Demand pressures are increasing across all public services. As a consequence, increasingly resource, capacity and energy of local services are channelled towards managing and responding to crises and immediate problems, rather than the longer-term prevention and early intervention which so many recognise is required for sustainability.
So how can local systems adapt to be fit for purpose for the future? What are the causes of increased demand pressures, especially in high spend areas like children and adult social care, and how can new ways of working resolve these pressures? How can the national framework and institutions become enablers to the change we need?
Previous publications under this theme include:
Reaching Out: Influencing the wider determinants of health
All Together Now: Whole systems commissioning for councils and the voluntary sector
Get Well Soon: Reimagining place-based health