Abstract
This report presents key findings from a comparative study across England and Scotland of the implementation and impact of two different approaches to tackling the problem of delayed hospital discharge. The research was commissioned by the Department of Health to evaluate the policy of reimbursement. This was introduced in England in 2003, but not in neighbouring Scotland where a different approach, namely Joint Action Planning (JAP) was adopted in 2002. The introduction of devolved forms of government in Northern Ireland, Scotland and Wales has accentuated and extended intra-UK differences in the organisation and delivery of health and social care services on the one hand, and in policy formation and implementation strategies on the other. According to Alvarez-Rosete et al. (2005), devolution has resulted in natural experiments of divergent policies across the UK. However, they describe their astonishment at the difficulty and in some cases impossibility of obtaining valid comparable basic statistics on the NHS in the four countries which nullify attempts at effective scrutiny and learning. This is particularly apt to delayed discharge where there are very different approaches not only in tackling the “problem” but also to defining and measuring it (National Audit Office 2003, Vetter 2003).
Original language | English |
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Place of Publication | London |
Publisher | Social Care Workforce Research Unit, King's College London |
Commissioning body | DHSC Department of Health and Social Care |
Number of pages | 162 |
Publication status | Published - 1 Jan 2008 |