Appendix 1 – Policy Context
The General Practice Forward view 2016
- Role of voluntary and community sector organisations and social prescribing in offering community- based support.
The NHS Long Term Plan 2019
- Social prescribing incorporated into comprehensive model of personalised care
- A key goal in the Long Term Plan is to put in place more than 1,000 Social Prescribing link workers by the end of 2020/21, rising further by 2023/24, with the aim that more than 900,000 people are connected to wider community services that can help improve health and well-being.
- For London this means working towards 800 SPLWs operating by 23-24 = approx. 4 per PCN of average population of 50,000. However, this is a rough guide and tailoring the workforce to local needs, priorities and systems is important
- Seven national service specifications including:
- personalised care
- supporting early cancer diagnosis
- cardiovascular disease case-finding
- enhanced health in care homes (with community services)
- anticipatory care (with community services)
- structured medication reviews
- locally agreed action to tackle health inequalities
Health and Care Act 2022
Established Integrated Care Systems (ICSs) on a statutory basis on 1 July 2022.
5 ICSs in London.
Partnerships of organisations coming together to plan and deliver joined up health and care services and address complex challenges to:
- improve outcomes in population health and healthcare
- tackle inequalities in outcomes, experience and access
- enhance productivity and value for money
- help the NHS support broader social and economic development
2019 five-year contract framework for general practice
- Intended to stabilise general practice and allow it to be a key vehicle for delivering commitments in the NHS long-term plan.
Fuller stock report 2022
At the heart of the report is a new vision for integrating primary care, improving the access, experience and outcomes for our communities, which centres around three essential offers:
- Streamlining access to care and advice for people who get ill but only use health services infrequently: providing them with much more choice about how they access care and ensuring care is always available in their community when they need it
- Providing more proactive, personalised care with support from a multidisciplinary team of professionals to people with more complex needs, including, but not limited to, those with multiple long-term conditions
- Helping people to stay well for longer as part of a more ambitious and joined-up approach to prevention.
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