Evidence library

Key messages include:

• Approaches to early intervention and prevention were uncoordinated and inconsistent
• Long standing significant delays in discharging people from hospital, people waiting for assessment of their care needs, and meeting vulnerable peoples’ unmet needs had recently begun to improve.
• Self-directed support had not been implemented effectively.
• There was insufficient support for unpaid carers.
• Staff were working hard to deliver services but were under considerable pressure and sometimes overwhelmed.
• Approaches to self-evaluation for improvement and quality assurance were not well-embedded.

The report includes references to the role of third sector providers and better partnership working.