Routes for social and health care: A simulation exercise

How will health and social care system reform work in the future? The King's Fund publishes the results of its simulation exercise.

The simulation exercise enabled senior managers and thought leaders from across the NHS, local government and the third sector to test out a remodelling of the health and social care system in a safe learning environment.

Routes for social and health care: A simulation exercise focuses on Crafton – a hypothetical metropolitan borough in central England – and sets up a number of routes to managing change.

The publication offers some important reflections for policymakers, commissioners and providers, including

  • the challenge of moving beyond short-term efficiency savings to longer-term transformational design of services
  • the  tension between top-down managerially led approaches to change and a more devolved outlook that stresses individual control and choice
  • the potential of health and well-being boards to offer system leadership in moving towards different models of care.

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