Beyond barriers report calls for legislation to join-up care

The care regulator the Care Quality Commission has called for new powers to regulate for joint planning and reform, after an investigation found silo mentality working across health and social care.

In a new report, Beyond Barriers, the CQC calls for new powers to scrutinise local system performance, to regulate how people and organisations work together to support people to stay well.

it also calls for a new approach to system performance management – to measure how organisations collectively deliver improved outcomes for older people and joint workforce planning, to promote flexible and collaborative approaches to staff skills and career paths. It says: “An agreed joint plan, funded in the right way, should support older people in their own homes, help them in an emergency, and then to return home safely.” 

The report follows a review of local health and social care systems in 20 local authority areas, which looked at how well people were cared for and supported in a health crisis and on discharge from hospital.  Summary findings include:

Organisations intended to work together but mostly focused on their own goals, did not always share information or prioritise domiciliary services. 


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