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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

integration, persist.

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

effective care.

Index

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