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Progress and Challenges in Health and Social Care Integration: A Comprehensive Overview

This overview highlights the journey of health and social care integration in the UK, emphasizing that it isn't a new concept. The impetus began with the Health and Social Care Act 2012, exacerbated by budget constraints and the establishment of the Integration Transformation Fund in 2013. By 2018, the vision was to achieve a fully integrated system involving cohesive planning, shared resources, and improved patient experiences. Despite the progress in joint assessments, data sharing, and aligned services, challenges remain, including funding clarity and a hospital-centric focus. The current situation in Leicestershire reflects ongoing efforts towards a more integrated approach.

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Progress and Challenges in Health and Social Care Integration: A Comprehensive Overview

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Presentation Transcript

  1. Integration .. The Story So Far….

  2. Key Messages • Integration isn’t new… • Health and Social Care Act 2012 • Squeeze on Public sector Spending • June 2013 Integration Transformation Fund • Its about Patient Experience… • This isn’t optional …. • Vision for an Integrated Health and Social Care System by 2018

  3. The Integration Transformation Fund • A pooled Budget from 2015/16 with national conditions • Jointly agreed plans • 7 day a week health and social care working around admissions and discharges • Better Data sharing inc use of NHS number • Joint assessments and care planning • Accountable professional for joint packages of acre • Risk sharing and performance targets

  4. The Challenges • Lack of Clarity- Guidance …December 13 • Timescales – First Submission – Feb 14 • Source of Funding – extra £10m each from CCG • Very Hospital Focused – LLR • Performance Related Funding Element • Additional Work within Leicestershire on Transformation and a place based approach ( locality working)

  5. Where are we now in Leics ? • Health and Wellbeing Board • Integrated Commissioning Board • Some Aligned and Integrated Services • Planning Group for Integration Transformation Fund Plan • Work underway on Shared Dataset, Crisis Response, Hospital Discharge, Reablement

  6. Current Ideas • Shared Minimum Data set • Single ( single!!) point of access • Integrating some teams eg Reablement • Joint Approach to Prevention • DFG, Equipment and Assessments

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