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Integrated health and social care in England – Progress and prospects

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  • Humphries, Richard

Abstract

This paper reviews recent policy initiatives in England to achieve the closer integration of health and social care. This has been a policy goal of successive UK governments for over 40 years but overall progress has been patchy and limited. The coalition government has a new national framework for integrated care and variety of new policy initiatives including the ‘pioneer’ programme, the introduction of a new pooled budget – the ‘Better Care Fund’ – and a new programme of personal commissioning. Further change is likely as the NHS begins to develop new models of care delivery. There are significant tensions between these very different policy levers and styles of implementation. It is too early to assess their combined impact. Expectations that integration will achieve substantial financial savings are not supported by evidence. Local effort alone will be insufficient to overcome the fundamental differences in entitlement, funding and delivery between the NHS and the social care system.

Suggested Citation

  • Humphries, Richard, 2015. "Integrated health and social care in England – Progress and prospects," Health Policy, Elsevier, vol. 119(7), pages 856-859.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:7:p:856-859
    DOI: 10.1016/j.healthpol.2015.04.010
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    Citations

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    Cited by:

    1. Moss, Charlie & Anselmi, Laura & Morciano, Marcello & Munford, Luke & Stokes, Jonathan & Sutton, Matt, 2023. "Analysing changes to the flow of public funding within local health and care systems: An adaptation of the System of Health Accounts framework to a local health system in England," Health Policy, Elsevier, vol. 137(C).
    2. Exworthy, Mark & Powell, Martin & Glasby, Jon, 2017. "The governance of integrated health and social care in England since 2010: great expectations not met once again?," Health Policy, Elsevier, vol. 121(11), pages 1124-1130.
    3. Daniel Rippon & Andrew McDonnell & Michael Smith & Michael McCreadie & Mark Wetherell, 2020. "A grounded theory study on work related stress in professionals who provide health & social care for people who exhibit behaviours that challenge," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-23, February.
    4. Qian Sun & Mary Loveday & Saw Nwe & Nike Morris & Emily Boxall, 2023. "Green Social Prescribing in Practice: A Case Study of Walsall, UK," IJERPH, MDPI, vol. 20(17), pages 1-20, September.
    5. Kendrick, Hannah & Mackenzie, Ewan, 2023. "Austerity and the shaping of the ‘waste watching’ health professional: A governmentality perspective on integrated care policy," LSE Research Online Documents on Economics 120265, London School of Economics and Political Science, LSE Library.
    6. Lalani, Mirza & Bussu, Sonia & Marshall, Martin, 2020. "Understanding integrated care at the frontline using organisational learning theory: A participatory evaluation of multi-professional teams in East London," Social Science & Medicine, Elsevier, vol. 262(C).
    7. Li, Yan, 2022. "Social care for disabled elderly women in urban China: The roles of the community," Social Science & Medicine, Elsevier, vol. 314(C).
    8. Duminy, Lize & Ress, Vanessa & Wild, Eva-Maria, 2022. "Complex community health and social care interventions – Which features lead to reductions in hospitalizations for ambulatory care sensitive conditions? A systematic literature review," Health Policy, Elsevier, vol. 126(12), pages 1206-1225.

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