Everyone agrees that the twin crises in the NHS and in social care could be ameliorated, if not resolved, if the two sides could work together. However to do so effectively would require government initiative, so nothing is happening. WC thought having a joint director funded equally by the council and the medics would be a good idea, but it ain't going to happen. Here's the rather woffly, evasive and jargonistic press release from your WC:
The 70th anniversary of the NHS is being widely publicised and will include the publication of a Government green paper in July to coincide with this anniversary. Whilst the contents of the paper are currently unknown, it is likely that the focus on collaborative working to integrate health and social care services will continue.
It is also anticipated that the green paper will provide clarity on the future direction for NHS commissioning; particularly commissioning by CCGs of health services. On the basis of the anticipated change, Wiltshire Council and CCG have discussed and agreed that it would be sensible to reconsider the appointment of a joint accountable officer.
Jerry Wickham, Wiltshire Council cabinet member for adult social care said: "Our aim to integrate health and care services remains a priority for the council. It is extremely disappointing that the council and CCG cannot proceed, as planned, with a senior joint accountable officer post. We had viewed this role as vanguard in driving integration to improve health and care services. We will, however, continue to look at an alternative joint post with Wiltshire CCG so that we can build on what we have already achieved in integrating services for the benefit of Wiltshire residents.
"With the growing pressures on these services and the rise in the number of older people, partnership working and the delivery of joint services will be vital if we are to manage the increasing demand. Whilst we have a strategy and plan for this, the joint post was viewed as key to its delivery. We are working with our health partners to deliver changes that will help to manage the pressures and this work must and will continue."
Dr Richard Sandford-Hill, Chairman of Wiltshire CCG said: "Although we do not know the contents of the paper, we are confident that our proposals for closer, collaborative working with Wiltshire Council will not be compromised. We have made great strides towards a single, overarching Health and Social care strategy, and are looking forward to a third workshop this month to continue developing our combined ambitions for integrated, seamless services for Wiltshire people".
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