examines the performance and effectiveness of health and social care in England, on every front. It appears that patients’ experiences of care tend to depend on how well the components of local systems work together to offer “joined-up” care.
“We found that providers are often focused on their own corporate priorities and targets, rather than working with one another to make sure people get the best care possible”. (p.6)
Five important factors for the sustainability of good care are:
- Access to care and support.
- Quality of care.
- Workforce to deliver care.
- Capacity to meet demand.
- Funding and commissioning.
Occasions where people cannot access the services they need – or experience disjointed care, or experience providers with poor services – can result in unnecessary hospital admissions and load undue pressures on NHS services.
State of Care. [Online]: Care Quality Commission, October 2018.
This relates to:
The state of health care and adult social care in England: 2017/18. Presented to Parliament pursuant to section 83(4)(a) of the Health and Social Care Act 2008. HC 1600. Newcastle upon Tyne: Care Quality Commission, October 10th 2018. ISBN: 978-1-5286-0778-0.
There is also an Executive Summary.
Note: The full report is also available from the Department of Health and Social Care.
Working Beyond / Across Boundaries
The “Beyond Barriers” report examined collaborative working between services to support and care for people aged over 64. It looked at the local health and social care systems in 20 local authorities.
Beyond barriers: how older people move between health and social care in England. Newcastle upon Tyne: Care Quality Commission, July 2018.
Comprehensive Model of Personalised Care
NHS England’s “Comprehensive Model of Personalised Care” may be of interest:
Comprehensive model of personalised care. [Online]: NHS England, October 2018.
Failure to Cover the Cost of Home Care?
The UK Homecare Association (UKHCA) asserts that the majority of councils in England do not pay a fair sustainable rate to cover home care. The average fee paid is £16.12 per hour, while the UKHCA suggests a minimum price of £18.01 per hour.
Triggle, N. (2018). Councils buying care ‘on the cheap’. London: BBC Health News, October 25th 2018.
Questions about the viability of Allied Healthcare:
Triggle, N. (2018). Major home care provider future ‘at risk’. London: BBC Health News, November 6th 2018.
Further analysis from BBC News:
Triggle, N. (2018). Can the government deliver on radical care reform? London: BBC Health News, November 8th 2018.
Allied Healthcare subsequently sought to transfer or sell all care contracts to other providers.
Pym, H. (2018). Allied Healthcare to transfer care contracts. London: BBC Health News, November 16th 2018.
Additional Government Funding: Sufficient to Cover All Eventualities?
Health and social care-related spending increases and / or extra provisions, announced in Autumn 2018 budget:
- Extra £20.5 billion settlement for the NHS, over the next five years (confirmed).
- Minimum extra £2 billion per year for mental health services.
- Mental health crisis centres, to provide support in every accident and emergency unit in England.
- New ambulances and a 24-hour mental health crisis hotline.
- Extra £700 (£650?) million for councils, to cover care of the elderly and persons with disabilities / learning disabilities.
- £10 million for air ambulances.
Summary of Budget 2018: Key points at-a-glance. London: BBC Politics News / BBC Health News, October 29th 2018.
£84 billion here, £20 billion there; “… pretty soon, you’re talking real money”. Everett McKinley Dirksen (January 4th 1896 – September 7th 1969).
Edgington, T. (2018). NHS funding: Is the boost worth £84bn or £20bn? London: BBC Reality Check Team / BBC Health News, October 30th 2018.
Further BBC News analysis:
Pym, H. (2018). Budget 2018: ‘NHS will face cuts as well as gains’. London: BBC Health News, October 30th 2018.
Future of Care (SCIE): Transforming Care and Support
The Social Care Institute for Excellence (SCIE) suggests that the additional £650 million for social care in the 2018 Budget, and the planned adult social care and prevention Green Papers, should offer opportunities to improve wellbeing, social connectedness and independence.
Full Text Link (Free registration with SCIE is required for access to this document).
Future of care. London: Social Care Institute for Excellence (SCIE), November 2018. Future of care report: No.8.