ICSs have been designed to do things differently. ICSs are vital to future delivery and improvement in health and care and the government is committed to doing all it can to support their success. ICSs hold enormous promise and bringing together partners from across the health and care system through ICSs is a unique opportunity to make meaningful long-term improvements to populations’ health and wellbeing. The challenges faced by the NHS, local authorities and other partners, and the implications of these for the future of health and care, are significant and shared. The Health and Care Act 2022 changed the statutory framework by establishing integrated care boards ( ICBs) and integrated care partnerships ( ICPs, a statutory joint committee), to bring together the NHS, local authorities and other partners. Since then, they have evolved to bring together NHS organisations, local government and others to plan, innovate and address long standing delivery challenges. ICSs have evolved from voluntary partnerships since they were first launched by NHS England as sustainability and transformation partnerships in 2016. ICSs are partnerships of organisations that come together to plan and deliver joined up health and care services, and to improve the lives of people who live in their area. The recommendations in the Hewitt Review cover some additional distinct themes, the response to which is annexed to this command paper. We have considered the related recommendations together to ensure we provide a comprehensive response to the committee and clarity to systems. There are some linked recommendations in the Hewitt Review and the committee’s report, with several overlapping themes including ICS oversight, national targets and role of the Care Quality Commission ( CQC). The government is grateful to the Rt Honourable Patricia Hewitt for chairing the review and welcomes the extensive engagement that it facilitated. This document also sets out our response to the recommendations made in the Hewitt Review, which was commissioned by the government in November 2022 and published shortly after the committee’s report on 4 April 2023. It was encouraging to hear the witnesses and their recognition of the enormous importance and potential of ICSs. The government welcomes the committee’s report and we are grateful to everyone who contributed their time and expertise to the inquiry, and for the recommendations on ensuring that integrated care systems ( ICSs) are delivering for their populations. This is the government’s formal response to the recommendations made by the Health and Social Care Committee (‘the committee’ or ‘ HSCC’) in its Seventh report - Integrated care systems: autonomy and accountability, published on 30 March 2023. There are about 100,000 primary health care nurses in Australia, with the government predicting a shortage of 85,000 nurses by 2025.Presented to Parliament by the Secretary of State for Health and Social Care by Command of His Majesty. "APNA looks forward to working with Health Minister Mark Butler to implement these Medicare reforms as efficiently and quickly as possible." The Albanese government's federal budget announcement of Medicare reforms around a multidisciplinary model of care laid the groundwork for structural change. They are highly motivated, highly educated, and highly experienced," she said. "Primary health care nurses are ready, willing and able to do more. Nurse care could include cardiovascular education, vaccinations, wound care and preventative health approaches such as primary health care screening and advising people on self-care to keep them well, she said. "Australia's health system can't afford to have highly skilled, experienced and motivated primary health care nurses sitting under-utilised when there is so much more they could be doing," she said. Primary care nurses work mainly in GP offices with a focus on the prevention of illness and promotion of health and wellness.ĪPNA president Karen Booth said bundled payments for individuals with chronic and complex health issues would free up GP time and allow more flexible use of nurses. More than a quarter were denied outright, with some told it was because there was no financial benefit to their employer.
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