10th October 2017

Health and care at “full stretch” says independent regulator

The health and social care systems in England are at “full stretch”, “straining at the seams” and face a “precarious” future. That is according to a report from the independent regulator, the Care Quality Commission (CQC).

In the CQC’s latest state of health care and adult social care annual report for England, the regulator reviewed the outcomes from its new inspection regimes of hospitals, mental health units and care services.

The report raises concerns about the number of patients with preventable illnesses, the rising demand for services, the rising number of individuals with unmet care needs and bed and staffing shortages. It also says that the level of care provided by the NHS and local authority care providers has been maintained, but warned that these standards are likely to drop, leading to the safety concerns.

One striking issue is the fact that care professionals are working with a combination of greater demand for the services they deliver and less staff capacity to do so. The CQC say there is, however, “a limit to their resilience.”

CQC Chief Executive, Sir David Behan, said that the NHS is “struggling to cope with 21st century problems”. He also said that “we are living longer but are not living healthier”.

One of the concluding remarks of the report states that better care can often be seen where providers are working together to provide a more seamless service, one that is built around the often multiple or complex needs of the individual. They found this to be true where there is joined-up care with local health and care leaders collaborating to engage staff, people who use the services and local partners to respond to the challenges they face.

Joel Charles, Acting Chief Executive of Future Care Capital, said:

“We welcome the Care Quality Commission’s latest assessment of health and care provision across the country. The report highlights that complex demand for these services will continue to rise, but funding is not the only answer to resolve unmet health and care needs. If we don’t start trying to tackle these issues now, we will run the risk of moving toward a cliff edge in future provision.”

“Future Care Capital is committed to setting out a positive vision for the future of health and care services. Our primary focus is driving the unification agenda. By helping health and care providers and all generations in the community to work together to deal with these challenges, there is a real opportunity to deliver greater collective wellbeing for all in society. Our vision is underpinned by the concept of a Care Covenant – a new agreement between the state and the public, which spells out a commitment to support the health and care needs of everyone throughout their life. To deliver a Care Covenant we first need to agree a new national plan for managing our ageing society in the future. The plan will also need to tackle the postcode lottery in provision, ways of reducing social isolation amongst people in later life and how to embrace technology to encourage independent living.”


Notes to Editors

Press contacts

For all press enquiries, please contact Joel Charles, FCC Acting Chief Executive, at [email protected] or 07377 338322.

Joel Charles is available for Broadcast interview.


About Future Care Capital (FCC)

FCC is a charity, emerging from the sale of the awarding organisation, the Council for Awards in Care, Health and Education (CACHE), in September 2015.

Beginning life as the National Nursery Examination Board (NNEB) in 1945, the charity has evolved throughout its 70-year history and continues to have Her Majesty the Queen as its Royal Patron.

Following the sale of its awarding organisation business and assets (including the CACHE and NNEB brands) the charity has now embarked on its next chapter.

The Trustees have developed a detailed strategy for the future direction of the charity and have recently approved a 10-year business plan. The Trustees have identified the following vision, goals and aspirations that follow on from the Charity’s objects:

Charitable Objects: To promote education, training, quality and standards in care, health and education and allied disciplines.

Vision Statement: The charity will be known for being the leading independent voice for applying evidence that will advocate for and deliver a step change in health and care, including the advancement of quality and standards as well as education and training for allied professions as a sustainable charity.

Mission: Engage, educate and involve all generations in the development and delivery of unified health and care provision.

Key Beneficiaries: Those in receipt of care.

Key Goals and Aspirations:

  • Be recognised as a leading advocate and thought leader;
  • to deliver a step change in the advancement of quality and standards, education and training in care and health and allied professions; and
  • sustainably grow impact.

The charity has adopted an agile approach to delivery underpinned by an enabling internal culture and supporting systems that reflect its core values of empathy, diversity, openness and professionalism.

The charity’s core offerings are delivered through two collaborative but independent delivery vehicles:

Evidence based Advocacy – Developing new policy propositions and solutions supported by evidence-based research, stimulating debate and innovation through events, publications, projects and discussions with diverse stakeholders including the general public.

Innovation Investment Fund – In pursuance of FCC’s charitable mission, the charity will deploy its resources to identify and support innovation through the launch of a dedicated investment fund. The fund will invest in early stage technology based health and care entities with high societal benefit.

Legally structured as a charity, FCC intends to operate as a dynamic, agile and commercially aware organisation: a true social enterprise.


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