The Care Quality Commission has said health and social care leaders should be involved in long-term funding reform “as equals” and called for new legislation to enable the regulator to hold to account organisations which are failing to work together to improve care.
In a report published today detailing the key findings of 20 CQC local area reviews of how older people access care, the regulator said despite some examples of effective joint working, it found “too much ineffective co-ordination” of services.
The report says this was causing fragmentation of provision which was “reinforced by funding, commissioning, performance management and regulation that encouraged organisations to focus on individual performance rather than on positive outcomes for people”.
It added the lack of a shared strategy between organisations has resulted in people not receiving the right support, resulting in some people’s quality of life “being significantly diminished”.
The report makes a series of recommendations, including long-term funding reform involving national care leaders as “equal partners”.
It adds this would help to “remove the barriers that prevent social care and NHS commissioners from pooling their resources and using their budgets flexibly to best meet the needs of their local populations”.
The report says reform should be underpinned by a single joint framework for measuring the performance of how agencies collectively deliver improved outcomes for older people.
CQC chief executive David Behan said: “These twenty local system reviews highlight both the barriers that prevent collaboration – and the real impact that this lack of collaboration has on older people.
“Today we are calling for those barriers to be broken down.”