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Dismantling the NHS?Evaluating the Impact of Health Reforms$
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Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to Policy Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

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‘Much ado about nothing’? Pursuing the ‘holy grail’ of health and social care integration under the Coalition

‘Much ado about nothing’? Pursuing the ‘holy grail’ of health and social care integration under the Coalition

Chapter:
(p.171) Nine ‘Much ado about nothing’? Pursuing the ‘holy grail’ of health and social care integration under the Coalition
Source:
Dismantling the NHS?
Author(s):

Robin Miller

Jon Glasby

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0009

Seeking greater integration in the delivery of health and social care has been a longstanding aim of different governments over time, yet deep-seated and seemingly intractable barriers remain. While the Coalition has stressed the importance of integrated care and introduced a number of new initiatives, it remains open to question as to whether health and social care are more or less joined up than they were in 2010. Against this background, this chapter begins by summarising the state of play at the end of the New Labour governments of 1997 – 2010 and the main reforms introduced under the Coalition government of 2010-15. The chapter considers the emerging evidence about the impact of the Coalition’s policies, and offers some thoughts on how such developments might be interrupted. The chapter draws on both formal and informal sources of knowledge and seeks to combine a review of the published data with some more personal reflections. In the process, a ‘three stream multidimensional policy implementation framework’ is used to critique the implementation of integration policy by the Coalition.

Keywords:   Coalition government, health care, social care, New Labour, reforms

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