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A lack of integration and splintered funding streams threaten care savings but social impact bonds offer councils hope Positive conversations about the opportunities presented by the public health reforms have quickly turned to discussions of funding shortfalls and the dangers of under-investment. If the graph of doom – a chart presenting the bleak funding picture for local authorities without any radical changes to the social care system – is to be avoided, local authorities need to find new ways of working with commissioners to make upfront investments in lifestyle change. Our Healthy Places...

Chief executive of Whittington Health, Dr Yi Mien Koh, explains to Jessica Fuhl that the biggest challenge to integration and efficiency is getting staff on board Whittington Health has ambitions plans for the future. It hopes to achieve foundation trust status by 2014 and its first step to ensure it made sufficient efficiency savings in order to do so was to fully integrate local community services with the hospital last year. In January it had reached 98% of its cost improvement programme (CIP) target for the financial year as a result. The integrated health organisation is a merger of the formerly...