Another problem vexing local politicians is the NHS Sustainability and Transformation Plan. Leicester, Leicestershire and Rutland, along with 44 other strategic footprints across England, are trying to meet increasing demand with a shrinking budget.
Care at home may be better for patients, especially frail older people and those who are dying. The idea that it is cheaper arrived in the wake of Andrew Lansley’s 2012 re-disorganisation of the NHS. Despite the local failure of admission avoidance schemes and the increasing number of hospital admissions, this piece of political rhetoric has been difficult for clinicians to challenge.
The collapse of the County Council’s cost-saving ‘Help to Live at Home’ Social Care contract has left hospitals holding on to frail older patients, fit to be discharged if only there was someone to care for them.
The Government has backed away from funding social care and has cut local government budgets by 30%. The extra 3.99% on your Council Tax bills this year will not plug the gap in funding. But it will pass the buck.