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Health reforms need major changes

Ingrid Torjesen

Monday, 23 May 2011

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The King’s Fund has called for significant changes to the government’s health reforms to enable the NHS to provide a ‘new model’ of care that meets the challenges of the future.

In its response to the government’s listening exercise on the Health and Social Care Bill, the King’s Fund says the NHS needs to deliver a new model of ‘integrated’ care, based on stronger collaboration between health professionals and more effective co-ordination of services.

The response draws on evidence from the NHS and the United States to argue that integrated care offers the best prospect of improving services for patients and addressing the key challenge facing the NHS - demographic change and the increasing number of people with long term conditions such as diabetes, asthma and dementia.

Professor Chris Ham (pictured), chief executive of the King’s Fund, says: “Integrated health care offers the best prospect of enabling the NHS to meet the challenges of the future. We welcome recent indications that this argument is being heard within government. But moving to an integrated health system requires more than a change in political rhetoric and a few tweaks to the Health Bill – it means making significant changes to health policy to ensure that integration is hard-wired throughout the NHS.”

The King’s Fund believes a number of significant changes to the Health and Social Care Bill and wider health policy are necessary to deliver integrated care:

  • The role of the new economic regulator, Monitor, should be re-defined to strike a better balance between promoting competition and collaboration within the health system.
  • All the main bodies involved in commissioning and providing health care should be under a duty to collaborate and required to work towards the goal of delivering integrated care.
  • GPs and specialists should work closely together to overcome historic divisions within the medical profession – to help encourage this, new GP consortia must involve a range of health professionals.
  • NHS payment systems should be reformed to encourage the delivery of high quality, co-ordinated care and avoid perverse incentives to increase hospital treatment, as is the case under the current system.
  • Regional-level leadership is needed to plan the delivery of specialist services such as cancer, cardiac and stroke care – this could be provided by new ‘clinical cabinets’ drawn from a wide range of clinicians.

Do you think funding should be allocated to enable GPs to work on site of A&E units? (See OnMedica News 16/07)

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