5 September 2014

Remove the distinction between the NHS and social services for integrated care - Barker Commission report

Commission on the Future of Health and Social Care in England (also known as the Barker Commission)
Kings Fund, September 2014
  • The commission recommends moving to a single, ring-fenced budget for the NHS and social care, with a single commissioner for local services. It proposes a new approach that redesigns care around individual needs regardless of diagnosis, with a graduated increase in support as needs rise, particularly towards the end of life. 
  • Key proposals include
    •  a single ring-fenced budget, 
    •  a single local commissioner (possibly the Health and Wellbeing Board) and 
    • a new care and support allowance which removes the “battlelines” between who pays for care – the NHS or the local authority.