A guest blog from Professor Stephen Powis, NHS England Medical Director, on the innovative ways the NHS is adapting to an ageing society and more people living with multiple and long-term conditions.
The creation of the National Health Service seven decades ago was indisputably one of the greatest social advances of the last century.
For the first time in our history, it replaced public fears about the affordability of healthcare with a service based on equity.
The Prime Minister Theresa May was absolutely right to commit last week to increased long-term funding.
The NHS’s biggest task this century must be to adapt to profound shifts in the patterns of ill-health.
Continue reading “A renewed NHS will help tackle the health needs of today”
Meet 77 year old Robert.
Living in Thornton Heath, he was never apart from his wife of 45 years who he was caring for as she had cancer.
However, that was all about to change.
Continue reading “Age UK’s Personalised Integrated Care Programme is helping older people regain their independence”
Integrated care is one of the most important concepts in healthcare today.
For those unfamiliar, integrated care is a way of coordinating bodies from across health and social care to deliver truly personalised care for individuals. It moves the system away from an ‘episodic,’ fragmented care model to one that’s more continuous and seamless.
At Age UK, our Personalised Integrated Care Programme continues to expand and our interim evaluation results show it going from strength to strength.
Continue reading “Age UK’s Personalised Integrated Care Programme: where are we now?”
The need for integration in healthcare is very important and growing all the time.
Startling recent statistics show there are 2.6 million older people who live with multiple long term health conditions like diabetes, dementia and heart conditions. What’s more, over 65’s represent 60% of all hospital admissions, have longer average hospital stays than other age groups and are more likely to be readmitted within 28 days in an emergency.
It is against this backdrop that Age UK is expanding its Integrated Care Programme.
Our aim is to reduce the number of people with long-term conditions going into hospital through unplanned admissions, improve their health and wellbeing and ultimately deliver transformation to the whole system. Continue reading “Age UK’s Integrated Care Programme is making a difference”
Yesterday the Barker Commission published its report on the future of the NHS and social care. Established by the Kings Fund, the Commission was led by Dame Kate Barker, a renowned economist.
Continue reading “Barker Commission ‘lights the blue touch paper’ over paying for better health and care”
Older people featured rather significantly in the public spending review to 2015/16. The Chancellor talked quite forcefully about the need to address the problems in social care, and in his consideration of welfare spending, he firmly identified state pensions as remaining outside his proposed new ‘cap’.
The landscape for the next Government is coming into view, but what does it mean for older people beyond the rhetoric? By 2016, of course, we should be implementing the legislation currently being debated in Parliament and have in place a new single tier state pension and a new social care regime – funded in part by the ideas proposed by Andrew Dilnot. The spending plans suggest that more money will be diverted from NHS budgets into programmes jointly commissioned with social care. If this means more integrated care and a more ‘whole person’ approach, it will be welcome. But before we get there, local government will have taken another severe cut in its budget, and there is speculation that social care support may be prioritised only for those with critical needs. This means we will remain far away from the ambition to provide the appropriate care which promotes independence and prevents people from becoming substantially or critically in need of care. Continue reading “Spending Review 2013”
This blog was contributed by Dr Nick Goodwin a speaker at Age UK’s annual For Later Life conference. Nick is CEO of the International Foundation for Integrated Care and a Senior Fellow at The King’s Fund, London where he leads their programme of research and analysis for improving and integrating care for older people and those with long-term conditions.
When my elderly father was in hospital recently his experience of an uncoordinated, chaotic and impersonal service was both dispiriting and disturbing to both him and his family. Whilst clinical decision-making was good, and as a result his physical health returned through the miracles of blood transfusions and intravenous antibiotics, the experience undoubtedly took a large piece out of his mental wellbeing and future self-confidence.
The underlying problem was a lack of care co-ordination. The lack of information sharing on diagnosis, procedures, results and next steps led to worried waits about the seriousness of his condition and what, as a family, we needed to put in place for home care support. Different and conflicting advice and feedback from doctors and nurses was unhelpful. The lack of communication between wards, and between nurses on the wards, meant that his medication regime for Parkinson’s was often ignored despite constant reminders. No help was given to support discharge, and no plan put in place. Continue reading “Guest blog – Mad as hell: Older people must demand a better care experience”