{"id":3866,"date":"2022-10-21T14:24:30","date_gmt":"2022-10-21T14:24:30","guid":{"rendered":"https:\/\/integratedcarejournal.com\/?p=3866"},"modified":"2022-11-02T10:12:54","modified_gmt":"2022-11-02T10:12:54","slug":"cqc-report-spotlights-system-level-planning-local-partnerships-and-neighbourhood-insight","status":"publish","type":"post","link":"https:\/\/integratedcarejournal.com\/cqc-report-spotlights-system-level-planning-local-partnerships-and-neighbourhood-insight\/","title":{"rendered":"CQC report spotlights system-level planning, local partnerships and neighbourhood insight"},"content":{"rendered":"
The report cites \u201chistorical underinvestment\u201d in health and social care, as well as a \u201clack of sustained recognition and reward for the social care workforce\u201d. It warns that \u201cwithout action now, staff retention will continue to decline\u2026services will be further stretched, and people will be at greater risk of harm.\u201d<\/p>\n
The CQC stresses that ICSs must improve their understanding of the health and care needs of local populations and highlights several examples of where effective local partnerships are improving health outcomes. For example, findings in the first annual report by the NHS Confederation\u2019s ICS Network show that 90 per cent of system leaders reported an improvement in joint, collaborative working across their system.<\/p>\n
Better system-level planning, along with local and place-based partnerships, the report argues, are central to addressing health inequality across the country.<\/p>\n
However, The State of Care cites a study from the NHS Confederation reports uncertainty among primary care leaders about how \u201cthe experiences and insights of those leading primary care services at neighbourhood level inform system-level planning and strategy.\u201d This dynamic undermines the integral purpose that ICSs have of using local experience and empirical evidence to inform proactive, localised strategies that will address health and care inequalities.<\/p>\n
To improve the links between services and the populations they serve, the State of Care recommends an increase in the sharing of quality data, and advocates that local leaders be given data from providers and other local stakeholders to develop comprehensive understandings of population health at ground level. It argues that it is critical for ICS leadership and stakeholders to \u201cagree success measures that are focused on people\u2019s overall experience of care\u201d, rather than arbitrary targets or outdated metrics.<\/p>\n
The report refers to the CQC\u2019s inspection of Cornwall and Isles of Scilly, where community nurses were focused on helping residents avoid hospital admissions and improving hospital discharges. Work in this area spanned health and social care services. Cornwall has developed an agile response framework, whereby an \u2018emergency car\u2019 can respond to 999 and 111 calls faster than ambulances typically could. This has allowed patients to be effectively triaged at home, where a decision can be made over whether an ambulance or hospital visit is necessary. This approach has helped take pressure off the local ambulance service and acute admissions in the ICS, and should serve as an example of outcome-based metrics for success.<\/p>\n
On health inequalities, the State of Care advocates for an increase in data sharing, particularly demographic data, and especially data on ethnicity and disability, which is described as \u201cnot good enough\u201d at present. It states that \u201cbetter quality data and increased data sharing are critical\u2026to understanding and tackling inequalities in people\u2019s experience of and access to care.\u201d<\/p>\n