The Care Quality Commission has published its findings following a review of health and social care services in Northamptonshire.
The report is one of 20 targeted local system reviews looking specifically at how older people move through the health and social care system, with a focus on how services work together. The reviews look at how hospitals, community health services, GP practices, care homes and homecare agencies work together to provide seamless care for people aged 65 and over living in a local area.
During the review carried out in April 2018, CQC sought feedback from a range of people involved in shaping and leading the system, those responsible for directly delivering care as well as people who use services, their families and carers.
The review found there was a system-wide commitment to serving the people of Northamptonshire but that services had not always worked effectively together. It highlighted a number of areas where improvements are needed to ensure those responsible for providing health and social care services work better together.
Professor Steve Field, CQC’s chief inspector of general practice, says: “Our review of health and social care services in Northamptonshire found that while there is an intent from the system’s new leadership to improve how people move through health and social care services, the reality for people has been variable with fragmented services leading to disjointed care and unsatisfactory experiences for older people.
“There were some significant barriers to progressing the transformation agenda in Northamptonshire including poor relationships, financial constraints and issues of capacity in both the acute trusts and within the adult social care market.
“We found that there were limited services to help maintain older people’s health and well-being in the community and services to help them avoid hospital admission.
"If an older person was admitted to hospital, they were more likely to have longer hospital stays and people’s experience of being discharged from hospital was not always timely or person-centred.
“The government had appointed commissioners to oversee financial management activity in Northamptonshire County Council and made a recommendation for the local authority to be replaced with two unitary authorities.
“System leaders acknowledged that effective partnership working and a strong vision was integral to improving health and wellbeing outcomes for the people of Northamptonshire. We found that there was a renewed commitment from system partners to deliver improved and integrated health and social care services, and this was supported by a clear strategy emerging from the recently reset Sustainability and Transformation Partnership (STP) plan.
“We found that the STP plans had a strong focus on collaborative working. There were key work streams in place such as operations, finance and the development of a frailty model but they were all in early planning stages.
“There is a need for partners to take this important work forward at pace so that older people are seen and cared for at the right place at the right time by the right people.
“We have presented our findings to the new health and social care system leaders in Northamptonshire so that they can prioritise and continue to improve and work together in bringing joined up care to people living in the county.”
