have to offer information and advice on what support people will need
and how best to plan for their future, clarifying the process of care
funding. The Act also aims to raise the profile and wellbeing of carers
themselves, in turn promoting better and more person-centred care.
These all mark crucial steps in transforming the way that health and social
care is structured and commissioned but they are only steps along the road.
As we show in this report, significant issues, in particular challenges to greater
1.3 Report structure
This report incorporates the results from extensive interviews with health and
social care experts from around the country, and a survey of more than 100 local
health leaders - Health and Wellbeing Board Chairs, Council Leaders and Chief
Executives, Directors of Public Health and other senior local government figures.
The report is structured around three key strands:
• Firstly, we consider some of the main symptoms of lack of
integration between health and social care services and the
negative effects this has on (older) people's experience of the
system, including the recent problems with delayed transfers of care;
• Secondly, we examine what the root causes of these
problems are; both at a national and local level;
• Finally, we propose some solutions to enhance care provision and set health
and social care policy on the right path to greater integration and more