The report finds that London well being authorities are working higher collectively and focusing extra on inequalities through the pandemic

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The King’s Fund investigation says the capital’s Integrated Care Systems have made great strides in response to pressure from Covid-19

Dealing with the pandemic has led to better collaboration between various health and care organizations in London and increased leadership commitment to reducing health inequalities in the capital. This comes from a report from a leading charity commissioned by the Greater London Authority.

The King’s Fund, which is devoted to improving health and care across England, says tackling Covid-19 has resulted in the NHS, local authorities and the voluntary sector working more closely together than before, which has led to it that these partners “focus more on combating health and health” the major health inequalities that exist in London “and” create a moment of opportunity for lasting change “

The report examines the response to the emergence of the coronavirus by the five Integrated Care Systems (ICS) operating across the capital that arose from reforms aimed at bringing together different layers and types of local health and social care in effect in 2016 .

The urgent common purpose promoted by the pandemic created the opportunity for the various positions within the ICS structures to jointly adapt to their requirements and to make changes in weeks or even days that would otherwise have taken years to implement.

The need for frequent, sometimes daily, meetings has resulted in faster problem resolution. There is closer cooperation with community organizations and pharmacies, as the elderly and other people who have taken protective measures need support and contact with doctors and outpatient appointments via telephone or video Link has changed dramatically.

“The response to Covid-19 has sped up some service changes that have already been planned,” the report said. “Above all, this led to a massive expansion of remote access.”

Protecting the ability of hospitals to treat the surge in acutely ill Covid patients has meant strengthening “quick response community services” to expedite discharges and prevent new admissions from being hospitalized that could be avoided, including those with mental health problems in accident and emergency rooms.

As an example, there is a close collaboration between the West London Mental Health Trust and the London Ambulance Service to “develop different ways to meet the needs of people with mental health needs who regularly call 999”.

The risk of Covid transmission in various primary care facilities has been reduced by separating Covid from non-Covid patients. The report states: “In many areas, local authorities have set up community hubs to bring together and coordinate the support offered by the council and by them, various voluntary and community organizations that help identify residents and with the council and the support they need. “

The work of the King’s Trust began shortly before the pandemic outbreak in the UK, with the original aim of studying the evolution of the capital’s five ICS and building on two previous studies published in 2017 and 2018. It was based on 27 “in-depth, qualitative interviews with health and care executives across London” and a panel discussion held in November with 15 executives present, including representatives from the GLA and Public Health England.

Sadiq Khan previously set six tests that the reforms should meet before advocating further changes. The Mayors of London have little power over the delivery of health and care services, but they need to develop a strategy to address health inequalities.

The study says tackling health inequalities caused by the pandemic is “an even higher priority”. Some respondents indicated that their efforts in this area now include more of the “broader social determinants of health”, which could include contacting the appropriate local authority when an asthmatic’s housing situation deteriorates.

The focus was more on “certain groups severely affected by the pandemic, including some black, Asian and ethnic minority communities, people with homelessness and people with learning disabilities,” the report said.

It stresses the importance of “locking in” the improvements to the systems brought about by the pandemic, but it also notes that the speed with which they were introduced has meant that the usual public consultations have been bypassed and that this has to be done before changes are embedded in the long term.

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