A lack of integration between health and social care causes confusion for elderly moving between the services, the CQC has found.
The fragmented nature of health and social care services was a key theme found by the CQC in the third of its Government-commissioned reviews exploring how well local systems work together for the over 65s.
Professor Steve Field, Chief Inspector of General Practice and Integrated Care, who is the executive lead for the work, said: “From the six local systems we have reviewed in our report, we appreciate that many leaders are embracing and steering programmes of complex transformation already that are focused on improving integration and personalisation. Also, we have found staff who are passionately committed to providing the best possible experience of older people within their care.
“However, despite these good intentions, the ‘whole system approach’ that focuses on integrated and person-centred care is not being realised as best as it could. We have identified three themes that could act as a barrier to integration: how providers and commissioners work together; capacity, market supply and workforce issues; and, the need to look beyond delayed transfers of care in isolation to resolve the problems that local systems are facing.”
Six local system reviews covering Halton, Bracknell Forest, Stoke-on-Trent, Hartlepool, Manchester and Trafford have been published by the CQC.
A national report for the Secretaries of State for Health and for Communities and Local Government will be published in the summer.