An independent commission is calling for a radical overhaul in the way health and social care are organised. It is proposing a new approach that redesigns care around individual needs.
In 2013, the King’s Fund established the Commission on the Future of Health and Social Care in England (chaired by Dame Kate Barker), to explore what a new ‘settlement for health and social care’ might entail. The Commission’s interim report set out a case for a new settlement in response to the huge pressures facing the NHS and social care at a time of growing demands and constrained resources.1
According to the Commission, these pressures – together with the complex demands of an ageing population – require an approach that goes beyond ‘patching up’ existing services and making the changes set out in the Dilnot report (which proposed a social care cap). Instead, the Commission called for a fundamental re- think of how health and social care is funded and delivered, in order to create a system that is ‘fit for the future’.
Problems highlighted Published in April 2014, the interim report identified three problems in the current arrangements:
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