Poor health and social care integration
Lack of a fundamental shift towards collaborative, integrated system-wide change in health and social care.
70 items
1 source
15 inquiries
Source spread
Where this theme appears
Poor health and social care integration has been flagged across 1 independent accountability source:
70 inquiry recs
This theme has been identified in one data source. As more data is added, cross-references may emerge.
Browse by source
Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Inquiry Recommendations (70) — showing 50 strongest matches
26 — Recruit social workers with local authorities
Recommendation: A strong group of social workers should be recruited in association with the Local Authority Social Service Departments of Preston County Borough and Lancashire County and services built up along the lines set out in Chapter 7.
Unknown
25 — Single psychology department
Recommendation: Psychologists employed at the hospital should form one department and their work should be integrated into the therapeutic programme as a whole.
Unknown
19 — Co-ordinated psychiatric nursing division
Recommendation: The Chief Nursing Officer should become head of a co-ordinated psychiatric nursing division, including Ribchester, Sharoe Green and the future hospital department at Preston. The current reorganisation of nursing staff on Salmon Report lines should continue within this framework.
Unknown
17 — Professional Executive and therapeutic teams
Recommendation: The Group Secretary, the Chairman of the Medical Executive Committee and the Chief Nursing Officer, with other appropriate professional heads, should constitute a Professional Executive with delegated authority for day-to-day management of the hospital. They should maintain close liaison with …
Unknown
15 — Liaison with the Preston Group
Recommendation: The new Hospital Management Committee should maintain close liaison with the Preston Group to co-ordinate policy, particularly in relation to the admission unit at Sharoe Green and to plan a new service based on general hospitals at Preston and Chorley.
Unknown
11 — Reconstitute the Hospital Management Committee
Recommendation: The present members of the Hospital Management Committee should be invited to resign and the Committee reconstituted. In view of the pressing need to reorganise services at Whittingham, a small committee of about eight should be set up pending the …
Unknown
9 — Factors for the Board's reorganisation programme
Recommendation: The Board’s programme of reorganising mental illness services should emphasise factors which seem to us not to have been adequately recognised and are essential to the implementation of their policy: (i) the need to provide day places as well as …
Unknown
7 — Multi-disciplinary advisory panel for the Board
Recommendation: In the light of our findings we consider that the Board have suffered from a lack of advice from the field. The Board should establish a multi-disciplinary advisory panel containing comprehensive professional representation from the field to advise them on …
Unknown
6 — Co-operation between the Board and local authorities
Recommendation: We note the absence of local authority facilities in the Whittingham catchment area and consider that the Department should take steps to promote closer co-operation between the Regional Hospital Board and the local authorities concerned in planning the development of …
Unknown
1 — Guidance on long-stay elderly patients in the transition
Recommendation: The Department are, we understand, about to issue guidance on the problems of transition from mental illness services based on specialist psychiatric hospitals such as Whittingham to those based on units in general hospitals. Further thought and advice are urgently …
Unknown
162 — Consult before abandoning a case
Recommendation: Where a Reporter requires to consider the abandonment of a case which has been passed to the Sheriff for proof he should consult the Social Work Department before finally deciding to do so (18.50).
Unknown
161 — Local guidelines on information to Reporter
Recommendation: It should be clearly stated in all local guidelines in what form if any information requires to be given to the Reporter (18.48-49).
Unknown
119 — Agreed strategy for joint interviews
Recommendation: Where agencies are to undertake joint interviews, there should be an agreed strategy both for the course of interviews and for the resolution of disputes and for the assessment of the ongoing work both by managers and interviewers (17.59).
Unknown
78 — Mutual understanding between authorities
Recommendation: Where a child is placed outside the area of the child’s own local authority the Social Work Departments of the two areas should have a clear mutual understanding of the roles and responsibilities of those involved in the care of …
Unknown
31 — National guidance on inter-area co-operation
Recommendation: The national guidance should include guidance on the principles to be followed where authorities or agencies of different areas require to co-operate in dealing with complex cases of child abuse together with other particular matters suggested in the main Report …
Unknown
30 — Co-operative preparation of national guidance
Recommendation: The national guidance should be prepared with the co-operation of all agencies and disciplines engaged in work in the field of child abuse and be available as guidance for all of them (15.61). It should include guidance on all forms …
Unknown
21 — Cooperation between two local authorities
Recommendation: Where two separate local authorities become involved in the investigation of a case of suspected multiple sexual abuse which extends over both their areas the heads of the respective agencies involved should make special arrangements to ensure complete co-operation (15.47).
Unknown
15 — Schools to link with Social Work Departments
Recommendation: The discovery of sexual abuse is not the monopoly of any agency. In particular, schools should establish close links with their local Social Work Departments. Teachers should be designated to be trained in the recognition of child sexual abuse and …
Unknown
14 — Joint training and joint guidelines
Recommendation: To assist in practical co-operation both agencies should engage in joint training and should prepare joint guidelines (15.33).
Unknown
13 — Designated senior coordinator in multiple abuse
Recommendation: At least in cases of suspected multiple sexual abuse a senior member of the staffs of the Police and Social Work Department should be designated to co-ordinate their joint work (15.32).
Unknown
12 — Agencies share information in joint approach
Recommendation: In a joint approach while investigation of a case is properly a matter for the police each agency should share fully with each other the whole information relevant to their particular responsibilities (15.30-31).
Unknown
R101 — Whole-system commissioning with cross-agency risk assessment
Recommendation: 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 …
No response yet
R94 — Continuing community support provision
Recommendation: 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 …
No response yet
191 — Accessible social workers
Recommendation: Social workers should be readily accessible and available to the particular community which they serve and know and be known by it (19.28).
Unknown
163 — Reporter and Procurator Fiscal to consult
Recommendation: The Reporter and the Procurator Fiscal should consult together to avoid conflict between the courses of action to be taken and they should also be invited to attend case conferences where appropriate (18.51).
Unknown
20 — Independent professional advice for Social Work Departments
Recommendation: Social Work Departments should have recourse to independent professional advice in all appropriate cases in addition to the carrying out of any necessary medical examinations. A list of persons suitably skilled and experienced in providing such advice should be available …
Unknown
19 — Early inter-disciplinary meeting and parental involvement
Recommendation: In any case of child sexual abuse an inter-disciplinary meeting should be held at the earliest stage (15.39). Parents should usually be informed from the outset that the suspicion exists and that the matter is being investigated. Their co-operation should …
Unknown
194 — Orkney Islands Council and the community
Recommendation: Orkney Islands Council should take active steps towards improving the relationship between themselves and in particular their Social Work Department and the local community (19.33).
Unknown
180 — Joint training with other agencies
Recommendation: Joint training should be undertaken between the social work profession and other agencies including in particular the police (19.15).
Unknown
164 — Police duty to inform Reporter
Recommendation: In all cases where a police constable has reasonable cause to believe that a child may be in need of compulsory measures of care he should be under a statutory duty to pass that information to the Reporter (18.52).
Unknown
157 — Reporters not to investigate
Recommendation: It is not recommended that Reporters should undertake an investigative function before matters are brought formally to their attention (18.43).
Unknown
136 — SWSG to prepare interviewing guidelines
Recommendation: As part of the national guidance already recommended SWSG should undertake the preparation of guidelines for the investigative interviewing of children in consultation with representatives of all the agencies and professions who may be involved in that work (17.78).
Unknown
134 — Review before departing from interview plan
Recommendation: Any departure from the purpose or number of interviews should only be made after a full review of the situation and the agreement of all agencies (17.76).
Unknown
128 — Planned supervision of joint interviews
Recommendation: Where interviews are being undertaken jointly, supervision should be planned on an occasional but regular joint basis (17.70).
Unknown
16 — Awareness for school administrative bodies
Recommendation: The administrative bodies of all schools should be helped to develop an awareness of the problems involved in child sexual abuse and the roles of the various agencies engaged in dealing with it (15.36).
Unknown
53 — Timing of first review of assessment
Recommendation: The first review of the initial assessment should take place within one week of the initial assessment, and should take place in every case. It should be a multi-disciplinary review, with representatives from the prisoner’s wing, healthcare and the team …
Unknown
R10 — Access to allied health professionals
Recommendation: 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 …
No response yet
RHI-18 — Inter-Governmental Framework
Recommendation: More generally, we recommend a Northern Ireland government-wide framework for information exchange and, where appropriate, co-operation between the Northern Ireland Civil Service, Whitehall Departments and (where relevant) Departments of other devolved Governments and of the Government of the Republic of …
Words of: Northern Ireland Executive, Executive Response to the RHI Inquiry Report Recommendations and Action Plan, Annex A, 7 October 2021
Gov response: These recommendations can be accepted in full. They have been addressed in work to date through: • initial steps to establish a project delivery profession which will, once in place, take forward the recommended programme …
Accepted
No update 2+ yrs
29 — Split the inner catchment area into districts
Recommendation: The inner catchment area of Whittingham Hospital coincides with that of the Preston Group. This should be split into defined districts, each with the responsibility of a single multi-disciplinary therapeutic team.
Unknown
27 — Co-ordinate occupational services
Recommendation: All occupational services, including industrial therapy, should be effectively co-ordinated under the aegis of a professional Resocialisation Group. They should be expanded, with the emphasis on industrial therapy, to provide activities for all patients who can make use of them.
Unknown
20 — Nurse training in co-ordination with Sharoe Green
Recommendation: Training for student and pupil nurses and experience of trained staff should be arranged in co-ordination with Sharoe Green and the new Preston hospital facilities to give adequate variety in all types of patient care.
Unknown
16 — Medical Executive Committee
Recommendation: The senior medical staff with clinical sessions at the hospital, together with representatives of other medical staff, should constitute a Medical Executive Committee, electing a Chairman whose appointment should be subject to yearly renewal. The Chief Nursing Officer and other …
Unknown
156 — Reporter's independence in discussions
Recommendation: In any informal discussion between the Social Work Department and the Reporter his independence of action must be recognised and respected (18.39-41).
Unknown
117 — Channels from interviewers to case managers
Recommendation: Clear communication channels should be set up from interviewers to case managers (17.57).
Unknown
18 — Joint MoJ/DfE policy for children in custody
Recommendation: 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 …
No response yet
R91 — Higher-funded resettlement team for complex needs
Recommendation: 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 …
No response yet
IHRD-49 — Multi-Trust Mortality Meeting Engagement
Recommendation: 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 …
Words of: Mr Swann, Minister of Health, written ministerial statement to the Northern Ireland Assembly, 25 March 2021
Gov response: My Department accepts the recommendations of the O'Hara Report in their entirety.
Accepted
No update 2+ yrs
F235 — Joint proceedings
Recommendation: 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 …
Speaker not recorded. Source: Department of Health, Hard Truths: the Journey to Putting Patients First, volume 2 (Cm 8777-II), November 2013
Gov response: Accepted in part. The Professional Standards Authority oversees the work of the professional regulators, but it has no powers to intervene directly in cases (save that where it considers the outcome of a fitness to …
Accepted in part
In progress
F234 — Cooperation with the Care Quality Commission
Recommendation: 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 …
Speaker not recorded. Source: Department of Health, Hard Truths: the Journey to Putting Patients First, volume 2 (Cm 8777-II), November 2013
Gov response: Accepted. The General Medical Council has been working closely with the Care Quality Commission to build on its Memorandum of Understanding. Similar close joint working has also started with the Nursing and Midwifery Council. The …
Accepted
In progress
SP53 — GMMH and Alder Hey joint SMART audit
Recommendation: 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 …
Words of: HM Government, Government Response to Phase 1 of the Southport Inquiry (CP 1623), presented to Parliament by the Home Secretary, 2 July 2026
Gov response: DHSC has limited powers to direct NHS Foundation Trusts to implement recommendations 51 and 53. The Secretary of State for Health and Social Care has written to Greater Manchester Mental Health NHS Foundation Trust and …
Accepted
In progress