good article from Mark Stocks - head of Grant Thornton's health assurance practice, on what is one of the 'challenges of out time'
Governance has been a major challenge - nobody has control of the whole system. In terms of collaborations, how they will really work closer together, it’s not yet clear. Trusts and CCGs are already being pushed very hard to break even, which creates pressure on their structures and on their people. The interaction of healthcare and social care is simply not working. If you can’t keep people out of hospital by offering them support in their community, and can’t get them out when they’re ready to leave, that’s a disaster for the health service. New models of care are the future, and the NHS needs to invest more in evolving and delivering them. We’re also starting to see more integrated models of care, but it is patchy.