Creating the five year forward view for social care

How transformed and integrated health and care could improve outcomes and cost-effectiveness

Second edition published: March 2017


The Five Year Forward View sets out a case for upfront investment in the NHS to transform it into a service which reaches people in their homes and communities with early, effective interventions and builds partnerships with people with longterm health conditions and their families. It is widely accepted that this will only succeed where social care makes the same transformation.

Social care has a track record of transforming services, such as delivering personal budgets, asset-based approaches and co-production. Both systems share similar goals. It is now time to bring health and care transformation together.

This paper explores the potential for scaling up the most promising examples of care, support and community health services, initially using data from Birmingham City Council, modelling their outcomes and costs. Originally published in November 2016, it has been updated to include additional models.

Our aim is to start a series of national and local discussions which re-imagine how we can lead good lives, in good places for people with support needs - building on well-evidenced innovative models from across the UK.

Total transformation must change systems and processes, but first it must change hearts and minds. We need language that we all understand – that enables managers to explore ways to improve services whilst balancing budgets, but also helps people to think about how their communities can flourish.

Clenton Farquharson, person who uses services and Director, Community Navigator Services

With thanks to Birmingham City Council, Shared Lives Plus, PPL, Nesta and Clenton Farquharson