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National Picture

Integrated care in every community sets out the challenges facing the health and care system and how partnerships are being formed between the NHS, local government and the third sector across England.

 

NHS FIVE YEAR FORWARD VIEW (2014) AND UPDATE (2017)

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The NHS Five Year Forward View and Update is a national policy which has been developed to enhance service levels in both health and social care. It sets out the aim to integrate health and care nationally. The aim is being pursued through the new care models, Sustainability and Transformational Partnerships (STPs) and the evolution of Integrated Care Systems (ICS).  These developments propose different ways of working with an emphasis on place, populations and systems.

 

GENERAL PRACTICE FORWARD VIEW

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The General Practice (GP) Forward View is a plan set to invest more NHS primary care, stabilising funding for general practice on a national level. The GP Forward View describes that over the next five years the NHS will invest more in primary care, whilst stabilising core funding for general practice nationally over the next two years.    It emphasises that local systems should encourage and support general practices to work together at scale in a variety of new forms enabling greater opportunities for them to increase their flexibility to shape, buy or build additional services, working from a more effective platform with other local health and care providers, including community health services, social care and voluntary sector organisations.

 

SOCIAL CARE

The Care Act 2014 built on previous legislation setting out clear duties for local authorities and our partners (health, housing, welfare and employment) to support people to be in control of their care and support. The Act introduced a new emphasis on wellbeing. The focus on prevention requires local authorities and their partners to prevent, reduce or delay the need for care and support for all local people. The Act has a focus on integration requiring local authorities to collaborate, cooperate and integrate with other public authorities, including health and housing.

The local authority is required to offer anybody, including carers, who appears to be in need of care and support, an assessment which is outcome focused. Although local authorities must apply a national eligibility threshold to determine whether an individual has eligible needs, the Act enables the local authority and our partners to have a wider focus on the whole population in need of care.

Social Care commissions and provides prevention, care and support for adults with specific needs as set out in the Care Act.

A National Audit Office guide is set out here: Adult Social care at a glance

The Care Act 2014 built on previous legislation setting out clear duties for local authorities and our partners (health, housing, welfare and employment) to support people to be in control of their care and support. The Act introduced a new emphasis on well being. The focus on prevention requires local authorities and their partners to prevent, reduce or delay the need for care and support for all local people. The Act has a focus on integration requiring local authorities to collaborate, cooperate and integrate with other public authorities, including health and housing.

The local authority is required to offer anybody, including carers, who appears to be in need of care and support, an assessment which is outcome focused. Although local authorities must apply a national eligibility threshold to determine whether an individual has eligible needs, the Act enables the local authority and our partners to have a wider focus on the whole population in need of care.