Integration is not a cure-all for health and care – look at Northern Ireland Health and social care have different cultures, values and funding systems, which cause difficulties when promoting community-based care
In 1965 the Seebohm committee was appointed to consider how best to shape social welfare. In the same year I qualified as a social worker. In the half-century since, there have been numerous attempts to secure better integration of services. Now the belated realisation that the scale of cuts in adult social care has contributed greatly to the pressures on the NHS has again directed attention to the boundaries between health and social care.
In this discussion there has been little examination of Northern Ireland, with its 45 years experience of an integrated system. There, integration has failed to address a reliance on hospitals and institutional care which is significantly greater than elsewhere in the UK. A model based on community-based services remains an aspiration. Continue reading... The Guardian
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In 1965 the Seebohm committee was appointed to consider how best to shape social welfare. In the same year I qualified as a social worker. In the half-century since, there have been numerous attempts to secure better integration of services. Now the belated realisation that the scale of cuts in adult social care has contributed greatly to the pressures on the NHS has again directed attention to the boundaries between health and social care.
In this discussion there has been little examination of Northern Ireland, with its 45 years experience of an integrated system. There, integration has failed to address a reliance on hospitals and institutional care which is significantly greater than elsewhere in the UK. A model based on community-based services remains an aspiration. Continue reading... The Guardian
See also:
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