The Care Quality Commission (CQC) have published their 2016/17 State of the Nation report looking at the quality of health and social care provision in England.
The report looks at the trends, highlights examples of good and outstanding care, and identifies factors that maintain high-quality care.
Overall it finds that the quality of health and social care has been maintained despite very real challenges. The majority of people are getting good, safe care, and many individual providers have been able to improve. #
However, the report highlights that future quality is precarious as the system struggles with increasingly complex demand, access and cost. The efforts of staff have largely ensured that quality of care has been maintained – but staff resilience is not inexhaustible, and some services have begun to deteriorate in quality.
Better care is often where providers are working together to provide a more seamless service, one that is built around the often multiple, or complex, needs of individuals. They found this where there is joined-up care – local health and care leaders collaborating to engage staff, people who use services and local partners to respond to the challenges they face.
The report considers the issue of equality. The authors highlight that ‘getting information’ is a critical factor in the equality of access to services, and that the 2016 national adult social care survey found Asian or Asian British people were more likely to have difficulty finding information about services, closely followed by Black or Black British people.
In the 2016 NHS adult inpatient survey, patients overall were less positive about staff sharing information with them, compared with 2015. This was based on survey questions covering both information given during a hospital stay and on discharge.
Some people were less likely to report that staff shared information well with them, including: people aged over 80; people with a mental health condition; people with a longstanding physical health condition; Jewish people.
The full report can be access on the CQC website: http://www.cqc.org.uk/publications/major-report/state-care