Poor health and social care integration
Lack of a fundamental shift towards collaborative, integrated system-wide change in health and social care.
29 items
1 source
12 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
85match
R101 - Whole-system commissioning with cross-agency risk assessment
Planning and commissioning services for people with learning disabilities and autistic people should be done as a single process across the whole system (including primary care, housing, benefits and independent and third sector providers of services). There must be a risk assessment that assesses how the impact of change in one part of the system impacts on another...
Matched on
terms: care, health, social
Inquiry recommendation
81match
BRIS-177 - NSF must provide strategic guidance for integrating children's healthcare services
There must be much greater integration of primary, community, acute and specialist healthcare for children. The NSF should include strategic guidance to health authorities and trusts so that services in the future are better integrated and organised around the needs of children and their families.
Matched on
terms: care, health, integration
Inquiry recommendation
73match
R10 - Access to allied health professionals
It is critical for the wellbeing of people with learning disabilities and autistic people that they are well supported by, and have access to, AHPs including psychologists, speech and language therapists (SALTs), occupational therapists (OTs), podiatrists and dieticians. These AHPs need to be well integrated into daily life in service users’ homes and their recommendations, including positive behaviour...
Matched on
terms: care, health
Inquiry recommendation
72match
F235 - Joint proceedings
The Professional Standards Authority for Health and Social Care (PSA) (formerly the Council for Healthcare Regulatory Excellence), together with the regulators under its supervision, should seek to devise procedures for dealing consistently and in the public interest with cases arising out of the same event or series of events but involving professionals regulated by more than one body....
Matched on
terms: care, health, social
Inquiry recommendation
69match
BRIS-61 - Implement joint inter-professional courses in healthcare professional education and training
The education, training and Continuing Professional Development (CPD) of all healthcare professionals should include joint courses between the professions.
Matched on
terms: care, health
Inquiry recommendation
60match
BRIS-3 - Adopt patient-professional partnership model across all NHS healthcare settings
The notion of partnership between the healthcare professional and the patient, whereby the patient and the professional meet as equals with different expertise, must be adopted by healthcare professionals in all parts of the NHS, including healthcare professionals in hospitals.
Matched on
terms: care, health
Inquiry recommendation
56match
HIA-8 - Specialist Care and Assistance Facilities
Sufficient funds should be made available by government on a ring-fenced basis for a fixed period of ten years, subject to a review after five years, to establish dedicated specialist facilities in Belfast, Derry and, if necessary, at other suitable locations across Northern Ireland to provide: (a) general counselling services for those who have suffered abuse as children...
Matched on
terms: care, health
Inquiry recommendation
55match
IBI-4e - Cross-Administration Patient Safety Coordination
Coordination of patient records with devolved governments: Consideration should be given by the national healthcare administrations in England, Scotland, Wales and Northern Ireland, to further coordination of their approaches particularly to ensure that patterns of harm, or trends, are identified and any response which for the sake of patient safety would be better coordinated than left to each...
Matched on
terms: care, health
Inquiry recommendation
53match
F234 - Cooperation with the Care Quality Commission
Both the General Medical Council and Nursing and Midwifery Council must develop closer working relationships with the Care Quality Commission – in many cases there should be joint working to minimise the time taken to resolve issues and maximise the protection afforded to the public.
Matched on
terms: care
Inquiry recommendation
51match
SP53 - GMMH and Alder Hey joint SMART audit
At the local level, Greater Manchester Mental Health NHS Foundation Trust and Alder Hey Children’s NHS Foundation Trust should by no later than 13 October 2026 carry out and report on a joint audit to ensure that for cases involving both Trusts, the action points from multi agency meetings, healthcare meetings, discharge plans and management plans after risk...
Matched on
terms: care, health
Inquiry recommendation
51match
SP51 - GMMH local structured risk assessment responsibility
At the local level, Greater Manchester Mental Health NHS Foundation Trust should liaise with all of the relevant community healthcare organisations (including Child and Adolescent Mental Health Services and Criminal Justice Liaison Services) to ensure that there is clarity about who is responsible for conducting complex structured risk assessments for children and young people who present a risk...
Matched on
terms: care, health
Inquiry recommendation
51match
BRIS-67 - Focus NHS leadership investment on joint, multi-professional training for all staff
The NHS’s investment in developing and funding programmes in leadership skills should be focused on supporting joint education and multi-professional training, open to nurses, doctors, managers and other healthcare professionals.
Matched on
terms: care, health
Inquiry recommendation
45match
R94 - Continuing community support provision
There will be a continuing need, which must be met, for new and ongoing community-based support for young people and adults with learning disabilities and autistic people whose families become unable to cope full time. This means there is a continuing need for a range of types of provision and well-coordinated support services in addition to the usual...
Matched on
classifier match
Inquiry recommendation
44match
IHRD-49 - Multi-Trust Mortality Meeting Engagement
Where the care and treatment under review at a mortality meeting involves more than one hospital or Trust, video conferencing facilities should be provided and relevant professionals from all relevant organisations should, in so far as is practicable, engage with the meeting.
Matched on
terms: care
Inquiry recommendation
44match
BRIS-22 - Fund voluntary organisations meeting NHS standards for patient and carer support
Voluntary organisations which provide care and support to patients and carers in the NHS (such as through telephone helplines, the provision of information and the organisation of self-help groups) play a very important role. Groups which meet the appropriate standards as laid down by the NHS should receive appropriate funding from the state for the contribution they make...
Matched on
terms: care
Inquiry recommendation
39match
F237 - Teamwork
There needs to be effective teamwork between all the different disciplines and services that together provide the collective care often required by an elderly patient; the contribution of cleaners, maintenance staff, and catering staff also needs to be recognised and valued.
Matched on
terms: care
Inquiry recommendation
39match
IBI-9d - Haemophilia Centre Resources
The necessary administrative and clinical resources should be provided by hospital trusts and boards, integrated care boards, and service commissioners to facilitate multi-disciplinary regional networks to discuss policy and practice in haemophilia and other inherited bleeding disorders care, provided they involve patients in their discussions.
Matched on
terms: care
Inquiry recommendation
35match
LAMI-6 - Establish a Committee for Children and Families to coordinate inter-agency services
Each local authority with social services responsibilities must establish a Committee of Members for Children and Families with lay members drawn from the management committees of each of the key services. This Committee must ensure the services to children and families are properly co-ordinated and that the inter-agency dimension of this work is being managed effectively.
Matched on
terms: social
Inquiry recommendation
35match
R19 - ICN instructions recorded
Health Boards should ensure that where Infection Control Nurses provide instructions on the management of patients those instructions are recorded in patient notes.
Matched on
terms: health
Inquiry recommendation
32match
18 - Joint MoJ/DfE policy for children in custody
The Chair and Panel recommend that the Ministry of Justice and the Department for Education share policy responsibility for managing and safeguarding children in custodial institutions. This is to ensure that standards applied in relation to children in custody are jointly focussed on discipline and securing child welfare.
Matched on
classifier match
Inquiry recommendation
32match
R91 - Higher-funded resettlement team for complex needs
There needs to be a recognition that those service users in Northern Ireland yet to be resettled (if there are any by the time of publication of this report) will require a higher level of funding due to their needs and behaviour that challenges. A highly qualified team must be formed to progress their resettlement. An example of...
Matched on
classifier match
Inquiry recommendation
27match
BRIS-64 - Create shadowing opportunities for managers and clinicians to understand roles
Greater opportunities should be created for managers and clinicians to ‘shadow’ one another for short periods to learn about their respective roles and work pressures.
Matched on
classifier match
Inquiry recommendation
27match
BRIS-62 - Increase opportunities for multi-professional teams to learn and train together
There should be more opportunities than at present for multi-professional teams to learn, train and develop together.
Matched on
classifier match
Inquiry recommendation
27match
10 - Establish partner Trust buddying arrangement
The University Hospitals of Morecambe Bay NHS Foundation Trust should seek to forge links with a partner Trust, so that both can benefit from opportunities for learning, mentoring, secondment, staff development and sharing approaches to problems. This arrangement is promoted and sometimes facilitated by Monitor as 'buddying' and we endorse the approach under these circumstances. This could involve...
Matched on
classifier match
Inquiry recommendation
23match
IBI-10a(iv) - Thalassaemia Society Support
Particular consideration be given, together with the UK Thalassaemia Society and the Sickle Cell Society, to how the needs of patients with thalassaemia or sickle cell disease can best holistically be addressed.
Matched on
classifier match
Inquiry recommendation
23match
BRIS-32 - Promote collaboration among patient advocacy services for seamless information and support
So as to provide for patients an effective, efficient and seamless information and advocacy service, consideration should be given to how the various patient advocacy and liaison services in a given geographical area could most effectively collaborate, including in relation to the provision of information for patients and the public.
Matched on
classifier match
Inquiry recommendation
23match
IR2-16 - Central Delivery with Devolved Support
I recommend that the compensation scheme should be delivered by one central body, appropriately resourced and staffed. Current support schemes should however continue to be provided as at present by schemes local to each nation.
Matched on
classifier match
Inquiry recommendation
18match
HIA-3 - Commissioner for Survivors of Institutional Childhood Abuse (COSICA)
We therefore recommend that a designated person should act as an advocate for such children, and should be responsible for ensuring the co-ordination and availability of services, and identifying suitable means whereby such services can be made available to those who need them. This person should be called the Commissioner for Survivors of Institutional Childhood Abuse (COSICA).
Matched on
classifier match
Inquiry recommendation
18match
RHI-37 - Reduce Organisational Silos
In keeping with the spirit of the Ministerial Pledge of Office, the Northern Ireland political parties, supported by the Northern Ireland Civil Service, should together agree a set of actions to reduce organisational silos arising between the government Departments and their linked public bodies and to promote behaviours of collaboration and joined-up departmental working in the interests of...
Matched on
classifier match