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The new health and care landscape

Kate Woodhead RGN DMS discusses the Health and Care Bill and what it will mean in terms of healthcare delivery – from integration of care systems to new ways of working.

The Health and Care Bill is on its way through the parliamentary process, very quietly. It will, if enacted, change the face of the NHS organisations we work for quite fundamentally. The integrated care systems emerged from the sustainability and transformation partnerships and are thus designed from the bottom-up, rather than the other model of top-down imposition. Does this mean they are better? We shall have to see...Essentially, the Bill as proposed, has removed the element of competition between providers and the key words, which relate to this brave new world, are ‘collaboration’ and ‘integration’.

The opportunity for development of the system was seen clearly during the pandemic, when local organisations worked effectively together across boundaries to deliver what the population and the emergency needed. In the cool light of day, can we rely on those collaborations to deliver what is promised and necessary? Health and Social Care are complicated and the years of competition between organisations have led to very individualistic attitudes to other providers, which may take some time to change. 

The culture in healthcare is very much people based; an essential element is having relationships with others in order to effect an action, which may be slightly outside the ‘norm’. As demonstrated also during the pandemic, that there was no relationship between healthcare organisations and care homes, so rather than discussion taking place as to the possibility of patients with COVID-19 being discharged from acute care, and appropriate solutions being found, patients were discharged in the panic and a devastating situation ensued. 

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Upcoming Events

AfPP Annual Conference 2022

University of York
8-11 September 2022

Infection 360: What's trending in infection prevention & control

Edgbaston Stadium, Birmingham
27-28 September 2022

IP2022 IS COMING TO BOURNEMOUTH IN OCTOBER 2022

Bournemouth
17-19 October 2022

UKHCA Conference: Listen Up

Pendulum Hotel and Manchester Conference Centre, Manchester
3rd November 2022

MEDICA 2022

Dusseldorf Germany
14th November - 17th November

Future Surgery 2022

ExCel, London
15th - 16th November 2022

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

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