The demographic has changed, with frail older people, with more complex needs".
Patients are older, with more complex needs and often have multiple chronic conditions.
We need increasing levels of care as we survive beyond our time and bring greater and more complex needs to the table.
"We have more clients approaching us with more complex needs – particularly around poverty, mental health, and drug and alcohol abuse – with less affordable housing, and fewer housing options.
The number of children taken into care is rising, and social services are struggling to help children and families with more complex needs.
Instead, the focus should switch to the long-term challenges facing the NHS, namely how to meet rising demand from an ageing population with more complex needs.
Older people will be subject to a triple whammy: services for this group are already comparatively underfunded, demand for services is rising and they have more complex needs.
Ham says: "There needs to be a radically different model of general practice in the future because of the ageing population and changing burden of disease, especially the fact that more people have more complex needs.
The successor to Microsoft Office Small Business Accounting 2006, it is intended for businesses with up to 25 employees and more complex needs, including inventory management, multicurrency invoicing, multiuser access and fixed-asset management.
And rightly we are seeing a similar drive for home-based support to replace institutionalised care for adults with more complex needs or challenging behaviour, often those diagnosed with autism or spectrum disorders.
