{"id":36028,"date":"2022-02-17T09:08:48","date_gmt":"2022-02-17T09:08:48","guid":{"rendered":"https:\/\/www.bhta.com\/?p=36028"},"modified":"2023-10-20T13:18:08","modified_gmt":"2023-10-20T12:18:08","slug":"dhsc-white-paper-on-health-social-care-integration-several-ideas-in-search-of-money-staff","status":"publish","type":"post","link":"https:\/\/www.bhta.com\/dhsc-white-paper-on-health-social-care-integration-several-ideas-in-search-of-money-staff\/","title":{"rendered":"DHSC White Paper on Health &#038; Social Care Integration \u2013 Several Ideas in Search of Money &#038; Staff"},"content":{"rendered":"\n<div class=\"wp-block-cover aligncenter is-light has-custom-content-position is-position-center-left\" style=\"min-height:557px\"><span aria-hidden=\"true\" class=\"has-background-dim-20 wp-block-cover__gradient-background has-background-dim\"><\/span><img decoding=\"async\" loading=\"lazy\" width=\"1000\" height=\"667\" class=\"wp-block-cover__image-background wp-image-36120\" alt=\"\" src=\"https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website.jpg\" data-object-fit=\"cover\" srcset=\"https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website.jpg 1000w, https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website-300x200.jpg 300w, https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website-768x512.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<h3 class=\"has-white-color has-text-color has-background wp-block-heading\" style=\"background-color:#273375;font-size:25px\">BHTA responds to the latest government white paper on health and social care integration<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\"><\/div>\n<\/div><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>[Feb, 2022. London, UK] <\/strong>On the 9th Feb 2022, the Department of Health &amp; Social Care (DHSC) published a white paper, <a href=\"https:\/\/www.gov.uk\/government\/publications\/health-and-social-care-integration-joining-up-care-for-people-places-and-populations\">Health &amp; Social Care Integration \u2013 Joining Up Care for People, Places and Populations<\/a> that \u201csets out measures to make integrated health and social care a universal reality for everyone across England, regardless of their condition and of where they live.\u201d&nbsp;<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>The paper seeks to put more meat on the bones of the Government\u2019s 10-year vision for adult social care, <a href=\"https:\/\/www.gov.uk\/government\/publications\/people-at-the-heart-of-care-adult-social-care-reform-white-paper\">People at the Heart of Care<\/a> (01-Dec-21), &nbsp;which provided the first look at health &amp; social care proposals that will be funded by the \u00a31.8bn-per-year increase earmarked for social care from the imminent (01-Apr-22) 1.25% rise in NIC levy (\u00a35.4bn total over three years).<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>We welcome several of the aims set out in the white paper, including:<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul style=\"font-size:16.1px\"><li>Plans for <strong>data sharing<\/strong> (Section 4) across the NHS and local authorities so that service-delivery is faster, less fragmented, and frees patients from having to repeat the same information to multiple caregivers (with a goal to have digital, shared care records for all by 2024; this is especially important for those suffering from complex and\/or multiple diseases and disorders).&nbsp; Past NHS IT and data projects, however, have almost always proven more complex, expensive, and disruptive than anticipated and we support the <a href=\"http:\/\/www2.parliamentonline.co.uk\/showpress.php?id=\/db\/slackwire\/PRESS_6203fde5da807.xml\">call from the Alzheimer\u2019s Society<\/a> to ensure that plans in this area do not interfere with the urgent need for critical, non-emergency services to return to normal.<\/li><\/ul>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul style=\"font-size:16.1px\"><li>A focus on <strong>outcomes not outputs<\/strong> (Section 2) for organisations across health and social care, with implementation of shared outcomes to begin from April 2023.&nbsp; There are already encouraging examples of as-was Clinical Commissioning Groups (CCGs)\/emerging Integrated Care Systems (ICSs) working toward shared goals, designed with citizen-input and grounded in the needs of local populations.&nbsp; We support these consultative and locally-driven approaches, which have long been <a href=\"https:\/\/www.nhsconfed.org\/publications\/integration-white-paper-what-you-need-know\">called for by the NHS Confederation<\/a> and others.<\/li><\/ul>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>We\u2019re less sanguine about plans for <strong>single-local-leader accountability<\/strong> for delivery of shared outcomes at the \u201cplace\u201d level within ICSs, and goals to \u201cencourage\u201d NHS and local authorities to do more to align and <strong>pool budgets<\/strong> (Section 3).&nbsp; Both of these ambitions are highly susceptible to a weakness highlighted in the white paper \u2013 past \u201c[over]reliance on relationships and \u2018soft\u2019 levers, [which] can work well in areas where there are strong relationships, but are vulnerable to changes in leadership,\u201d and are not back-stopped by structural accountabilities (p. 26).&nbsp; No alternatives or augmentations to address these vulnerabilities (<a href=\"https:\/\/nhsproviders.org\/media\/693070\/nhs-providers-next-day-briefing-integration-white-paper-final.pdf\">outlined cogently by NHS Providers<\/a>) are suggested \u2013 and, <a href=\"https:\/\/www.health.org.uk\/news-and-comment\/news\/better-integration-between-services-makes-sense-but-is-no-replacement-for-properly-funding-them\">as the Health Foundation points out<\/a>, \u201cbetter integration between services is no replacement for properly funding them; the social care system in England is on its knees and central government funding over the coming years is barely enough to meet growing demand, let alone expand and improve the system.\u201d<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Most concerning of all, however, is the lack of detailed attention to the <strong>health and social care workforce<\/strong> (Section 5).&nbsp; There is a welcome show of support for training and development of staff (in social care), but no consideration of the broader panoply of workforce issues (vast vacancies, difficulty in recruiting\/retaining staff, lack of incentives to choose health and social care as profession), as illustrated by a chorus of responses to the white paper:<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul style=\"font-size:16.1px\"><li><em>\u201cWelcome steps [. . .] but none of this is possible without the workforce to provide that care.\u201d<\/em> (<a href=\"https:\/\/www.rcplondon.ac.uk\/news\/rcp-responds-integration-white-paper\">Royal College of Physicians<\/a>)<\/li><\/ul>\n\n\n\n<div style=\"height:23px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul style=\"font-size:16.1px\"><li><em>\u201cThere was no mention of a national workforce plan [. . .] and integration must encompass and involve the whole of the social care sector from local authority commissioners, through to voluntary and&nbsp; small and medium enterprise (SME) providers of care.\u201d<\/em> (<a href=\"https:\/\/www.skillsforcare.org.uk\/news-and-events\/news\/skills-for-care-response-to-integration-white-paper-joining-up-care-for-people-places-and-populations\">Skills for Care<\/a>)<\/li><\/ul>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul style=\"font-size:16.1px\"><li><em>\u201cMore integration is little good if there aren\u2019t enough staff to deliver services \u2013 staffing shortages in health and social care are chronic, yet Government has no long-term plan to address them.\u201d<\/em> (<a href=\"https:\/\/www.health.org.uk\/news-and-comment\/news\/better-integration-between-services-makes-sense-but-is-no-replacement-for-properly-funding-them\">The Health Foundation<\/a>)<\/li><\/ul>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Many would point out that integrating health and social care \u2013 both as a large-scale ambition and as an actual, on-the-ground occurrence in certain parts of the UK \u2013 is not new.&nbsp; And, indeed, the paper is shot through with examples of successful integration projects and programmes already underway.&nbsp; The rest of the paper sets out some admirable ambitions to promote closer integration of health and care, and rightly acknowledges that there is no single, one-size-fits-all approach.&nbsp; But again, as BHTA highlighted in <a href=\"https:\/\/www.bhta.com\/the-social-care-journey-have-you-reached-your-destination\/\">our comment on the Government\u2019s 10-year vision for adult social care<\/a>, if the goal is to join up care across people, places and populations, a detailed, actionable plan is required \u2013 and this paper is still more \u201cjourney-planner\u201d than an actual plan.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>On this point we echo <a href=\"https:\/\/www.nhsconfed.org\/publications\/integration-white-paper-what-you-need-know\">the sentiments of the NHS Confederation<\/a>: <em>\u201c<\/em>This is the latest in a long line of white papers over recent decades that have tried to better integrate services [and] the critical question, therefore, is \u2018What will this white paper enable which cannot already be done?\u2019&nbsp; The answer to this appears to be \u2018very little\u2019.\u201d<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-align-center\"> <strong>*** ENDS ***<\/strong> <\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group has-background is-layout-flow wp-block-group-is-layout-flow\" style=\"background-color:#edf3f5\"><div class=\"wp-block-group__inner-container\">\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-text-align-center has-text-color wp-block-heading\" style=\"color:#273375\">Getting to grips with Integrated Care Systems (ICSs)<\/h2>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\">\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:85%\">\n<p class=\"has-text-color\" style=\"color:#273375\">Government white papers, announcements, and consultations increasingly refer to Integrated Care Systems (ICSs) and their component parts \u2013 Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs) \u2013 which are set to replace Clinical Commissioning Groups (CCGs) in the Government\u2019s reorganisation of the health and care system.&nbsp;BHTA has produced a guide to these groups and changes, including the Government\u2019s most recent guidance (dated 15-Sep-21).<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link has-text-color has-background\" href=\"https:\/\/www.bhta.com\/a-guide-to-integrated-care-systems-icss-definitions-and-background\/\" style=\"background-color:#273375;color:#edf3f5\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Read the BHTA Guide to ICSs<\/strong><\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\">\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-background is-style-wide\" style=\"background-color:#dce0e4;color:#dce0e4\"\/>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-11 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:300px\">\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.bhta.com\/wp-content\/uploads\/2021\/11\/William-Lee-Roundel.png\" alt=\"BHTA Policy and Parliamentary Executive William Lee\" class=\"wp-image-35565\" width=\"194\" height=\"194\" srcset=\"https:\/\/www.bhta.com\/wp-content\/uploads\/2021\/11\/William-Lee-Roundel.png 200w, https:\/\/www.bhta.com\/wp-content\/uploads\/2021\/11\/William-Lee-Roundel-150x150.png 150w\" sizes=\"(max-width: 194px) 100vw, 194px\" \/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>William Lee, Head of Policy and Compliance at the British Healthcare Trades Association<\/p>\n\n\n\n<p><em><em>With over 25 years of policy and advocacy experience, William Lee has spent much of his working life championing the needs of vulnerable communities at US &amp; UK NGOs and governments. He is responsible for the research, development and dissemination of policy, strategy, parliamentary and technical information to BHTA members, and supports with the association\u2019s important stakeholder engagement.<\/em><\/em><\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-background is-style-wide\" style=\"background-color:#dce0e4;color:#dce0e4\"\/>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Notes for editors<\/h4>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>About the BHTA<\/strong>: Representing over 400 companies in the healthcare and assistive technology industry, the British Healthcare Trades Association (BHTA) brings the industry together to help shape and improve the health and care of the nation. All BHTA members are committed to adhering to the Association\u2019s Code of Practice &#8211; the only code in the industry approved by The Chartered Trading Standards Institute. <a href=\"https:\/\/www.bhta.com\/what-we-do\/\">https:\/\/www.bhta.com\/what-we-do\/<\/a><\/p>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><a href=\"https:\/\/www.bhta.com\">www.bhta.com<\/a><\/p>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>About the CTSI<\/strong>: The BHTA Code of Practice &#8211; the first for consumers in the healthcare industry \u2013 is approved under the Chartered Trading Standards Institute (CTSI)\u2019s <a href=\"http:\/\/www.tradingstandards.uk\/advice\/ConsumerCodes.cfm\">Consumer Codes Approval Scheme<\/a>, ensuring all BHTA member companies trade ethically and professionally.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-background\" style=\"background-color:#e1edf3;color:#e1edf3\"\/>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">For more information<\/h4>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Contact email:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <a href=\"mailto:marketing@bhta.com\">marketing@bhta.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>[Feb, 2022. London, UK] On the 9th Feb 2022, the Department of Health &amp; Social Care (DHSC) published a white<\/p>\n","protected":false},"author":449,"featured_media":36120,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","ub_ctt_via":"","_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[215,303],"tags":[],"acf":[],"featured_image_src":"https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website.jpg","author_info":{"display_name":"Samantha Lewis","author_link":"https:\/\/www.bhta.com\/author\/samlewis\/"},"modified_by":"Samantha Lewis","uagb_featured_image_src":{"full":["https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website.jpg",1000,667,false],"thumbnail":["https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website-150x150.jpg",150,150,true],"medium":["https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website-300x200.jpg",300,200,true],"medium_large":["https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website-768x512.jpg",768,512,true],"large":["https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website.jpg",1000,667,false],"1536x1536":["https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website.jpg",1000,667,false],"2048x2048":["https:\/\/www.bhta.com\/wp-content\/uploads\/2022\/02\/nurse-pushing-wheelchair_website.jpg",1000,667,false]},"uagb_author_info":{"display_name":"Samantha Lewis","author_link":"https:\/\/www.bhta.com\/author\/samlewis\/"},"uagb_comment_info":0,"uagb_excerpt":"[Feb, 2022. London, UK] On the 9th Feb 2022, the Department of Health &amp; Social Care (DHSC) published a white","_links":{"self":[{"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/posts\/36028"}],"collection":[{"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/users\/449"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/comments?post=36028"}],"version-history":[{"count":23,"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/posts\/36028\/revisions"}],"predecessor-version":[{"id":37595,"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/posts\/36028\/revisions\/37595"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/media\/36120"}],"wp:attachment":[{"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/media?parent=36028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/categories?post=36028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bhta.com\/wp-json\/wp\/v2\/tags?post=36028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}