Contents

Contents tagged: social care

Dec. 12, 2016 Europe Publication

Person-centred care made simple

There are growing numbers of older people and people living with long-term conditions and disabilities. At the same time, health and social care budgets are under increasing pressure. If the high quality care that affords people the best possible quality of life needs to be provide, it needs to rethink the relationship between people and the services that provide their care. 

This guide seeks to provide a quick overview of person centred care. It is wirtten for anyone interested in health and health care, including health care professionals and those who use the NHS.

Dec. 12, 2016 Global Publication

Integrated care for patients and populations: Improving outcomes by working together

This report examines:

- The case for integrated care

- What current barriers to integrated care need to be overcome and how

- What the Department of Health can do to provide a supporting framework to enable integrated care to flourish

- Options for a practical and technical support to those implementing integrated care, including approaches to evaluatin its impact 

The report asserts that developing integrated care should assume the same priority over the nect decade as reducing waiting times had during the last. The report makes a constructive contribution to the debate about integrated care and will be of interest to policy-makers, health and social care commissioners, and researchers with an interest in integrated care, as well as to health and social care organisations. 

Oct. 27, 2016 Europe Publication

The integration of health and social care services

The Government is committed to the introduction of a single-tier health service, supported by universal health insurance (UHI). Under UHI, everyone will be insured for a standard package of primary and hospital care services, including mental health services. It is understood that primary and hospital care will be funded mainly via the UHI system and social care services and public health services will be funded by general taxation. While funded separately, these services will need to be delivered in an integrated manner around the needs of the person. This review considers the international evidence in relation to mechanisms and structures used to integrate health services (provided under UHI) and social care services.

May 25, 2016 Americas Publication

Integrating health care and housing to promote healthy aging.

In recent decades, the influence between health status and social conditions has been broadly studied; one of the conditions that has been strongly linked to health status has been housing.

Population ageing and the increase of chronic conditions are two of the drivers that have made that housing conditions become an important factor influencing health.

Many different proposals have been made regarding home care, most of them trying to take hospital care to patient’s home; in this post, some different aspects are discussed, mainly related to what Medicare could do in order to improve housing conditions and its influence in patient’s health: (I) increasing the emphasis on vulnerable population covered by Medicare’s Publicly Assisted Housing Programme, (II) tackling elderly falls as a main health problem and striving to reach the Health People 2020 goal of a 10 percent reduction in the rate of emergency-department visits due to ...

May 25, 2016 Western Pacific Publication

Consolidating the social health insurance schemes in China: towards an equitable and efficient health system

Fragmentation in social health insurance schemes is an important factor for inequitable access to health care and financial protection for people covered by different health insurance schemes in China. To fulfil its commitment of universal health coverage by 2020, the Chinese Government needs to prioritise addressing this issue. After analysing the situation of fragmentation, this Review summarises efforts to consolidate health insurance schemes both in China and internationally. Rural migrants, elderly people, and those with non-communicable diseases in China will greatly benefit from consolidation of the existing health insurance schemes with extended funding pools, thereby narrowing the disparities among health insurance schemes in fund level and benefit package. Political commitments, institutional innovations, and a feasible implementation plan are the major elements needed for success in consolidation. Achievement of universal health coverage in China needs systemic strategies including consolidation of the social health insurance schemes.

May 12, 2016 Global Publication

New primary care model yielding early results

Several ways of shaping primary care are being developed all around the world. Improving the role of nurses or giving general practitioners new competences are just a couple of ways of moving primary care towards a more comprehensive way of working.

In this post in the NHS Confederation Blog, some of the initiatives performed to change primary care are explained and some of the challenges that future primary care will face are listed.


One of the main points outstanded is the need of integrating care and workforce from different levels of health care. As it is said in this post “Patients will benefit from easy access to a single integrated, multidisciplinary team drawn from a wide range of health and social care professionals”

April 21, 2016 Europe Publication

Ten actions required to improve health, social care and well-being in Wales

Health and social care organizations from Wales joined in the Welsh NHS Confederation’s 2016 Challenge Policy Forum and the published  a document called “Ten actions required to improve health, social care and well-being in Wales", trying to establish their priorities in order to get a better system.

The ten priorities described are: long term vision, ensuring financing, planning workforce, person centred and integrated care, public health perspective, improve preventive measurements, creating a culture of honest and open communication with population, improving mental health support, ensuring equal access to health and social care and improving the use of technology.

March 16, 2016 Global Publication

Five principles behind the world’s most efficient health systems

Efficiency is said to be one of the main characteristics of sustainable health systems. In this article posted in Nuffield Trust’s Blog some of the key points that drive health systems towards efficiency are described: 1) integrated pharmacy, community and primary care; 2) hospitals as health systems; 3) standardize, simplify through IT, then shift the skill mix; 4) political courage, take social care seriously; 5) a dominant payer deliver a better health, care and value.


In this article, integrated care is mentioned not only as a health care issue, but also as a way of giving social care the importance it has. Israel health system is mentioned as an example of how integrated services could be a way to achieve efficiency in health care services.

Jan. 9, 2016 Europe Publication

Older people with social care needs and multiple long-term conditions

In November 2015, the National Institute for Health and Care Excellence (NICE) in the UK published a guideline on care and support for older people with social care needs and multiple long-term conditions. The guideline recommends that care should be integrated and person-centred, while at present “some people are still being treated as a collection of conditions or symptoms, rather than as a whole person”. NICE calls for a designated care coordinator who would serve as the older person’s first point of contact as well as communicate with all health and social care services, including those provided by non-governmental organizations. Moreover, care should be supported by community-based multidisciplinary teams, which might include “a community pharmacist, physiotherapist or occupational therapist, a mental health social worker or psychiatrist, and a community-based services liaison worker”. The guideline also calls for health and social care providers to support the person with respect in ...

Jan. 9, 2016 Europe Publication

Acute hospitals and integrated care

In March 2015, the King’s Fund published a report regarding the progress made by five acute hospital providers in England towards developing more integrated models of care. According to the report, becoming more closely integrated with primary care has proved a considerable challenge for these hospitals. This is partly due to the lack of alternatives to building relationships on a practice-by-practice basis. As the report explains, GP provider groups or federations “are still at an early stage of development in many areas of the country, and where they do exist it is not always clear that they are sufficiently cohesive to represent local practices and have leverage over them”. 

However, the report identifies a number of factors which facilitate the coordination between hospitals and primary care. These include strong clinical leadership in general practice; employing people with a primary care background at a senior level within the acute provider ...