For those who are struggling with the broken promises of health & social care integration, the #NuffieldTrust concluded that there is limited evidence that integration has delivered better outcomes, quicker transfers of care, greater efficiency, or improved productivity. https://www.nuffieldtrust.org.uk/files/2021-12/integrated-care-web.pdf.

Introducing major #NHS reform also grinds current services to a halt for a few years whilst they adapt. https://www.nuffieldtrust.org.uk/comment-series/doomed-to-repeat-it.

All this has huge implications for the #NationalCareService in Scotland.