Health and social care continue to be central to policy debates in the run up to the General Election. One issue that all parties profess to agree on however is that there is no appetite for a further round of structural changes to the system of accountability. Over the next five years, a number of factors are likely to generate pressure for change in the system of public accountability for health and social care. In particular:
- The emergence of new forms of integrated providers – including the NHS Forward View new models of Multispecialty Community Providers (MCPs), and Primary and Acute Care Systems (PACS)
- The continued shift of social care to a fully personalised and integrated system with health care point towards either central government taking greater responsibility for social care, or regional government as is the case of Greater Manchester
This breakfast seminar considered some of the pressures for change in the health and social care accountability system over the next Parliament. Ben Jupp, previously Director of Public Services Strategy in the Cabinet Office, kicked off the seminar with a short paper, and was followed by a group discussion, chaired by Nigel Edwards, Chief Executive, Nuffield Trust.