Poor health and social care integration
Lack of a fundamental shift towards collaborative, integrated system-wide change in health and social care.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Committee recommendation
100match
#3 - Fourteenth Report: Readying the NHS and social care for the COVID-19 peak
This pandemic has shown the tragic impact of delaying much needed social care reform, and instead treating the sector as the NHS’s poor relation. This Committee has highlighted the need for change in the social care sector for many years, particularly around the interface between health and social care. Despite the intentions of successive Governments, there have been...
Matched on
terms: care, health, poor, social
Committee recommendation
100match
#28 - Ensure alignment of Integrated Care Systems reforms with local government and adult social care
The Department for Health and Social Care must ensure that the ongoing reforms and cuts to Integrated Care Systems and Integrated Care Boards are aligned both with wider reorganisation of local government and with necessary reforms to the adult social care sector. (Recommendation, Paragraph 99)
Matched on
terms: care, health, social
HSSIB recommendation
100match
Mental health inpatient settings: overarching report of investigations directed by the Secretary of State for Health and Social...
HSSIB recommends that the Secretary of State for Health and Social Care directs and oversees the identification and development of a patient safety responsibilities and accountabilities strategy related to health and social care integration. This is to support the management of patient safety risks and issues that span integrated care systems.
Matched on
terms: care, health, integration, social
Committee recommendation
99match
#12 - Fourteenth Report: Readying the NHS and social care for the COVID-19 peak
This Committee has warned before that the Department lacked an effective overall strategy or plan to integrate health and care and that poor outcomes could arise as a result.29 As Care England told us, for too long “adult social care has been kicked into the long grass by governments of all stripes.”30 Despite numerous white papers, green papers,...
Matched on
terms: care, health, integration, poor
Committee recommendation
99match
#34 - Second Report - Long-term funding of adult social care
Integration strategies should seek to integrate not just health and care but health, care and housing. Ensuring there is holistic care that fits around a person’s needs includes preventing care needs from arising by having suitable housing, enabling people to live independently in their own homes, and ensuring that people receive the right care and support in the...
Matched on
terms: care, health, integration, social
HSSIB recommendation
99match
Healthcare provision in prisons: needs assessments and disability access
HSSIB recommends that HM Prison and Probation Service, in collaboration with the Department of Health and Social Care, formalises arrangements for alerting healthcare commissioners and providers to changes in prison populations likely to impact on healthcare provision requirements. This is to ensure that healthcare commissioners and providers can plan for changes to healthcare services that are necessary to...
Matched on
terms: care, health, social
HSSIB recommendation
99match
Mental health inpatient settings: Supporting safe care during transition from inpatient children and young people’s mental health services...
HSSIB recommends that the Department of Health and Social Care works across government to identify opportunities to support closer cooperation between local government, education and health systems for the safe and effective transition of young people into adulthood. This is to ensure alignment, equity of access, and clear responsibility and accountability for their health, education and social support...
Matched on
terms: care, health, social
Committee recommendation
98match
#1 - 1st Report – Health Bill 2026–27
In our Palliative Care report, we urged the government to reconsider its decision to remove local authority representation on ICBs. We remain convinced that removing their representation from ICBs is a damaging move that will undermine the government’s efforts to shift treatment into the community and deliver a more integrated health and care system. (Conclusion, Paragraph 7)
Matched on
terms: care, health, social
Committee recommendation
98match
#4 - Thirty-Fifth Report - Introducing Integrated Care Systems
These reforms do nothing to address the longstanding tension caused by differences in funding and accountability arrangements between the NHS and social care. The Department, which has policy responsibility for both health and social care, is showing a worrying lack of leadership, and it is not clear who will intervene if relationships between local partners break down. The...
Matched on
terms: care, health, social
HSSIB recommendation
98match
Harm caused by delays in transferring patients to the right place of care
HSIB recommends that the Department of Health and Social Care conduct an integrated review of the health and social care system to identify risks to patient safety spanning the system arising from challenges in constraints, demand, capacity and flow of patients in and out of hospital and implement any changes as necessary.
Matched on
terms: care, health, social
NAO recommendation
98match
Introducing Integrated Care Systems: joining up local services to improve health outcomes
a) DHSC and the Department for Levelling Up, Housing & Communities should, by April 2023, establish transparent arrangements across government and with wider stakeholders to tackle the drivers of poor health outcomes, including education, employment, benefits, and transport;
Matched on
terms: care, health, poor
Committee recommendation
95match
#33 - Second Report - Long-term funding of adult social care
We welcome the Joining up Care for People, Places and Populations White Paper and commend the Government for making the integration of health and social care a policy priority. We particularly welcome the Government’s ambitions around shared outcomes, workforce integration, and ensuring every citizen has a shared care record by 2024. However, we are concerned that inconsistent geographical...
Matched on
terms: care, health, integration, social
Committee recommendation
95match
#13 - DHSC acknowledges long-term healthcare shifts but prioritises immediate acute service pressures.
DHSC and NHSE told us that they were fully supportive of the new government’s aims to shift healthcare spending from treatment towards prevention, from hospitals to the community, and from analogue to digital. However, DHSC contended that these shifts would be hard to do and should take place only over the long term and not at the expense...
Matched on
terms: care, health
Committee recommendation
95match
#83 - Publish joint statutory guidance on safe delegation of healthcare responsibilities in schools and trusts.
The Department for Education and the Department of Health and Social Care should issue joint statutory guidance clarifying how and when healthcare responsibilities can safely be delegated in schools and multi- academy trusts. This should be produced in collaboration with school and multi-academy trust leaders and health and education unions and set out clear lines of accountability between...
Matched on
terms: care, health, social
PHSO recommendation
94match
Discharge from mental health care: making it safe and patient-centred
We note the Department of Health and Social Care's (DHSC) national statutory guidance on discharge from mental health settings. As it is implemented, DHSC and NHS England must engage with people and services to assess the impact the guidance has on them. In particular, they must make sure that Integrated Care Systems account for the different professionals that...
Matched on
terms: care, health, social
HSSIB recommendation
90match
Workforce and patient safety: electronic communications on patient discharge from acute hospitals
When exploring safety accountability, views varied as to whether individual providers or people were accountable, or the integrated care board (ICB). Stakeholders described that accountabilities needed to be clearly defined, with collaboration between providers to ensure processes – such as the creation and sending of discharge correspondence – support patient safety. It was also heard that traditional views...
Matched on
terms: care, health, integration, poor
Committee recommendation
90match
#84 - Appoint a dedicated national SEND lead within DHSC to drive health system accountability.
The Department of Health and Social Care must urgently appoint a dedicated national SEND lead to drive accountability and coordination across the health system. This role must be empowered and mandated to provide coherent strategic leadership on the delivery of health- related SEND duties, forge robust partnerships with education and 173 care sectors, and ensure that the needs...
Matched on
terms: care, health, social
HSSIB recommendation
90match
Insulin: supporting safe self-administration for patients in the community with a mental health problem
HSSIB recommends that NHS England/Department of Health and Social Care develops a strategy for improving collaboration between mental health teams and specialist diabetes services, that includes consideration of responsibilities for integrated working at national, regional and local levels. This is to support future integration of services that will benefit all patients with mental health and diabetes care needs,...
Matched on
terms: care, health, integration, social
HSSIB recommendation
90match
Investigation report: Mental health inpatient settings - out of area placements
HSSIB recommends that the Department of Health and Social Care works across government to review the statutory instruments, business processes and regulations that govern mental health services, social care and housing services impacting on mental health out of area placements and creates a proposal for the future accountability and integration of health and social care. This is to...
Matched on
terms: care, health, integration, social
LGO / SPSO decision
90match
18-006-752d - NHS West Yorkshire Health and Care Partnership Integrated Care Board (18 006 752d)
Summary: We found fault by the Council, Trust and ICB in terms of the care and support they provided to a man with complex needs. We recommend these organisations carry out a thorough reassessment of his needs and put in place a comprehensive care plan that sets out how they will meet these needs.
Matched on
terms: care, health, social
LGO / SPSO decision
90match
18-006-752c - NHS West Yorkshire Health and Care Partnership Integrated Care Board (18 006 752c)
Summary: We found fault by the Council, Trust and ICB in terms of the care and support they provided to a man with complex needs. We recommend these organisations carry out a thorough reassessment of his needs and put in place a comprehensive care plan that sets out how they will meet these needs.
Matched on
terms: care, health, social
HSSIB recommendation
87match
Healthcare provision in prisons: emergency care response — HSSIB
HSSIB recommends that the Association of Ambulance Chief Executives, in collaboration with HM Prison and Probation Service, sets up formal communication routes, at both national and regional levels, between prison and ambulance services to escalate concerns, review risks and improve systems for emergency care response and ensure continuous improvement of the service.
Matched on
terms: care, health
Committee recommendation
86match
#4 - 1st Report – Health Bill 2026–27
We recommend that the Health Bill be amended to require the Secretary of State to review the effective use of Section 75 of the NHS Act 2006, and to produce guidance to support NHS bodies and local authorities making use of section 75 arrangements to pool budgets and jointly commission health and social care services. (Recommendation, Paragraph 14)
Matched on
terms: care, health, social
Committee recommendation
86match
#3 - 1st Report – Health Bill 2026–27
We believe that this bill is a missed opportunity for the government to either reform and promote the use of section 75 arrangements, or to provide an alternative mechanism that it believes is more effective in addressing the challenges funding flows present to the integration of health and care service across NHS and local authority services. (Conclusion, Paragraph...
Matched on
terms: care, health, integration, social
Committee recommendation
86match
#2 - 1st Report – Health Bill 2026–27
We recommend that the statutory requirement for ICBs to have at least one member jointly nominated by local authorities be retained. (Recommendation, Paragraph 8)
Matched on
terms: care, health, social
HSSIB recommendation
86match
Workforce and patient safety: primary and community care co-ordination for people with long-term conditions
HSSIB recommends that the Department of Health and Social Care works with NHS England and other stakeholders, to develop a strategy that ensures that all diseases are given parity and that all people with a long-term condition in primary, secondary, tertiary and community or social care have their care effectively co-ordinated across multiple agencies. This is to ensure...
Matched on
terms: care, health, social
PFD report
85match
Margaret Conway
Systemic separation of mental and physical health services led to challenging patient transfers and fragmented care for individuals with co-occurring serious mental and physical health problems. Closer integration and shared resources are needed.
Matched on
terms: care, health, integration
Inquiry recommendation
85match
R101 - Whole-system commissioning with cross-agency risk assessment
Planning and commissioning services for people with learning disabilities and autistic people should be done as a single process across the whole system (including primary care, housing, benefits and independent and third sector providers of services). There must be a risk assessment that assesses how the impact of change in one part of the system impacts on another...
Matched on
terms: care, health, social
Committee recommendation
85match
#24 - Overall NHS productivity remains low despite increased elective activity and community investments.
Despite carrying out 15% more elective activity than before the pandemic, the NHS is less productive overall once the activities of mental health trusts, community trusts and GPs are considered.42 NHSE told us that, while government has had a long-term aim to shift more care and services into local communities, funding increases for these services had often been...
Matched on
terms: care, health, social
Committee recommendation
85match
#6 - Ensure greater NHSE funding for community services, preventing redirection to hospitals.
NHSE’s long-held ambition to move more care from hospitals to the community has stalled. There would have been more investment and progress in mental health and community services, particularly GP surgeries and dental services, in 2023–24 had NHSE not redirected funding to prop up the day-to-day spending of local NHS systems. Despite carrying out 15% more elective activity...
Matched on
terms: care, health, social
HSSIB recommendation
83match
Healthcare provision in prisons: continuity of care
Prisons and NHS trusts can improve patient safety by working together to ensure outpatient escort availability and the timing of hospital appointments is aligned to fit with the prisons’ and the trusts’ regimes. This will reduce the administrative burden and the number of appointments being made and cancelled because of different regimes.
Matched on
terms: care, health
Committee recommendation
82match
#41 - Women's health hub model shows promise but faces systemic challenges and risks unequal access.
The expansion of the women’s health hub model has the potential to be a positive step towards providing the joined-up care and commissioning needed to effectively support women experiencing reproductive health conditions. However, the women’s health hub model exists within a healthcare system which has significant commissioning, funding, workforce and expertise problems, particularly in the area of reproductive...
Matched on
terms: care, health
PFD report
81match
Mary James
Inadequate INR monitoring, uncertainty regarding Warfarin intake, and poor communication between healthcare providers led to unadjusted anticoagulation therapy for a dementia patient, missing a critical hospital admission opportunity.
Matched on
terms: care, health, poor
PFD report
81match
Barbara Ellis
A patient with cross-border care arrangements was unable to access therapeutic services because her healthcare was commissioned by one county and social care by another.
Matched on
terms: care, health, social
LGO / SPSO decision
81match
201809536 - Argyll and Bute Health and Social Care Partnership
Mr and Mrs C complained about the partnership's management of their adult son's care (Mr A). Mr A's care was managed by the partnership for a number of years. The partnership moved Mr A's care away from his family base when they came to the view that the level of support he required could not be provided at...
Matched on
terms: care, health, social
Committee recommendation
81match
#30 - 2nd Report - Transition to State Pension Age
We welcome the Minister’s recognition that the different parts of government—including DWP and the NHS—are ‘in this together.’ As we said in our Pensioner Poverty report, a whole system approach to prevention is needed if the government is to achieve its goal of building a health and social care system that is sustainable for future generations. (Conclusion, Paragraph...
Matched on
terms: care, health, social
Committee recommendation
81match
#48 - Third Report - Coronavirus: lessons learned to date
Planning for future pandemics should have a more developed and explicit consideration of the intense interaction between the NHS and social care. The prominence of social care within the Department of Health and Social Care should be enhanced and Ministers must address the relative lack of knowledge and experience of social care within the Department and senior levels...
Matched on
terms: care, health, social
Committee recommendation
81match
#48 - Sixth Report - Coronavirus: lessons learned to date
Planning for future pandemics should have a more developed and explicit consideration of the intense interaction between the NHS and social care. The prominence of social care within the Department of Health and Social Care should be enhanced and Ministers must address the relative lack of knowledge and experience of social care within the Department and senior levels...
Matched on
terms: care, health, social
HSSIB recommendation
81match
Insulin: supporting safe self-administration in vulnerable patient groups in the community
HSSIB recommends that NHS England/Department of Health and Social Care provides guidance to integrated care boards and community providers setting out expectations for service models that empower and support people to manage and administer insulin in community settings. This is to support recognition of models that have safely, effectively and equitably engaged patients, their families and carers, including...
Matched on
terms: care, health, social
HSSIB recommendation
81match
Insulin: supporting safe self-administration for patients in the community with a disability
HSSIB recommends that NHS England/Department of Health and Social Care provides guidance to integrated care boards and community providers setting out expectations for service models that empower and support people to manage and administer insulin in community settings. This is to support recognition of models that have safely, effectively and equitably engaged patients, their families and carers, including...
Matched on
terms: care, health, social
Inquiry recommendation
81match
BRIS-177 - NSF must provide strategic guidance for integrating children's healthcare services
There must be much greater integration of primary, community, acute and specialist healthcare for children. The NSF should include strategic guidance to health authorities and trusts so that services in the future are better integrated and organised around the needs of children and their families.
Matched on
terms: care, health, integration
Committee recommendation
78match
#2 - Inconsistent FGM survivor services and poor referral pathways create postcode lottery
Services for FGM survivors and access to them remains inconsistent across the UK. While some variation in access to services may be expected in line with local prevalence, there is a lack of effective referral pathways. This has created a postcode lottery that risks leaving women and girls without the essential support and care they need. (Conclusion, Paragraph...
Matched on
terms: care, poor
HSSIB recommendation
78match
Variations in the delivery of palliative care services to adults
Work with integrated care partnerships to account for capacity and resource in social care when planning palliative and end of life care services.
Matched on
terms: care, social
NAO recommendation
78match
Reforming adult social care in England
As it turns its attention to charging reform alongside system reform, DHSC should publish a long-term plan mapping its reform activity and the funding it will need to achieve its planned outcomes
Matched on
terms: care, social
PFD report
77match
Colin Williams
A client with complex health and social needs, exacerbated by alcoholism, experienced "agency blindness" and lacked consistent support due to fragmented services, funding changes, and administrative difficulties.
Matched on
terms: health, social
PFD report
77match
Jonathan Zucker
A lack of a lead clinician or systemic coordination between private and NHS mental health services resulted in fragmented patient care oversight.
Matched on
terms: care, health
PFD report
77match
Lee Swain
A lack of coordinated procedures for transferring mental health patients between NHS Trusts, exacerbated by exiting a Care Programme Approach, resulted in delayed intervention and ineffective information exchange.
Matched on
terms: care, health
PPO recommendation
77match
The Head of Healthcare (HMP Stafford)
The Head of Healthcare should review and improve communication methods for liaising with hospital consultants and clinics, and evidence changes in system management to NHS England commissioners.
Matched on
terms: care, health
Committee recommendation
77match
#14 - 1st Report – Employment support for disabled people: Connect to Work
In response to this report DWP should clearly outline indicative delivery and rollout arrangements for WorkWell. This should include referral readiness and the point at which full delivery is expected in each Integrated Care Board (ICB), as well as how information will be shared between relevant partners, including local authorities, Jobcentre Plus and health services. This would improve...
Matched on
terms: care, health
Committee recommendation
77match
#18 - 5th Report - Ageing prison population
Prisons, local authorities, and health and care providers do not always work together effectively to ensure continuity of older prisoners’ health and social care. This can have a detrimental impact on an individual’s health and their efforts to re-integrate into society. The development of the new RECONNECT service is welcome, but we recommend that the Government implement further...
Matched on
terms: care, health, integration, social