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For the latest recommendations from the independent Future Forum to the Government and the Government response see
http://healthandcare.dh.gov.uk/forum-report/ This includes a paper on Integrated Care, recommending many initiatives favoured by IMPRESS including Year of Care approaches and tariffs, personalised care planning, personal health budgets, clarification about rules for competition and cooperation and the importance of professional bodies leading communities of practice. The paper on Public Health recommends "Every healthcare professional should make every contact count" and suggests a priority to tobacco control and stop smoking in the first instance.
20 December 2010 NHS Outcomes Framework was published. This framework follows from the consultation Transparency in outcomes framework for the NHS.
Domain 1 Preventing people from dying prematurely
1.4 v One and vi five year survival from lung cancer
Domain 2 Enhancing quality of life for people with long-term conditions
Improving functional ability in people with longterm conditions
Reducing time spent in hospital by people with long term conditions
Enhancing quality of life for carers
Guided by NICE COPD Quality Standard
Domain 3 Helping people to recover from episodes of ill health or following injury
Helping older people to recover their independence after illness or injury
Improving the experience of care for people at the end of their lives
Domain 5 Treating and caring for people in a safe environment and protecting them from avoidable harm
The future of Public Health in England is described in the 2010 policy document Healthy lives, healthy people: our strategy for public health in England. The document promises to put significant control of public health, including ring-fenced funding, in the hands of local authorities. Much of the DH focus will move to public health and a dedicated new public health service, Public Health England", will be accountable to the Secretary of State for Heath. Its role will be to "fund those services that contribute to health and wellbeing primarily by prevention rather than treatment aimed at cure ... for funding and ensuring the provision of services such as health protection, emergency preparedness, and some elements of the GP contract (including the Quality and Outcomes Framework (QOF)) such as those relating to immunisation, contraception, and dental public health."
Carers at the heart of 21st century families and communities: a caring system on your side, a life of your own