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Lack of service integration worsens social issues

Source of power:

State

Space of power:

GOVERNANCE, FUNDING AND VISION

Description:
 

Participants felt it was very difficult to integrate services for multiple issues (e.g., substance misuse, mental health, domestic abuse) and communicate "who’s doing what". This was further complicated by funding being allocated on a yearly basis, and a lack of communication between services. Service fragmentation was thus considered a driver of the "wider inequalities" in Swindon's communities. There were concerns that the commissioning process is not "joined up", too complicated, lacks a whole-system approach and doesn't look "at the person as a whole".

Quotes from participants:
 

"…with the commissioning, it’s not looking at the person as a whole, it’s very much substance misuse, mental health, domestic abuse, and then... interlinking all of those with that one person is really difficult, especially when you put communication of who’s doing what... “
"fragmentation of services... Which then drives that wider inequalities in our communities doesn’t it."
"...the commissioning process is not joined up."

Primary Connections
 

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​This project is funded by the National Institute for Health and Care Research (NIHR) School for Public Health Research (SPHR) (204000). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.

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