Documents to download

A five year plan published by NHS England in 2014 stated that there was a broad consensus in favour of removing the boundaries between different healthcare providers. Indeed, both governmental and non-governmental bodies have put forward the case for integrated care. The current Government reiterated its support in its recent announcement of real terms funding increases for the NHS, and the Labour Party has also stated that it is in favour of an integrated healthcare service. Reasons put forward include that it can lead to a more efficient use of resources and better outcomes for patients.

The five year plan set out how NHS England intended to achieve an integrated approach. This was primarily by creating organisations at the local level which would deliver a range of care services, potentially with delegated budgets. Reviews of progress since, including by the National Audit Office (NAO), have been mixed. The NAO concluded that there was no compelling evidence that integration provided financial savings or reduced hospital activity. However, NHS England has put forward examples of successful integration in some local areas. Meanwhile, developments continue in the various components of an integrated care system in England. For example, the Government has set out an intention to increase funding and staffing of mental healthcare, with a view to treating an extra one million patients a year by 2020/21, and achieving “parity of provision” with physical health services. On social care, a proposed green paper has been delayed, but is expected to be published this autumn. The Government has recently announced a funding increase for the NHS.

Documents to download

Related posts

  • The Government of Ireland Act 1920 will be 100 years old in December 2020. The act created the institutions for home rule in Ireland, including two devolved parliaments: one in the north and one in the south. Historian and member of the House of Lords Lord Lexden argues the act was a “vital staging post on the road” to the creation of the Irish Free State in 1922. This article reviews the system of government created by the 1920 act.

  • Following the introduction of a second national lockdown in England, the Government introduced a ban on evictions against residential tenants and restrictions on the seizure of goods inside someone’s home by bailiffs. The Government stated these measures were necessary because of the high risk of Covid-19 transmission and the difficulty in accessing public services when pressure on the NHS and local authorities was most acute. The restrictions will be in place over the mid-winter period.