Monday, September 17, 2012

[EQ] Transforming the delivery of health and social care - The case for fundamental change

Transforming the delivery of health and social care
The case for fundamental change

Chris Ham, Anna Dixon, Beatrice Brooke
The King’s Fund – September 2012 - London – UK

Available online PDF [61p.] at:

“……Fundamental change to the delivery system is needed, with greater emphasis on:

- preventing illness and tackling risk factors, such as obesity, to help people remain in good health
-  supporting people to live in their own homes and offering a wider range of housing options in the community
-  providing high standards of primary care in all practices to enable more services to be delivered in primary care, where appropriate
-  making more effective use of community health services and related social care, and ensuring these services are available 24/7 when needed
-  using acute hospitals and care homes only for those people who cannot be treated or cared for more appropriately in other settings
-  integrating care around the needs of people and populations….”

“……In our view, the future health and social care delivery system needs to:

- see patients and service users as part of the care team
- focus on the development of effective health and social care teams in which staff work flexibly and full use is made of the range of skills available
- provide care in the right place at the right time by reducing overreliance on hospitals and care homes
- use information and communication technologies to revolutionise patients’ and users’ experiences
- harness the potential of new medical technologies more effectively
- make intelligent use of data and information to empower patients and support professionals to deliver high-quality care….”






1 The drivers of change

Demographic changes

Health outcomes and life expectancy

The burden of disease and disability

Risk factors

Public and patient expectations

Medical advances

Financial and human resources


2 How well equipped is the current delivery system to respond to the drivers of change?

Population health and health outcomes

Primary care

Hospital care

Social care

Mental health

3 The health and social care system of the future

Enhancing the role of patients and users in the care team

Changing professional roles

Rethinking the location of care

Using new information and communication technologies

Harnessing the potential of new medical technologies

Making intelligent use of data and information

4 Making it happen

Sources of innovation

The challenge of innovation

The way forward




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