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Integration this time?: liberating the NHS and the role of local government
- Author:
- WISTOW Gerald
- Publisher:
- Local Government Association
- Publication year:
- 2011
- Pagination:
- 24p., bibliog.
- Place of publication:
- London
Drawing on a historical overview of the arrangements and experiences of joint working between local government and the NHS since the foundation of the NHS in 1948, this discussion paper asks whether government policy for new arrangements for integration set out in the Health and Social Care Bill 2011 will be more successful than previous ones. The overview generates ten ‘principles of integration’ which are then used as a framework for analysing the relevant provisions of the government’s current proposals. The results demonstrate a relatively good fit between the principles and proposals. The risks to the successful application of the emerging framework which arise from the implementation of the wider arrangements for commissioning and accountability in the NHS are then discussed.
A step in the right direction
- Author:
- WISTOW Gerald
- Journal article citation:
- Managing Care, January 1999, pp.6-7.
Looks at how the social services White Paper suggests a new relationship between central and local government, and is designed to reinforce public confidence.
Quality and research: the policy and legislative context
- Author:
- WISTOW Gerald
- Journal article citation:
- Research Policy and Planning, 9(1), 1991, pp.9-12.
- Publisher:
- Social Services Research Group
Discusses the origins of the growing interest in assessing quality in the personal social services, the contribution of the White Paper "Caring for people" and other Government guidance to the debate about criteria for assessment and monitoring.
Integration and the NHS reforms
- Author:
- WISTOW Gerald
- Journal article citation:
- Journal of Integrated Care, 19(4), 2011, pp.5-13.
- Publisher:
- Emerald
Government proposals for the NHS announced in 2010 in the White Paper Equity and Excellence: Liberating the National Health Service, included proposals for integration of health and social care services and more effective relationships between the NHS and local government. This paper outlines the proposals and legislative framework for integration initiated by the White Paper, and aims to consider whether the framework is likely to be more successful than previous frameworks. It sets out 10 principles of integration identified in a review of historical evidence of arrangements and experiences of joint working between local government and the NHS, and uses these principles to analyse the White Paper proposals. The author concludes that there is a relatively good fit between the principles of integration and the proposals, but reports that gaps were identified and implementation difficulties are already becoming evident (for example in respect of the tension between localism and national accountability).
A new alliance blooms
- Author:
- WISTOW Gerald
- Journal article citation:
- Community Care, 9.03.06, 2006, pp.34-35.
- Publisher:
- Reed Business Information
Partnerships between social care and primary care have tended to focus on improving joint working between front-line staff. Such partnerships are at least as important today. However, the author explains that the adult white paper's aim of realigning the whole system also demands strong commissioning alliances between local authorities and primary care trusts to shift investment towards independence, good health and well-being.
Halfway there? Policy, politics and outcomes in community care
- Authors:
- HENWOOD Melanie, WISTOW Gerald, ROBINSON Janice
- Journal article citation:
- Social Policy and Administration, 30(1), March 1996, pp.39-53.
- Publisher:
- Wiley
The community care reforms which followed the 1989 White Paper "Caring for People" focused on addressing the needs of people requiring long-term care, and on achieving improved outcomes and better quality of life. The agenda set out by the White Paper was for community care in the next decade and beyond. This article questions the extent to which the objectives of promoting choice and independence for users and carers have been achieved. The article also looks at an evaluation framework produced by the Nuffield Institute for Health and the King's Fund. The evaluation framework consists of four components: the definition of desired outcomes; specification of service systems necessary to deliver such outcomes; promotion of access to services; and the development of supporting operational policies and resources allocation mechanisms. Proposes that this framework offers a way forward to monitor and evaluate service outputs and user outcomes.