![]() The ‘Triple Aim’ (referred to as the ‘duty to have regard to wider effect of decisions’ in the Bill) was one of the NHS’s legislative recommendations to government. These measures include establishing Integrated Care Boards ( ICBs) and Integrated Care Partnerships ( ICPs) (see factsheet on Integrated Care Boards and local health and care systems), removing barriers to joined-up working and promoting integration across healthcare, public health, and social care throughout England. ![]() The proposed integration measures in the Health and Care Bill will make this type of joint working easier, both within the health service and between the health service, social care and local government. However, sometimes the existing legislation can make this type of working more difficult than it should be by creating barriers between different bits of the health and care system. This alleviates pressure on GPs who do not need to spend time calling social care services or trying to organise other services in short appointments. Any problem set to impact on the health of the patient is then dealt with by the most appropriate member of the team, usually through a home visit. As well as discussing patients’ medical issues, they also bring in wider issues such as family problems, social care packages, equipment needed or lifestyle problems. Doctors, nurses, social care staff, physiotherapists and others discuss patients who are put on a rolling ‘virtual’ list each week if thought to be at risk of hospital admission. BackgroundĬOVID-19, and the experience of the system over the last few years, has demonstrated how important it is that health and care workers from different organisations are able to work together to deliver high quality care.įor example, in Dorset hundreds of older people living with frailty are being monitored through a ‘virtual ward’, which is helping to keep them out of hospital. This fact sheet explains how the government plans to promote integration across health and care and support joint working through Integrated Care Boards and Integrated Care Partnerships.
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