Tag Archives: Public Accounts Committee (PAC)

Ongoing Reflections on the State of the NHS (BBC News / NAO / NHS Providers / PAC / Health Foundation / NHS England)

Posted on April 2, 2018 by Dementia and Elderly Care News

Summary The Prime Minister is in favour of another multi-year funding plan for the NHS in England, deigned to permit planned re-structuring, tackle long-term financial shortages, and avoid recurrent annual cash top-ups / the persistent need for unexpected bailouts. This … Continue reading →

Posted in BBC News, Commissioning, 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, National, National Audit Office, NHS, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Ageing Population, Capacity Pressures in the Health and Social Care System, Committee of Public Accounts, Cross-Party and Public Consensus On Sustainable Funding, Economic Sustainability, Five Year Forward View - Next Steps: Funding and Efficiency, Health and Social Care Committee, Health and Social Care Committee Inquiry into Integrated Care, Health and Social Care Committee: Integrated Care Organisations Partnerships and Systems Inquiry, House of Commons Committee of Public Accounts, House of Commons Public Accounts Committee, Improvement Analytics Unit (NHS England and Health Foundation Partnership), Local Sustainability and Transformation Plans (STPs), National Audit Office (NAO), New Care Models, New Models of Care, New Models of Care for Health and Social Care Systems, New Models of Care Vanguards, NHS 70 (NHS 70th Birthday), NHS England Funding and Resource 2018/19, NHS England Funding and Resources, NHS England Funding Support for Next Steps on NHS Five Year Forward View, NHS England’s Five Year Forward View, NHS England’s Five Year Forward View: Next Steps On, NHS Five Year Forward View (5YFV), NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Providers, NHS Sustainability, NHS Winter Crisis, NHS Winter Pressures (aka Winter Crisis 2017-2018), NHS’s 70th Birthday, Public Accounts Committee (PAC), Quality and Sustainability, Sustainability, Sustainability and Transformation Partnerships, Sustainability and Transformation Plans (STPs), Thinking Like a Patient and Acting Like a Taxpayer, Transformation Funding, Transparency Culture and the NHS Constitution, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Waiting Time Targets in the NHS in England, Winter Pressures | Leave a comment

NHS Recovery Plan: Recommendations For Clarity on Sustainability of Health [and Social Care] (BBC News / PAC)

Posted on February 27, 2017 by Dementia and Elderly Care News

Summary The House of Commons Public Accounts Committee (PAC) has recommended (quote): A clear and transparent recovery plan, targeting NHS bodies and health economies in severe financial difficulty, by March 2017. A report by July 2017 on whether NHS finances … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest | Tagged Adult Social Care Funding, Adult Social Care Services, Ageing Population, Assessment of Capacity, £22 Billion Efficiency Savings by 2020-21, BBC Health News, Best Value for Taxpayers, Committee of Public Accounts, Demand Management, Demand Versus Capacity Gaps, Economic Sustainability, Financial Sustainability in the NHS, Financial Sustainability of NHS Bodies, Hardnosed Reviews (Value For Money), Health and Care of Older People, Health and Social Care in the Community, Health and Social Care Integration, Health and Social Care Leaders, House of Commons Committee of Public Accounts, House of Commons Public Accounts Committee, Local Sustainability and Transformation Plans (STPs), Meg Hiller MP: Chair of Public Accounts Committee, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Improvement, NHS Sustainability, NHS Trust Financial Deficits, Patient Safety, Pressures in Social Care, Provider Sustainability, Public Accounts Committee (PAC), Quality and Sustainability, Rt Hon Theresa May MP (Prime Minster), Simon Stevens: Chief Executive of NHS England (2014-), State of the NHS (BBC News), STP Footprints, Sustainability, Sustainability and Transformation Plans (STPs), Sustainable Funding, Thinking Like a Patient and Acting Like a Taxpayer, Use of Capital Budgets to Fund Day-to-Day Spending, Value for Money | Leave a comment

“Poverty of Ambition” on Reducing Delayed Transfers of Care? Improvements Recommended (BBC News / House of Commons PAC)

Posted on July 27, 2016 by Dementia and Elderly Care News

Summary The House of Commons Public Accounts Committee’s latest report challenges the government, NHS Improvement and NHS England to tackle the extent of (i) the harm to patients and (ii) the financial costs, arising from delays in discharging older patients … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NICE Guidelines, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accountability and Integration, Acute Hospital Care, Adult Social Care, Adult Social Care Services, Ageing Population, Areas With the Highest Delayed Transfers of Care, BBC Health News, BBC Radio 4, BBC Radio Four: Six O'Clock News, Bed Days, Bed-Blockers, Bed-Blocking Patients (Non-Recommended Term), Care for Vulnerable Older People, Cross-Sector Partnerships, Cumbria County Council, Delayed Discharges, Delayed Discharges Higher in Mental Health Trusts, Delayed Transfers of Care, Delayed Transfers of Care (DTOC), Delayed Transfers of Care by Responsible Organisation, Discharge From Acute and Mental Health Trusts, Discharge Programme Board, Efficiency Opportunities, Financial Incentives Across Local Health and Social Care Systems (Proposals), Fragility of Adult Social Care Provider Market, Geographical Variations, Good Practice, Good Practice Standards, Health and Adult Social Care Providers, Health and Social Care, Health and Social Care Integration, Hospital Beds, Hospital Beds Use: Variations, Hospital Discharge, Hospital Discharge and Transfers, Hospital Long-Waiters, House of Commons, House of Commons Public Accounts Committee, Inpatient Beds, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Integration Transformation Fund (aka Better Care Fund), James Paget University Hospitals NHS Foundation Trust, Length of Stay (LoS), Local Health Services: Variations, Local System Resilience Groups, Local Variations, Long Hospital Stays, Lord Carter Review, Loss of Mobility During Long Hospital Stays, Loss of Older Patients' Muscle Strength Per Day of Hospital Treatment, Measures to Capture the Number of Older People Who No Longer Benefit From Acute Hospital Care (Proposal), Meg Hiller MP: Chair of Public Accounts Committee, Mental Health Trusts, National Audit Office (NAO), National Discharge Programme Board, National Institute for Health and Care Excellence (NICE), National Market Position Statement, NHS Improvement, NHS Mental Health Trusts in England, NHS Sustainability, Northumbria Healthcare NHS Foundation Trust, Parliamentarians, Patient Care, Patient Discharge, Patient Flows, Patient Safety, Personal Budgets in Adult Social Care, Post-Discharge Support, Public Accounts Committee (PAC), Public Accounts Commons Select Committee, Reducing Bed Days, Reducing Waste in the NHS, Regional Variations, Sharing Good Practice, Sharing Patient Information, Sir James Munby: President of Family Division of the High Court, Social Care Delays (Impact on Hospital Bed-Days and LoS), Social Care Providers, Sustainability, Sustainable Health and Social Care, Thinking Like a Patient and Acting Like a Taxpayer, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Unacceptable Variations, Unwarranted Variations, Variation in Performance, Variations in Quality of Care, Variations in Service, Variations in Spending, Vulnerable Older People, Wasted Resources, Whole System Patient Flows | Leave a comment

New Models of Care in Community Neurology (Neurological Alliance / Thames Valley Strategic Clinical Network)

Posted on June 26, 2016 by Dementia and Elderly Care News

Summary Thames Valley Strategic Clinical Network has published an extensive “Transforming Community Neurology: What Commissioners Need to Know” briefing, on improving community services for people with long-term neurological conditions. This report comprises three parts: Part A: Transformation Guide. Part B: … Continue reading →

Posted in Commissioning, Community Care, Depression, End of Life Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Parkinson's Disease, Patient Care Pathway, Person-Centred Care, Physiotherapy, Quick Insights, Standards, Telecare, Telehealth, UK, Universal Interest | Tagged 3-Tier Framework of Care Stratification, 5YFV: NHS Five Year Forward View, Access to Care, Access to Community Rehabilitation and Support Services, Admission Avoidance, Aggregated Data, Arlene Wilkie: Chief Executive of Neurological Alliance, Barnet Community Neuro Conditions Management Team, Benchmarking, Benchmarking Tools, Benefits of Community Models of Care, Block Contracts and Payments-by-Results (PbR), Capacity Payments, Capitated Payments, Capitation Models, Care Closer to Home, Care Co-ordination, Care Planning, Care Planning (Community), care.data, Carer Support Services, Carer’s Surveys, Carers Alert Thermometer, Carers and Families, Case Study Report on Sandwell, Changing Lives Reintegration Service (Tyneside), Changing Lives: Community Integration Service, Charity and Patient Organisation User Groups, Child and Adolescent Mental Health Services Payment Project, Clinical Commissioning Groups (CCGs), CNCMT: Community Neuro Conditions Management Team, Colchester Community Neuro-Rehabilitation Team, Colchester Neuro Rehab Team, Colchester Neuro-Rehabilitation Team, Commissioning for Parity of Esteem, Community Care Models, Community Comorbidity Management, Community Information Data Set (CIDS), Community Neuro Conditions Management Team, Community Neurology Conference (June 2016), Community Neurology Project, Community Neurology Services, Community Neurology Services: What Commissioners Need to Know, Community Outreach, Community Outreach Rehabilitation, Community Patient Currencies, Community Rehabilitation and Support, Community Service Funding Arrangements, Community-Based Care, Community-Based Services, Community-Based Support, Core Team Competencies, Cost(s) of Neurological Conditions, Cumbria Headache Forum, Cumbria Partnership NHS Foundation Trust, Currencies for Healthcare Services, Data Aggregation, Data Linked by NHS Number, Data Linking, Dawn Langdon: Royal Holloway University of London, Dementia Long-Term Services, Dr Rishi Mannan: NHS Windsor Ascot and Maidenhead CCG, Dudley Joint Commissioning Strategy for Long Term Neurological Conditions, E-Health, Epilepsy Action’s Commissioning Toolkit, Equipment and Accommodation, Factors Affecting Costs of Neurological Care, Failure to Meet Patients’ Needs, Features of New Care Models, Feedback Mechanisms, Five Year Forward View (NHS England), Funding Flows, Gold Standards Framework, Gold Standards Framework (GSF), GP Clinical Systems, GP Patient Survey, Health Inequalities, Hospice-Based Educational Support (To Patients), Identifying Patients’ Needs and Priorities, Ignoring Mental Health, Improving Access to Psychological Therapies (IAPT), Inappropriate Hospital Admissions, Independence, Integrated Community Neurology Care Pathways, Integrated Multi-Agency Care, Integrating Care Pathways, Integration of Physical and Mental Health, Interaction between Physical and Mental Health, Interface Between Primary and Secondary Care, International Consortium for Health Outcomes Measurement (ICHOM), Jill Kings: Clinical Director of Neural Pathways, Joanne Ross: Assistant Director of Neurological Services at Sue Ryder, Levels of Intervention, Living With Neurological Conditions, Local Variations, LOHO Project, Long Term Neurological Conditions, Long-Term Care (LTC), Long-Term Care and Support, Long-Term Conditions, Long-Term Conditions and Dementia, Longitudinal Care-Cycle Evaluation (UK-ROC), Lorn and Oban Healthy Options (LOHO) Project, Maintaining Independence, Managing Cognitive Difficulties in Community Neurology, Managing Emotional Distress in Community Neurology, Mark Stone: NHS Patient Partner, Mental Health and Well-Being in Community Neurology Services, Mental Health Currencies, Mental Well-Being, Mental Wellbeing, Merging the Interfaces of Primary and Secondary Care, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multispeciality Community Providers (MCPs), Multispecialty Community Providers (MCPs), National Service Framework for Long Term ConditionsNational Service Framework for Long Term Conditions, Needs of Carers, Needs-Based Services, Neural Pathways (UK), Neuro Case Management Service (CMS), Neurological Alliance, Neurological Alliance Regional Groups, Neurological Conditions, Neurological Datasets, Neurological Disease, Neurological Disorders, Neurological Problems, Neurology Care Pathways, Neurology Datasets and Benchmarking, Neurology Intelligence Network (NIN) Data, Neurology-Specific Measures, New Models of Care, New Models of Care in Community Neurology, NHS East Midlands Strategic Clinical Network, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Homerton City and Hackney CCG, NHS Homerton City and Hackney CCG: Parkinson’s Pathway, NHS Nottingham City CCG, NHS Outcomes Framework, NHS RightCare, NHS RightCare Commissioning for Value Packs for CCGs, NHS Windsor Ascot and Maidenhead CCG, NIHR CLAHRC Wessex, NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Wessex, Northumberland Tyne and Wear NHS Foundation Trust, Nottingham CityCare, Nottingham CityCare Community Neurology Team, Optimising Mental Well Being, Overarching Measures, Oxfordshire Neurological Alliance, Palliative Care, Parity of Esteem, Parkinson’s Pathway, Patient Experience Surveys, Patient Groups and Forums, Patient Reported Outcome Measures (PROMs), Patients Technology and Data at the Heart of Transformation, Payment Mechanisms, Permanent Feedback Channels, Personal Health Budgets (PHBs), Place-Based Planning, Poor Coordination, Practical and Emotional Support, Public Accounts Committee (PAC), Redesigning Services, Reducing Hospital Length of Stay, Reducing Unplanned Hospital Admissions, Reference Reports, Risk Stratification, Royal Free Hospital: Neuro Rehabilitation Centre, Sarah Marsh: LTC Clinical Policy and Strategy Unit at NHS England, Secondary Uses Service (SUS) Data, Self-Care, Self-Management, Sentinel Stroke National Audit Programme (SSNAP), Service Redesign, Services Reducing Use of Hospitals, Sheffield Health and Social Care Foundation Trust, Sheffield Neuro Case Management Service, Short and Long-Term Neuro-Rehabilitation Services, Socio-Economic Burden of Long-Term Neurological Conditions, Southampton and Royal Holloway London Universities, St Clare Hospice in West Essex, Staying Independent, Stephen Williams: Community Neurology Project, Stratification of Care (Levels 1-3), Sue Ryder, Sunderland and Gateshead CABIS, Sunderland and Gateshead Community Acquired Brain Injury Service (CABIS), Supporting Family and Carers, Supporting Self-Care, Sustainability, Sustainability and Transformation Plan (STP), Tees Valley Durham and North Yorkshire (TVDNY) Neurological Alliance, Thames Valley SCN, Thames Valley Strategic Clinical Network, Thames Valley Strategic Clinical Network (SCN), Third Sector Organisations, Three-Tier Framework of Care Stratification, Tier 1: Care Coordination, Tier 2: Needs Led Intervention, Tier 3: Self Care, Transforming Community Neurology, TVDNY Neurological Alliance, UK Rehabilitation Outcomes Collaborative, Unacceptable Variations, Unpaid Carers, Vanguard Sites, Variations in Quality of Care, Variations in Service, Variety of Neurological Conditions, Vertical Integration (of Primary and Secondary Care), Vocational Rehabilitation, West Essex Neuro Community Team, West Essex Neurological Community Team, Windsor Ascot and Maidenhead Clinical Commissioning Group, Year of Care Model, Zameel Cader: Clinical Director for Mental Health Neurology and Dementia at Thames Valley Strategic Clinical Network | Leave a comment

Care Quality Commission Found Wanting by Commons Public Accounts Committee: Over-Stretch? (BBC News / House of Commons PAC)

Posted on December 14, 2015 by Dementia and Elderly Care News

Summary The House of Commons Public Accounts Committee (PAC) has raised questions about whether the Care Quality Commission (CQC) has yet achieved the working capacity to be a fully effective regulator of health and social care. There have been concerns … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged BBC Health News, Care Quality Commission (CQC), Commissioning Inspection and Regulation, Committee of Public Accounts, CQC's Own Performance Measures, David Behan: Chief Executive of Care Quality Commission, House of Commons, House of Commons Committee of Public Accounts, Inspection and Regulation, Integrated Local Services, Meg Hillier: Public Accounts Committee, NHS Regulation, Parliamentarians, Public Accounts Committee, Public Accounts Committee (PAC), Quality and Safety of Care Provided in Integrated Local Services, Regulation of Care Quality, Safeguarding Alerts | Leave a comment

NHS Funding Shortage Forecast: Debate Proposed (BBC News / Times / House of Commons Health Select Committee / Nuffield Trust / Independent)

Posted on July 7, 2014 by Dementia and Elderly Care News

Summary Nine influential signatories to a letter published in the Times have asked for a national debate on how the NHS in England is funded. The authors of this letter assert that challenges from an ageing and growing population, plus … Continue reading →

Posted in Acute Hospitals, Alzheimer's Society, BBC News, Charitable Bodies, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, National, NHS, NHS England, Nuffield Trust, Quick Insights, RCN, Royal College of Physicians, Standards, UK, Universal Interest | Tagged Accountable Care Organisations (ACOs), Ageing Policy in the UK, Ageing Population, Ageing Society, Agency Staff, Agency Staff (Exorbitant Waste of NHS Funding), Allyson Pollock: Queen Mary University of London, Any Qualified Provider (AQP), BBC Health News, BBC Radio 4, BBC Radio 4: More or Less Programme, Benefits of Integrated Care, BMJ, British Medical Journal (BMJ), Cancer Care Integraton in Staffordshire, Cancer Test Waiting Times, Care UK, Cathy Warwick: Chief Executive of Royal College of Midwives, CCGs in Staffordshire and Stoke-on-Trent, Centre for Primary Care and Public Health: Queen Mary University of London, Chris Hopson: Foundation Trust Network, Chris Hopson: Foundation Trust Network (FTN), Ciaran Devane: Chief Executive of Macmillan Cancer Support, Ciaran Devane: Macmillan Cancer Support, Clive Efford (Labour MP), Commissioners’ Income and Expenditure, Commissioning Private Sector Providers, Complex Care, Complex Chronic Conditions, Complex Needs, Conservative Conference (Birmingham: September 2014), Constrained Funding, Cost Pressures in Hospitals, Creeping Privatisation in NHS (sic), Cross-Boundary Care Pathway Redesign, Demand-Side Factors, Demographic Change and Public Services, Demographic Changes, Demographic Time-Bomb, Demographics, Derriford Hospital (Plymouth), Diabetes and Multiple Morbidities, Dr Dan Poulter (Former Health Minister), Dr David Richmond: President of Royal College of Obstetricians and Gynaecologists, Dr Hilary Cass: President of Royal College of Paediatrics and Child Health, Dr John Middleton: Acting President of Faculty of Public Health, Dr Mark Porter: Chair of Council at British Medical Association, Dr Maureen Baker: Chair of Royal College of General Practitioners, Dr Peter Carter: Chief Executive and General Secretary at Royal College of Nursing, Dr Peter Swinyard: GP Swindon and National Chairman of The Family Doctor Association, Faculty of Public Health (FPH), Financial Constraints, Financial Pressure on Hospitals, Financial Sustainability of NHS Bodies (PAC Report 2015), FOI: Freedom of information, Former Conservative Health Minister Dr Dan Poulter, Foundation Trust Network (FTN), Fragility of NHS Finances, Guardian, Health Leaders' Panel (Nuffield Trust), Health Policy, Health Policy Conversation, Henny Braund: Chief Executive of Anthony Nolan, Hinchingbrooke Hospital (Privatisation), House of Care Model, House of Commons Health Select Committee, House of Commons Health Select Committee (HSC), Independent Commission on Whole Person Care, Integrated Care and Support, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Jean-Pierre van Besouw: Royal College of Anaesthetists, Jeremy Hughes (Alzheimer’s Society Chief Executive), Lesley Anne Alexander: Chief Executive of Royal National Institute of Blind People, Long-Term Care (LTC), Long-Term Conditions (LTCs), Long-Term Conditions and The Mandate, Lord Adebowale: Turning Point, Macmillan Cancer Support, Managing Care of People With Long-Term Conditions, Margaret Hodge, Maureen Baker: Royal College of GPs, McKesson, Michelle Mitchell: Chief Executive of the MS Society, Moira Auchterlonie: Chief Executive of Family Doctor Association, More or Less Programme (BBC Radio 4), Multimorbidities and Long-Term Conditions, Multimorbidity, National Health Policy Conversation, National Strategy for Long Term Conditions, NHS Budget Spent on Commissioning Private Sector Providers, NHS Cannock Chase CCG, NHS Challenges and New Solutions, NHS Charges: Politics and History, NHS Continuing Healthcare, NHS Expenditure, NHS Funding Gap, NHS North Staffordshire CCG, NHS Privatisation Debate (sic), NHS Reform, NHS Reinstatement Bill (2015), NHS Resource Spending in England, NHS Spending, NHS Stafford and Surrounds CCG, NHS Timebomb [sic], NHS Trusts’ and Foundation Trusts’ Income and Expenditure, Nicholson Challenge, Nuffield Trust: Health Leaders' Panel, Numbers of the Year 2014: BBC Radio 4; More or Less Programme, One-Week Target for All Urgent Diagnostic Tests Waiting Times, Outsourcing, Over-Reliance on Agency Staff, Parity of Esteem, Payday Loans Attitude to Workforce Planning, Peninsula Treatment Centre (Care UK), Peter Carter: Royal College of Nursing, Peter Roderick: Queen Mary University of London, Plymouth Hospitals NHS Trust, Policy, Policy Context, Policy Development, Policy Innovation, Political Posturing, Population Change, Private Finance Initiative (PFI) Schemes, Private Finance Initiative Payments, Private Profits Cap (Labour Proposal), Private Sector Providers, Privatisation (Backdoor), Privatisation (Debate), Proactive Care Programme, Professor Caroline MacEwen: President of Royal College of Ophthalmologists, Professor Jane Dacre: President of Royal College of Physicians, Public Accounts Committee, Public Accounts Committee (PAC), Public Attitudes and Expectations, Purchaser-Provider Split in the NHS, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Waste in the NHS, Rising Expectations, Royal College of General Practitioners (RCGP), Royal College of Nursing (RCN), Rt Hon. Andy Burnham MP, Rt Hon. Professor the Lord Darzi, Rt Hon. Stephen Dorrell MP, Sarah Wollaston: Chair of the House of Commons Health Select Committee, Siobhan Dunn: Chief Executive of Teenage Cancer Trust, Sir John Oldham: Independent Commission on Whole Person Care, Sir Richard Thompson: Royal College of Physicians, Stephen Hawking, Turning Point, Uncontrolled Profligacy in Workforce Planning (RCN Survey), UnitingCare Partnership, University Hospitals Plymouth Trust, Waiting Times Target for All Urgent Diagnostics, Weaponising the NHS (Labour: Attributed Phrase), Year of Care Approach, Year of Care Funding Model, Year of Care Partnerships, Year of Care Tariff | Leave a comment

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