Government whitepaper sets out important plans for integrating health and social care

Government whitepaper sets out important plans for integrating health and social care

Prime Minister Boris Johnson

The new combination whitepaper intends to guarantee that the health and social care services are enrolled to make services more efficient, high quality and much better worth for cash for personnel, suppliers, and patients.

Joining up look after populations, people and locations sets out a vision for an integrated NHS and adult social care sector that will much better serve clients and staff.

Clients are set to get much better, more joined-up care under brand-new strategies released by the Department of Health and Social Care (DHSC) to enhance the links in between health and social care by breaking down barriers, pooling budgets, and focusing on shared outcomes and accountability.

Under the existing system, patients frequently find themselves having to navigate complex and fragmented services. Clients frequently need to inform different people the exact same details throughout several organisations, while others can end up dealing with delayed discharge since the NHS and local authorities are working to different priorities in a manner that is not as enrolled as it might be, DHSC emphasises.

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” Successful combination is the preparation, commissioning and delivery of coordinated, enrolled and smooth services to support people to live healthy, independent and dignified lives and which enhances results for the population as a whole,” DHSC says.

Health and Social Care Secretary Sajid Javid said: “Better combination is essential to stop individuals falling under the spaces in between health and social care. Ensuring our health and care systems work in unison will mean we can support hardworking staff, offer much better care to clients and deliver value for the taxpayer.

The combination whitepaper develops on both the Health and Social Care Bill and individuals at the Heart of Care whitepaper, which set out a 10-year vision for social care moneyed through the Health and Care Levy, and follows the delivery strategy for tackling the COVID-19 stockpile of elective care.

” Our Integration whitepaper is part of our larger strategies to reform and recuperate the health and social care system, ensuring everyone gets the treatment and care they need, when and where they require it.”

Introduction of the essential aspirations from the integration whitepaper

The whitepaper sets out some of the ways health and care systems will draw on the resources and abilities throughout the NHS and local government to better satisfy the needs of communities, reduce waiting lists, and help level up healthcare throughout the country.

As an introduction, this includes:

Making sure regional authorities and the NHS share information and are more transparent about their efficiency so that regional populations can make decisions about their own care
Concentrating on earlier intervention to prevent diseases from advancing and avoid costly interventions
More personalised care through connecting GPs with broader forms of community assistance
Providing patients a single digital care record so they can reserve consultations, order prescriptions, and interact with their care suppliers on a single platform, while those associated with delivering health and care services can access the clients latest details. This prevents the problem of clients needing to duplicate themselves to various individuals, and it gives experts the details they need to make care prepare for the client
Improving access to social care services through NHS information sharing, which would permit the NHS to inform a local authority directly away if an individual needs social care assistance
Plans for much better treatment by joining up main, community and medical facility services
Much better NHS assistance to care houses so that homeowners can be treated in a home and avoid unnecessary health center journeys
Better coordinated services to avoid patients from needing to collaborate between different professionals themselves
Decreasing duplication and waste so that NHS investment can be invested in methods that benefit clients and provide savings for social care
Aligning monetary rewards and pooling spending plans so that the NHS and local authorities can use their resources more flexibly to benefit patients

A closer take a look at the essential propositions from the whitepaper

Listed below, AT Today has actually dived into a few of the crucial proposals from the integration whitepaper in more information.

The complete whitepaper can be discovered here.

Setting shared results

DHSC proposes a big concentrate on setting shared results throughout health and social care as a method to bring organisations together with a common objective.

DHSC will likewise set out a framework that makes area for regional leaders to agree shared results that meet the specific needs of their neighborhoods, whilst also supporting nationwide priorities.

Application of shared outcomes will begin from April 2023.

The government has actually set out the case for a new method for determining and developing development versus these. It will work with stakeholders to establish and present a structure with a focused set of nationwide top priorities, and a technique for prioritising shared results at a local level, concentrated on private and population health and wellbeing.

Leadership and responsibility

Regional authority and NHS leaders will be responsible for delivering against the agreed results and will be liable for shipment and performance against them.

The whitepaper emphasises that effective leadership, accountability and oversight are crucial to successful integration. DHSC is going to make modifications that unite regional leaders to deliver on shared outcomes in a transparent and accountable way, through official place-based plans (” place” is a geographic location that is specified in your area, however frequently covers around 250-500,000 individuals).


The federal government states that it will work with partners to develop assistance for regional authorities and the NHS to support going further and quicker on monetary positioning and pooling. It includes that it is wanting to streamline the policies for current pooled budget plan plans for providers and commissioners.

There must be a single individual, accountable for shared outcomes in each location or city, dealing with regional partners, DHSC says. This individual will be agreed by the pertinent regional authority or authorities and Integrated Care Board (ICB). The federal government expects place-based plans to line up with existing incorporated care system (ICS) boundaries as far as possible.

By 2024, the government aims to have shared care records for all residents that offer a single, functional health and care record, which people, caretakers and care teams can all securely gain access to. This is planned to reduce clients needing to repeat the exact same info across a disjointed health and social care service.

There is likewise a big push towards formally identifying the power of digital services, as the whitepaper explains: “We will support digital transformation by officially identifying the Digital Data and Technology occupation within the NHS Agenda for Change and including standard digital, information and technology abilities in the training of all health and care staff.”

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NHS and city government organisations will be encouraged to do more to line up and pool spending plans, the whitepaper highlights. This is both to guarantee better usage of resources to attend to instant requirements, however likewise to support long-lasting financial investment in population health and wellbeing.


The document states: “We will set out criteria for place-level governance and accountability for the shipment of shared results. We have actually suggested a model which fulfills those criteria and expect places to adopt either this specific governance model, or a comparable, by Spring 2023.”

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