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.
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
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
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
GIRFT recommendation
94match
Mental Health Rehabilitation
1.1 All mental health trusts, health commissioners and social care commissioners should work together to provide all aspects of rehabilitation services. They should develop and use a local rehabilitation data dashboard. Data should be used for improvement, not performance, using a QI approach. a Mental health trusts to work with their local IT team and Chief Clinical Information...
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
GIRFT recommendation
91match
Mental Health – Adult Crisis and Acute Care
Trusts need to develop and report robust ways for capturing interventions and outcomes for services that are heavily linked into partnership working (for example, psychiatric liaison offers a range of ways of working with acute hospitals over and above work in urgent and crisis care, older-adult services link into wider initiatives such as Ageing Well/frailty programmes, and crisis...
Matched on
terms: care, health
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
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
89match
Electronic patient record systems – electronic referrals for ongoing care
HSSIB recommends that NHS England/Department of Health and Social Care undertakes a rapid evaluation of advice and guidance processes, including as part of single point of access. This is in order to address the varying risks to patient safety created by the: resource and capacity limitations of integrated care boards and providers, and their ability to support implementation...
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
Barry Thraves
The report identifies significant delays in psychiatric follow-up appointments and a lack of planned community support, compounded by poor communication between mental health teams and other stakeholders. Insufficient information was provided to the patient and family regarding care teams and contact points.
Matched on
terms: care, health, poor
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
#105 - 1st Report - Cutting crime: better community sentences
Witnesses told us about the âmultiple and complex needsâ of âprolificâ offenders. 193 For instance, Rebecca Robson told us that âmental health problems are very common in what we call prolific offenders, together with poor experiences of the education system and the care systemâ; she also spoke of âpovertyâ and of âprolificâ offenders having no âsafety netâ among...
Matched on
terms: care, health, poor
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
NCEPOD recommendation
83match
Mental Healthcare in Young People and Young Adults
Matched on
terms: care, health
NCEPOD recommendation
83match
Transition From Child Into Adult Healthcare
Matched on
terms: care, health
NCEPOD recommendation
83match
Prison Healthcare
Matched on
terms: care, health
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
#138 - 1st Report - High Streets: Life beyond retail?
The relocation of NHS services requires partnership working and capital investment from the Government, which is not always straightforward. The previous Government’s Cavell Centre programme supported six pilot projects to build NHS centres designed to bring together health and social care services alongside GP practices and other services such as pharmacies and mental health support. In 2021 NHS...
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
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
Committee recommendation
78match
#29 - 4th Report - Homecare medicines services: an opportunity lost
Following the interim findings of the NHS England review, and by no later than April 2024, the Government should establish and fund an independent review into the homecare system. This review must not delay the enactment of those measures which we, and others, have identified. The review should consider: (a) The potential role of homecare as a pillar...
Matched on
terms: care, health
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
Charlotte Bevan and Zaani Malbrouck
The coroner noted a lack of evidence that multi-disciplinary team meetings are consistently held or that comprehensive, widely-circulated care plans are consistently developed for pregnant individuals with known mental health conditions.
Matched on
terms: care, health
PFD report
77match
Lee Swain
The coroner identified a lack of co-ordinated mental health service transfers between NHS Trusts, as removing a user from the Care Programme Approach led to GP-mediated referrals, delaying intervention and hindering 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
#87 - 1st Report - Cutting crime: better community sentences
Chief Probation Officer Kim Thornden-Edwards told us about âa new national partnership agreement on health and social careâ, agreed in February 2023. This new partnership, between the Ministry of Justice and the Department of Health and Social Care, âfunds some dedicated criminal justice-focused staff, who will work across police custody, courts, probation and prison to improve those treatment...
Matched on
terms: care, health, social
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
GIRFT recommendation
77match
Orthopaedic Surgery
There should be clearer identification of who is responsible for coordinating the discharge and continued care of the patient, to ensure there are no gaps in the rehabilitation - either by extending the ortho geriatrician role, or creating a new post that bridges acute and community health and social care.
Matched on
terms: care, health, social
GIRFT recommendation
77match
Hospital Dentistry
Trusts should work with general dental practitioners and the Community Dental Service (CDS) to provide joined-up and co-ordinated dental care for children and people with special care needs, identifying and breaking down traditional barriers between settings as envisioned by NHS Long Term Plan. a Develop a working group including Public Health England, NHS England, Health Education England, NHS...
Matched on
terms: care, health
IMB recommendation
77match
Bronzefield (2024)
How does NHS England plan to improve the integration of the healthcare services in Bronzefield? (6.1)
Matched on
terms: care, health, integration
LGO / SPSO decision
76match
21-013-224a - Lincolnshire Community Health Services (21 013 224a)
Summary: Mrs B complained about the health and social care support provided by the Council and the NHS Trust after she removed her late husband, Mr B, from a respite placement and took him home. She also complained about the way the former Clinical Commissioning Group (CCG and now Integrated Care Board) considered whether
Matched on
terms: care, health, social
LGO / SPSO decision
76match
22-009-742 - West Northamptonshire Council
Summary: Miss D complained about the lack of mental health and social care provided to her son, Mr B, when he was discharged from hospital. She said this led to a lack of joint working between the Council, the Trust and the Integrated Care Board (ICB). She said they did not make reasonable adjustments when communicating with Mr...
Matched on
terms: care, health, social
HSSIB recommendation
74match
Provision of care for children and young people when accessing specialist gender dysphoria services
It may be beneficial if local healthcare commissioners had up-to-date and easily accessible resources to identify all relevant services within a locality that could provide support to patients with gender identity concerns.
Matched on
terms: care, health
PPO recommendation
74match
The Head of Healthcare
The Head of Healthcare should ensure that there is a local process to maintain oversight of regional bed referrals and any required escalation.
Matched on
terms: care, health
NAO recommendation
74match
The adult social care market in England
The Department should: a) as a priority, set out a cross-government, long-term, funded vision for care. It should collaborate with the Ministry and local government in particular; factoring in sector and user perspectives, such as people with lived experience;
Matched on
terms: care, social
PFD report
73match
Philip Denning
The coroner identified fragmented service provision for patients with co-occurring substance misuse and mental health issues, with insufficient information sharing and joint working between providers. There is also a lack of understanding in primary care about accessing appropriate help.
Matched on
terms: care, health