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

  • ‘Defence in a Competitive Age’ and threats facing the UK

    The Ministry of Defence (MoD) published the command paper ‘Defence in a Competitive Age’ on 22 March 2021, setting out how the UK’s defence capabilities will support the Government’s integrated review of security, defence, development, and foreign policy. The command paper contained a range of measures, including how the UK will respond to current and future threats. This article summarises those provisions ahead of a forthcoming debate in the House of Lords on these issues.

    ‘Defence in a Competitive Age’ and threats facing the UK
  • Compensation (London Capital & Finance plc and Fraud Compensation Fund) Bill

    The Compensation (London Capital & Finance plc and Fraud Compensation Fund) Bill would make provisions relating to the payment of compensation to eligible customers of London Capital & Finance plc. It would also allow the secretary of state to provide a loan to the Board of the Pension Protection Fund and for that loan to form a part of the funds of the Fraud Compensation Fund. The House of Lords second reading and remaining stages of the bill are scheduled to take place on 19 October 2021.

    Compensation (London Capital & Finance plc and Fraud Compensation Fund) Bill
  • Public Health England: Gambling-related harms review

    The Government has estimated that there are 400,000 ‘problem gamblers’ in England, with a further 2 million people at risk of developing a problem. In its recent report, Public Health England has called for gambling-related harm to be considered as a public health issue. The Government is undertaking a review of the Gambling Act 2005 and has invested in services for those affected by this issue in the NHS Long Term Plan.

    Public Health England: Gambling-related harms review