This report finds that older people are being let down by fragmented care services, and that the key to securing better outcomes for older people and other vulnerable groups, and to delivering the required efficiency savings for the NHS, is joined up services. The funding for NHS care, social care and social housing comes from different sources but attempts to join up these funds and to integrate services have been disappointing. Joined up commissioning is key. The new clinical commissioning groups and local councils should create a single commissioning process, with a single accounting officer, and a single outcomes framework for older people's health, care and housing services. This would improve outcomes by making it easier to move money around the local health, housing and social care system. The report also urges the Government to: co-ordinate policy more effectively across Whitehall and regularly rebalance national spending across health, housing and care services; replace the three overlapping but confusing frameworks that currently exist; recognize the widening funding gap in social care services; accept the recommendations in the Dilnot report ('Fairer care funding', 2011, ISBN 9780108510847) for a series of caps on care costs and identify the level at which these caps should be set; ensure that GPs identify much earlier and assess more clearly the needs of carers providing essential informal care to the old and the vulnerable; develop a new, integrated legal framework to support integration of health, social care and other services around the needs of the individual.
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Study Guide for General, Organic and Biological Chemistry: Structures of Life
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