AI Article Synopsis
- Cleft care services in the UK have been nationally funded for 25 years, resulting in improved clinical outcomes.
- Integrated care systems, introduced in the Health Care Act of 2022, will shift funding for cleft care services based on regional needs starting in 2024.
- There are concerns that the regional approach may disrupt the standardized, patient-centered care established over two decades, and awareness is needed for providers to adapt while maintaining clinical standards.
Article Abstract
Cleft care services in the UK have been nationally funded since centralisation 25 years ago and during this time have been able to demonstrate improved clinical outcomes. Integrated care systems have been introduced into legislature as part of the Health Care Act of 2022 and will be responsible for the paradigm shift of allocating funds on a regional basis for cleft care services in England from 2024. The proposed population-based funding formulas present an opportunity to improve current inequities in cleft care, including access to speech therapy and adult services. However, the regional footprint of integrated care systems does not align with that of the centralised cleft service system and represents a threat to the standardised patient-centred care that has taken two decades to build. Awareness needs to be raised so that cleft care providers can proactively adapt to this mandatory change to service funding to ensure that clinical standards are maintained and continue to improve.
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| http://dx.doi.org/10.1038/s41415-024-7172-7 | DOI Listing |
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