Regime social pacs

As a result there is now quite wide consensus on the direction we will be taking.Better results, better care, a better experience for patients and significant savings.They have also shown early promise in reducing emergency admissions.And just as GPs and hospitals tend to be rigidly demarcated, so too are social care and mental health services even though people increasingly need all three.Over the next five years and beyond the NHS will increasingly need to dissolve these traditional boundaries.In Airedale, nursing and residential homes are linked by secure video to the hospital allowing consultations with nurses and consultants both in 17 and out of normal hours – for everything from cuts and bumps to diabetes management to the onset of confusion.The strategic plans developed by local areas show that in some places the future is already emerging.This “social prescribing service” has cut the need for visits to accident and emergency, out-patient appointments and hospital admissions.For example: In Kent, 20 GPs and almost 150 staff operate from three modern sites providing many of the tests, investigations, minor injuries and minor surgery usually provided in hospital.In London, integrated care pioneers that combine NHS, GP and social care services have improved services for patients, with fewer people moving permanently into nursing care homes.In recent years parts of the NHS have begun doing elements of this.Greenwich has saved nearly £1m for the local authority and over 5% of community health expenditure.The traditional divide between primary care, community services, and hospitals – largely unaltered since the birth of the NHS – is increasingly a barrier to the personalised and coordinated health services patients need.They also deliver better value for money; some may even cut costs.

They are pieces of the jigsaw that will make up a better NHS.