Commissioning high-quality and effective care for older people


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NHS and local authorities will work together to plan and buy the highest quality, most effective and best-value care for older people in their local communities

Delivery date:

  • ongoing

To do this we will:

  • make sure contracts give all care home residents consistent and coordinated high quality services
  • bring together separate NHS and local authority contracts for residential and community care to make sure they meet the needs of older people
  • make sure spending is effective.

It is better for people because:

  • older people will be able to rely on getting the right support, in the right place, at the right time
  • better quality services will help keep older people healthier and at home
  • it will save older people time, reduce delays, frustration and worry. 

It is better for the health and care system because:

  • the best care and services affordable will be put in place
  • planning and buying together will drive up quality and increase power to negotiate better value deals
  • consistent higher standards will mean fewer older people needing unplanned overnight stays in hospital, so wards will run more smoothly, including scheduled operations and emergency care.

Key facts:

  • there are over 300,000 over 65’s in NW London
  • across NW London’s eight boroughs, there is a twenty per cent difference in how much the NHS pays for nursing homes
  • planning and buying together could reduce some costs by 20-30 per cent, freeing up more money to invest elsewhere in the health and care system
  • by mid-2039, eight per cent of people (one in 12)  will be aged 80 or over.

Expected outcomes:

  • all eight boroughs offer residents a consistent standard, removing the ‘postcode lottery’ effect
  • more effective use of existing budgets.