Scoping a Health Needs Assessment for Adults on Probation in England
This scoping report explores the health inequalities experienced by people on probation and the limited data on their health needs and engagement with health services. It sets out recommendations for commissioning and delivering a national health needs assessment to address that data gap and support local health needs assessments for the probation population.
Horizontal or Vertical: Which way to integrate?
In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally integrate with a mental health trust, or set up a stand-alone community trust or Community Interest Company? Seven years on, this report explores the impact this choice had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems