Dr Phillip Lee: "We need reform that is fair and supports economic growth.

Last week the Chancellor announced his Spending Review for 2015/16.

The Spending Review sets out how the Government is planning on securing further recovery for the British economy.

The message was clear: we need reform that is fair and supports economic growth.

Although some of the departmental cuts were not the easiest decisions to make, I believe they are clearly a necessary move into the right direction to ensure more progress in Britain.

This year’s spending review also set out its plans on dealing with the pressures of the NHS and the Government’s plans on social care system reform.

Many elderly people often find themselves trapped between the NHS and the social care system and do not get the care they should.

None of us would want to see their loved ones endure this.

It is a failure that also costs Britain billions of pounds.

Britain can do better.

As a result I am pleased the Government announced it will bring together a significant chunk of the health and social care budgets to make sure that everyone gets a properly joined-up service where they will not have to worry about whether a service is coming from the NHS or the local council.

This is a fantastic step forward in ensuring that the commitment for social care is tied in with real reform to help end the scandal of elderly people trapped in hospitals because they cannot get a social care bed.

In my view, this is a particularly welcome announcement as it will relieve pressures on A&E departments and help local Government deliver on its obligation.

It will move care into the community closer to people’s homes.

This integrated health and social care model will save the NHS at least £1 billion and transform the way we look after people who need the care most.

This will also mean greater resources for frontline services which, in line with a 10 per cent real term cut to administration budgets, will clearly overhaul the NHS procurement system.

However, as I have argued in previous articles, more needs to be done to address the demand challenges of the NHS.

The need for structural change in the NHS is clear.

Where we receive our care must change if we want better clinical outcomes.

As a consequence, we need to ensure we reduce pressure on A&E departments by helping to re-structure the delivery of regional care.

Finally, I believe pursuing an integrated care model to facilitate the social integration of society’s more vulnerable groups through better access to flexible community services will ultimately lead to better system efficiency through better coordination of care and, more importantly, better health outcomes.