Tackling the crisis in older people’s care The Best NHS?

Learning from care homes and domiciliary care The misunderstanding and poor treatment of care homes by government and the NHS, habeen illustrated in the Covid-19 pandemic when the NHS was priori琀椀sed in terms of capacity (involving the movement of tens of thousands of hospital pa琀椀ents into care homes, without being tested for coronavirus) and personal protec琀椀ve equipment for care workers, resul琀. [...] “The UK is one of the most prepared countries in the world and, as the public would expect, 9 D EM EN TIA CA RE The role of the health and social care systems in mee琀椀ng the mul琀椀ple needs of people with demen琀椀a and their families is a key policy issue in the UK. [...] In the context of the larger recommenda琀椀ons of this paper, the Discharge and Community Chief Execu琀椀ve would report to the chief execu琀椀ve of the Integrated Care System (ICS) who, as will be described in more detail in Book 9 of the Radix series, is the person with the authority and budget to manage across what were formerly responsibili琀椀es sca琀琀ered across mul琀椀ple NHS providers, CCGs, and loca. [...] It also has close links with the health insurance system as long-term hospitalisations, rehabilitative services and nursing care are also covered by the programme.80 The extent of care provided is determined by a single needs assessment, and a complex set of cost-sharing arrangements apply.81 In the Netherlands, the various parts of the system are joined up – in the way advocated earlier in terms. [...] 59 CO N CLUSIO N Whilst the gap between the provision of medical care between the UK and Germany and the Netherlands is recognisable, the gap between social care in the three countries is of a different order of magnitude.