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Hunt reveals £5bn investment to keep patients out of hospital

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At least 18,000 social workers, therapists and health professionals will provide help for patients in or near home across England, under a £5.3bn push to slash unnecessary hospital visits and stays being hailed by health secretary Jeremy Hunt.

An additional £1.5bn of local health cash has now been committed to the government’s Better Care Fund as part of efforts to better co-ordinate health and social care provision.

The Department of Health hopes the push will see 101,000 fewer “delayed discharges”, 163,000 fewer stays in accident and emergency and 2,000 elderly people helped to stay in their own homes rather than going into care, potentially saving the cash-strapped NHS many hundreds of millions of pounds.

“Too many families experience being passed from pillar to post”

Jeremy Hunt

Approval has now been given to 97% of proposals drawn up jointly by local councils and NHS bodies for using the fund, with five areas given continued help to get them ready for when the funding becomes available in April.

They include moves to seven-day-a-week care services to deal with the issue of people being forced to wait until Monday to leave hospital, joint assessments, better information sharing and attaching a specific worker to each case.

Mr Hunt said: “For years, successive governments and NHS leaders have talked about joining up our health and care services so people get better care at the right time and in the right place.

“The time for talk is over - our plans will make this vision a reality for patients and help deliver a sustainable future for the NHS,” he said.

“Too many families experience being passed from pillar to post, between the NHS and their council, endlessly repeating their stories along the way,” he added.

“By breaking down barriers within the system, these plans will allow staff to work together to prevent people from becoming ill in the first place, meaning our hospitals can focus on treating the patients who really need to be there,” said Mr Hunt.

“This approach will transform the lives of the most vulnerable”

Danny Alexander

Chief secretary to the Treasury Danny Alexander, who announced the fund last year, said: “It’s great to see the hard work and additional investment which has been put into this vision and the real changes it will mean for older and disabled people.

“Even in its first year, this approach will transform the lives of the most vulnerable by reducing stays in A&E, cutting unnecessary days spent in hospital and supporting people to live independently - and it will save money which can be reinvested in the NHS and social care.”

Danny Alexander

Danny Alexander

Shadow minister for care and older people Liz Kendall said: “Patients and taxpayers urgently need more joined-up services that help keep people healthy and living at home, rather than ending up in hospital.

“The government’s Better Care Fund is depressingly unambitious,” she said. “It only brings together around four percent of the total we spend on the NHS and social care.

“The government should have focused on integrating frontline services from day one, but instead they forced through a backroom reorganisation that’s wasted £3bn, fragmented the NHS and made integration harder to achieve,” she said.

Liz Kendall

Liz Kendall

“With our care services in crisis, we need far bigger and bolder plans for reform. Labour will ensure the full integration of the NHS and social care, underpinned by our £2.5bn a year transformation fund which will help kick start the changes we need to ensure our care services are fit for the future,” added Ms Kendall.

 

 

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Readers' comments (2)

  • It is all "Smoke and Mirrors"!

    There is NO new money.

    Detail in the link

    http://www.england.nhs.uk/wp-content/uploads/2013/10/ITF-BM-LGA-ltr.pdf

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  • Absolutely. Its not new money therefore its wrong of Danny Alexander to say he is excited about the "new investment." Do these politicians think that talking this up in excited voices will convince people its something new? Hunt is fantasising when he talks of all the additional staff. Who are they? If its just moving around existing money then how can it mean additional staff? Maybe they will be given new job descriptions, or experienced staff will be laid off to make way for less skilled lower paid workers. Where is the money for the extra GPs, social workers, district nurses and skilled care workers that will be needed? Hunt pretends it will save money, ignoring the lack of evidence that care in the community prevents hospital admissions. And one of the reasons for delayed discharges is the age it takes to do the complex banding tests to work out who should pay what bit of a person's care - the NHS, the local authority or the patient themselves. its only when personal social care becomes free that real joined up health and social care will be possible, and this will have the added value of reducing all the bureaucracy around eligibility testing and banding.

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