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Health and Social Care Policy and the Interprofessional ... - CAIPE

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Chapter 2 - The UK <strong>Policy</strong> Agenda<br />

Summary<br />

In Chapter 2, in light of <strong>the</strong> Government’s new initiatives <strong>and</strong> models of<br />

service delivery in interagency interprofessional care we have concluded that<br />

as social care is an essential partner, social care policy must be included. We<br />

have also included Department for Education <strong>and</strong> Skills policies in <strong>the</strong> section<br />

devoted to children <strong>and</strong> young people.<br />

We have deliberately excluded Higher Education policy as we wished to focus<br />

on clinical practice ra<strong>the</strong>r than educational practice <strong>and</strong> to ensure that <strong>the</strong><br />

whole workforce is considered. We have however included <strong>the</strong> Statutory<br />

Bodies who have profession specific responsibilities.<br />

From our analysis it is clear that for decades <strong>the</strong> UK government has given<br />

directives for an interprofessional, interagency workforce however this has not<br />

been implemented widely in practice until recently.<br />

Background<br />

In our previous paper we examined whe<strong>the</strong>r <strong>the</strong>re is a European agenda for<br />

creating an interprofessional workforce <strong>and</strong> if so which EU <strong>and</strong> WHO policies<br />

point <strong>the</strong> way forward. We were able to demonstrate that not only does policy<br />

m<strong>and</strong>ate interprofessional, interagency <strong>and</strong> inter-sectoral practice in health<br />

<strong>and</strong> social care but also <strong>the</strong> need to forge partnerships with <strong>the</strong> environment,<br />

transport, agriculture Directorates, whose policies also impact on <strong>the</strong> health<br />

<strong>and</strong> well being of Europeans. We concluded that ‘policy makers <strong>and</strong><br />

strategists have made it crystal clear that <strong>the</strong> creation of an interprofessional<br />

workforce is critical for <strong>the</strong> health <strong>and</strong> welfare of future generations <strong>and</strong> to<br />

ignore <strong>the</strong>ir advice would, at <strong>the</strong> very least, be foolhardy’ (Tope & Thomas<br />

2006). Starting from this premise, in this Chapter we intend to examine<br />

whe<strong>the</strong>r, <strong>and</strong> if so with what degree of success, <strong>the</strong> UK Government has<br />

implemented <strong>the</strong>se EU <strong>and</strong> WHO policies.<br />

It could justifiably be argued that in spite of progress being frustratingly slow<br />

UK policy is showing o<strong>the</strong>r member states <strong>the</strong> way forward, in<br />

interprofessional, interagency, inter-sectoral education <strong>and</strong> practice. Indeed<br />

for more than eighty years experts have been advising <strong>the</strong> Government of <strong>the</strong><br />

need for interprofessional teams to work in partnership with patients <strong>and</strong> <strong>the</strong>ir<br />

carers (see for example HMSO, 1920).<br />

In 1959 <strong>the</strong> Younghusb<strong>and</strong> Report focused on <strong>the</strong> role of social workers in<br />

health care, remarking that it was essential for healthcare teams to<br />

collaborate with social workers for <strong>the</strong> benefit of patients <strong>and</strong> <strong>the</strong>ir families<br />

(HMSO, 1959). There was a flurry of activity during <strong>the</strong> late 1960s, 1970s <strong>and</strong><br />

1980s, with report after report being submitted to <strong>the</strong> Government, each of<br />

which emphasised <strong>the</strong> need for increased interprofessional collaboration in<br />

30

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