Christie + Co
Essential reading for the healthcare business
 
 
Remember me:
Skip Navigation LinksHealthInvestor article
King's Fund: H&SC Act has made NHS 'incredibly complex and fragmented'

The Health & Social Care Act 2012 (H&SC Act) has left an NHS which is "incredibly complex and fragmented" The King's Fund chief executive Chris Ham has said.

Despite this, Ham said that the NHS would not benefit from another top-down reorganisation, but required "reform from within" in order to streamline the health system.

Speaking at a Cambridge University Land Society event in central London, Ham said: "There are examples in some parts of the NHS - for instance Salford Royal NHS Foundation Trust - that are high-performing organisations which have brought about change from within. But these institutions did not become high-performing overnight, or in three to five years. They're still on the journey [and] five to 10 years would be an ambitious timescale [to achieve everything].”

Ham also criticised chancellor George Osborne's announcement of a new social care precept of 2% on council tax. He said the changes would not go far enough given the "very challenging" environment that social care providers were in.

If left unchecked, mounting financial pressure on residential care providers would "create a greater dichotomy between those self-funders who can afford to buy their own care, and those who are publicly funded. [The latter] will rely on a threadbare safety net which will increasingly be available only in some places".

He added that public-facing domiciliary care operators were facing the issues, and that some were "struggling to make ends meet".


Related articles:

Posted on: 10/12/2015

Latest news stories

24/03/2017
Over 70% of healthcare-related properties across England and Wales will see their business rates rise when the rates revaluation comes into effect on 1 April.
23/03/2017
CareTech has successfully raised £39 million before expenses through the placing of 11 million new shares at 355 pence per share.
23/03/2017
Mears group left one fifth of its care contracts in 2016, contributing to a £1.2 million loss for its care business.
22/03/2017
Aim-listed CareTech has announced it will make a placing of 11 million new ordinary shares at 355 pence each in a bid to raise approximately £39 million.
22/03/2017
The Care Quality Commission has warned of problems with the safety of care offered by independent ambulance providers, following inspections.




Interview: Paolo Pieri

After a first decade or so rarely out of the limelight, Circle's next act is all about scale, CEO Paolo Pieri tells Ploy Radford
Read more...



Company profile: IMH Group

IMH CEO Richard Power tells Sarah Williams how the company is taking the strain off the struggling primary care sector
Read more...
HealthInvestor Events

Social care staffing' already under strain, could face further pressure after Brexit. Sarah Williams asks sector leaders about their biggest fears - and what could allay them
Read more...


Christie + Co


Learning disabilities

The CQC has been accused of 'unlawfully' refusing to register LD units with over six beds. Ploy Radford takes a look at the issue which has got the LD sector up in arms
Read more...



HealthInvestor blog
STPs could hinder much-needed private sector partnerships if 'accountable care' is enforced incorrectly, argues NHS Partners CEO David Hare

Click here to view the Editor's blog


Claire Smith is the chief executive of HCA Joint Ventures and an avid dog walker
Dr Michelle Tempest and Dr Niklas Jahn of Candesic diagnose the investment case for the orthopaedic hip and knee joint replacement market
Clare Connell and Henry Hunt of Connell Consulting take a look at how rising fuel costs will affect health and social care
Social care staffing, already under strain, could face further pressure after Brexit. Sarah Williams asks sector leaders about their biggest fears – and what could allay them
IMH CEO Richard Power tells Sarah Williams how the company is taking the strain off the struggling primary care sector

Click here to search all feature articles