CQC State of Care shows that most people are still getting good care
CQC State of Care shows that most people are still getting good care – when they can access it. The CQC warns of growing ‘care injustice’, with access to good care increasingly dependent on how well local systems work together. This year’s State of Care finds that most people receive a good quality of care, but that people’s experiences are often determined by how well different parts of local systems work together.
State of Care Annual Assessment
People continue to receive good, safe care despite these challenges is a credit to sfrontline staff and leaders. However its clear people’s experience of care varies depending on where they live. Some people can easily access good care, while others cannot access services they need, experience ‘disjointed’ care, or only have access to providers with poor services.
CQC’s reviews of local health and care systems found ineffective collaboration between local health and care services. This resulted in people not being able to access community care and support services which would avoid unnecessary admissions to hospital. This placed an increaseed demand for acute services.
‘July 2018 saw the highest number of attendances on record’
The most visible impact of this was reflected in emergency departments where demand continues to rise. July 2018 saw the highest number of attendances on record. Emergency departments are likely to be rated requires improvement or inadequate.
Childrens & Young Peoples mental Health
The CQC’s review of services found some children and young people ‘at crisis point’ before they got the specialist care and support needed. Average waiting times varying significantly according to local processes, systems and targets.
Effective collaboration between health and social care continues to be affected by the fragility of the adult social care market. With providers closing and contracts being handed back to local authorities unmet need continues to rise.
1.4 million older people, don’t have access to the care and support they need. Older people living with an unmet care needs is up by by almost 20% in the last two years. Whilst the government made a welcome NHS funding announcements recently, the lack of a long-term funding solution for social care is still a deep concern.
Ian Trenholm, Chief Executive of the Care Quality Commission, said:
“This year’s State of Care highlights both the resilience and the potential vulnerability of a health and care system where most people receive good care, but where access to this care increasingly depends on where in the country you live and how well your local health system works together. This is not so much a ‘postcode lottery’ as an ‘integration lottery’.
Peter Wyman, Chair of the Care Quality Commission said:
“The fact that quality has been broadly maintained in the face of enormous challenges on demand, funding and workforce is a huge testament to staff and leaders. “But we cannot ignore the fact that not everyone is getting good care.