Category: Social Care

Health and Social Care in England

Tackling the myths

Source: The King’s Fund

The health and care system is under intense pressure, with rising waiting times, persistent workforce shortages and patients struggling to access the care they need. As a result, patient and public satisfaction with services has dropped significantly, prompting debate and discussion about the future of health and care services. In the context of what can feel like a heated political and media discussion, the King’s Fund have taken five myths that sometimes feature in this debate and debunked them.

Read the article here.

A plan for digital health and social care

Department of Health and Social Care

Source: The King’s Fund

This plan for digital health and social care sets out a vision for a digitally enabled health and social care system and how it can be achieved. It collates existing digital strategies, plans and guidance into one single action plan. It is aimed at health and social care leaders across the system, and industry partners to help them plan for the future. The document aims to outline clear priorities for digital transformation, and begins to set out the support that will be available to local systems to enable the changes that are needed.

Social work and the impact of the Covid pandemic

Reflections from the workforce

Source: UNISON

This report is based on a survey of nearly 3,000 social workers across the UK. It aims to shed light on the working conditions of social workers, and limitations on the help they are able to give vulnerable families. Staff shortages, unmanageable caseloads and long hours are identified by social workers as major concerns affecting their ability to do their job​s. More than three quarters of social workers said they had experienced increased stress levels and 77 per cent of respondents were worried about their mental health due to the pressure they’re under. Seven in ten also said morale has decreased and almost half said they​’re ​now less likely to stay in their jobs.

Department of Health and Social Care 2020–21

Annual report and accounts

Source: House of Commons Committee of Public Accounts

This report finds that the Department for Health and Social Care lost 75 per cent of the £12 billion it spent on personal protective equipment (PPE) in the first year of the pandemic to inflated prices and kit that did not meet requirements – including £4 billion of PPE that will not be used in the NHS and needs to be disposed of. The report also voices concerns about the risk of further payouts as NHS commissioning is restructured under upcoming reforms.

Health and Social Care

Integrated care

In September 2021, the Department of Health and Social Care (DHSC), NHS England (NHSE) and the Local Government Association (LGA) published ‘ICP engagement document: integrated care system (ICS) implementation’. Following that publication, the DHSC, NHSE and LGA conducted an engagement exercise with those who have an interest in the formation of integrated care partnerships. This paper sets out the key findings from the engagement process. It also proposes next steps and outlines how DHSC, NHSE and the LGA intend to support and guide the development of these new partnership arrangements going forward.

Integrated care communications toolkit
This toolkit was developed to help communicate the changes taking place in the health and care system. Resources have been produced to help with explaining integrated systems to the public, elected members and officers of councils, and non-executive directors. The toolkit also includes a jargon buster and some FAQs

Covid 19

Current awareness updates

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2022.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In February 2022, NICE added recommendations on molnupiravir and remdesivir for people with COVID-19 who do not need supplemental oxygen.]

A systematic scoping review of research on COVID-19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field.[Abstract]
Linardon J. International Journal of Eating Disorders 2022;55(1):3-38.
[Symptom escalation and mental health worsening during-and due to-the pandemic were commonly reported, and those most susceptible included confirmed eating disorder cases, at-risk populations, and individuals highly anxious or fearful of COVID-19. Evidence emerged for increased demand for specialist eating disorder services during the pandemic. The forced transition to online treatment was challenging for many, yet telehealth alternatives seemed feasible and effective.]

Growing problems: What has been the impact of Covid-19 on health care for children and young people in England?
Quality Watch; 2022.
[This analysis from QualityWatch (a Nuffield Trust and Health Foundation programme) shows that the pandemic has led to an unprecedented increase in demand for mental health services for children and young people. Despite children and young people being 10 times less likely to be hospitalised with Covid, the period has had a heavy toll on them. The briefing explains the findings and discusses the potential implications for the younger generation.]

Beyond recovery: the case for transforming UK clinical cancer research.
Cancer Research UK (CRUK); 2022.
[This position paper finds that Covid-19 has worsened pre-existing barriers to clinical cancer research, and recovering to a pre-pandemic ‘normal’ for research won’t be enough to deliver world-class cancer outcomes. Instead, the UK government must choose to go beyond recovery by expanding clinical research capacity, transforming how research is delivered, and supporting innovative cancer research.]

Living with Covid-19.
House of Commons Library; 2022.
[This page provides an overview of the Government’s strategy on Living with Covid-19 and a summary of the relevant policy changes.]

Social care reform: an independent review by Baroness Cavendish.
Department of Health and Social Care (DHSC); 2022.
[A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.]

The rollout of the COVID-19 vaccination programme in England.
National Audit Office (NAO); 2022.
[According to this report, the Covid-19 vaccination programme met stretching and unprecedented targets, helping to save lives and reduce serious illness and hospitalisation. However, it concludes that there are risks to be managed as the programme continues to evolve in response to the Covid-19 pandemic and to new clinical advice and evidence about vaccines. The report concludes that the programme has provided value for money to date.]

Coronavirus (COVID-19) vaccination uptake in school pupils, England: up to 9 January 2022.
Office for National Statistics (ONS); 2022.
[Figures on vaccine uptake in school pupils aged 12 to 17 attending state funded schools, broken down by demographic and geographic characteristics, using a linked schools and vaccinations dataset, up to 9 January 2022 (experimental statistics).]

The response of the scientific community to a global crisis: a systematic review of COVID-19 research in 2020.
Srivastava PR. British Journal of Healthcare Management 2022;28(2):1-7.
[This article provides a bibliometric analysis of the direction of research relating to COVID-19 during the first year after the virus was first identified as a potential threat to public health.]

Covid 19

Current awareness updates

JCVI update on advice for COVID-19 vaccination of children aged 5 to 11.
Department of Health and Social Care (DHSC); 2022.
[JCVI advises a non-urgent offer of two 10 mcg doses of the Pfizer-BioNTech COVID-19 vaccine (Comirnaty®) to children aged 5 to 11 years of age who are not in a clinical risk group. The intention of this offer is to increase the immunity of vaccinated individuals against severe COVID-19 in advance of a potential future wave of COVID-19. Published 16 February 2022]

Growing problems, in depth: The impact of Covid-19 on health care for children and young people in England.
Quality Watch; 2022.
[“…The sharp increase in children and young people with mental health problems is a serious concern. Services are facing unprecedented levels of demand, and young people are waiting longer to receive mental health care. In particular, there has been a surge in eating disorder cases, and conditions are deteriorating to the extent that a greater number of children and young people are attending A&E departments…”]

Social care reform: an independent review by Baroness Cavendish.
Department of Health and Social Care (DHSC); 2022.
[A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.]

Covid 19

Current awareness updates

Latest data reinforces the safety of COVID-19 vaccinations in pregnant women.
UK Health Security Agency (UKHSA); 2022.
[The UK Health Security Agency (UKHSA) urges pregnant women to get vaccinated as latest data reinforces previous findings on the safety of COVID-19 vaccines in pregnancy.]

Coronavirus: adult social care key issues and sources.
House of Commons Library; 2022.
[This briefing provides an overview of key issues facing the adult social care sector during the coronavirus (Covid-19) pandemic, and provides links to some of the key official guidance for the sector. Updated 28 January 2022.]

Measures implemented in the school setting to contain the COVID-19 pandemic: a rapid review. [Abstract]
Krishnaratne S. Cochrane Database of Systematic Reviews 2022;1:CD015029.
[OBJECTIVES: To assess the effectiveness of measures implemented in the school setting to safely reopen schools, or keep schools open, or both, during the COVID-19 pandemic, with particular focus on the different types of measures implemented in school settings and the outcomes used to measure their impacts on transmission-related outcomes, healthcare utilisation outcomes, other health outcomes as well as societal, economic, and ecological outcomes. ]


Social Care 360

New report

Source: The King’s Fund Health Management and Policy Alert

This year’s Social Care 360 report uses the latest available data (2019/20) to describe the key trends in adult social care as the Covid-19 pandemic struck and to suggest what the impact of the pandemic might be. It paints quite a bleak picture of adult social care in England, with many key indicators already going in the wrong direction before the pandemic struck.

Digital Technology

How is this shaping health and social care?

Source: The King’s Fund

This report, commissioned by the Health Foundation, provides a summary of evidence for how emerging technologies such as artificial intelligence, smartphones, wearable devices and the internet of things are being used within care settings around the world.

The authors analyse the available evidence around the use of these technologies to support leaders in health and care to engage in long-term thinking about the role of digital technology. The report looks back at recent developments in digital technology in the health and care system before the Covid-19 pandemic, supplemented by the Fund’s evidence-gathering on how digital technologies have been used during the pandemic, in England in particular. It also considers a set of potential futures to distil factors driving change and what this means for leaders now.