While there are lots of inspiring examples of new care provision, current reform struggles to deliver the change needed, and integrated care is not happening on the scale required.
The NHS must re-energise its approach to handle rising demand, hospital debt, slow technological innovation and growing public expectations.
An Industry Coalition Group of clinicians, senior leaders in hospitals, primary care, the central bodies, charities and the private sector met earlier this year to take on the challenge. As a result a new approach has been developed, culminating in a published report - The 2,000 days project.
The group looked at care in the first and last 1,000 days of life, and found with both periods there were failures to grant people’s wishes – fewer people give birth and die at home than want to.
It became clear that the alternative to hospitals has been pumping more resources into a primary care system that is overwhelmed. So, the group are proposing a new approach to community-based services, Principal Care.