Big challenges for health & social care -The Birmingham and Solihull Sustainability and Transformation Plan
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چکیده
1.1 Health and social care services are facing an unprecedented challenge. Shrinking budgets, especially for adult social care, coupled with ever growing demand, mean that without additional resources, major changes will be needed if the system is to avoid collapse. This is both a national and a local issue. The state of adult social care funding locally needs to be seen in the national context. This was set out in a recent report from the Local Government Association (LGA) which estimates that ‘adult social care faces a funding gap of £1.3 billion by the end of the decade as part of the £5.8 billion funding gap facing local government overall.’ 2 In describing what he refers to as the existential crisis of care, Richard Humphries, Assistant Director of Policy at the King’s Fund, says this when describing the triple challenge of money, service design and workforce to the care system: ‘The most obvious is money. Quite apart from past cuts – over £5 billion less in local authority social care budgets over the last five years – it is demography-defying that spending is set to fall further when the number of over 85s will double over the next two decades and adults with a learning disability will increase by at least a third.’ It is clear that a key part of the response to these challenges must be a properly integrated health and social care system, one that maximises the value of every pound we spend and prioritises prevention and early intervention.
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