This consultation response includes the following overarching observations. First, it is vital that reform addresses the significant overall underfunding of adult social care and the high levels of unmet need. Second, the challenge is not simply about responding to additional numbers of older people. It is also about addressing the ...
The emphasis given in New Horizons to the prevention of mental illness and the promotion of positive mental health is welcome, but this must not be allowed to compromise the availability or quality of acute care. Evidence on the cost-effectiveness of proposals is needed, particularly with regard to preventive approaches. ...
World Class Commissioning is a policy that seeks to bring a "step change" in the capacity and capability of primary care trusts to act as effective commissioners. However, the enduring weakness of commissioning is unlikely to be addressed by WCC alone. It is not just a matter of aligning incentives; ...