Lord Warner – 2015 Parliamentary Question to the Department of Health
The below Parliamentary question was asked by Lord Warner on 2015-11-25.
To ask Her Majesty’s Government what guidance they plan to issue on the integration of health and social care services, in the light of their commitment to do so by 2020 at paragraph 2.49 of the Spending Review and Autumn Statement 2015; whether that guidance will cover integrated budgets for those services locally and nationally; and whether new legislation will be required to ensure that integration.
Lord Prior of Brampton
It is clear from progress already made up and down the country towards the integration of health and social care that there is no single ‘correct’ way to achieve the Government’s ambition of full integration by 2020. On this basis, the Government will encourage areas to design and implement those solutions that are most appropriate for their own context, and will avoid setting out an overly prescriptive policy framework, including with respect to the integration of budgets.
However, in order to ensure that adequate progress is made in the given timeframe, and that the benefits of integration are realised both for members of the public and for health and social care organisations, it will be important to set out the Government’s minimum expectations for integration. Areas will be expected to pay regard to these minimum expectations when setting out their plans for integration by 2020, and it will be by demonstrating that they have moved beyond this baseline that they will be entitled to graduate from the existing Better Care Fund programme management, which will continue to be mandatory in 2016-17.
The existing legislative framework already provides a great degree of flexibility for local areas wishing to pursue different approaches to the integration of health and social care. The Government will work closely with local areas in the years to 2020 to understand the limits of this legislative framework and to understand how any limits can be overcome.
It is the intention that guidance will be published in 2016 reflecting the position set out above, and it is likely that this guidance will include material on the integration of budgets.
