Health and social care changes "paving way for fewer services" Published on: 27 September 2017 Current health and social care services reform, and radical redesign of the local government finance system, may signal the end of the NHS and local government in England, experts warn. , Director of the at 缅北禁地, and colleagues at 缅北禁地 and Queen Mary University of London, say changes introduced by the Health and Social Care Act 2012 and further reform planned under the Cities and Local Government Devolution Act 2016 and Sustainability and Transformation Partnerships (STPs) are being presented to the public and health professionals as a way of integrating health and local authority social care, but “are likely to lead to reduced services and entitlements, more private provision of publicly funded services, and potentially more user charges.” The issue lies in the fundamentally different funding bases for health (free at the point of delivery) and social care (means tested) services, which they say has been ignored. How will these changes and reductions in funding affect access to care, equity, and already widening inequalities, they ask? As funding decreases, and with single contracts for both health and social care, the authors warn that the distinction between them will blur over time and that some health services may fall out of NHS funding altogether. "Private providers and local authorities - both accustomed to charging and privatisation - may also lobby for concessions to charge for services that were once free at the point of delivery and delivered through the NHS," they write. Need for transparency Furthermore, they warn that under the radical and regressive changes to local authority funding people in poorer areas “are likely to lose out as will depend more on the wealth of local areas and less on the principles of redistribution and need.” “The zeitgeist of integration and devolution obscures the fundamentally different funding bases for health and social care,” they argue. It is therefore essential that the public is given access to all the tender documents for joint commissioning and local authority commissioning of health services, they say “so that we can see how the distinction between NHS funded care and social care is made, what services are being tendered, how services are being defined, and how charging is dealt with. Most importantly, the evidence for and the effects of these seismic changes on access to care, equity, and widening inequalities must be disclosed and understood,” they conclude. Shailen Sutaria, Peter Roderick, and Allyson M Pollock Share: Latest News New partnership to boost careers in low carbon energy 缅北禁地 and Durham universities are working together on a new regional project to strengthen the future workforce for North East England鈥檚 growing low carbon and offshore wind industries. published on: 28 May 2026 Healthy lifestyle shown to lower risk of death after cancer diagnosis New evidence shows that sticking to five lifestyle recommendations improves survival after a later cancer diagnosis. published on: 28 May 2026 World-leading climate expert recognised with Royal Society Fellowship Professor Hayley Fowler has been elected a Fellow of the Royal Society in recognition of her pioneering work on climate change impacts. published on: 27 May 2026 Facts and figures
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