In that area: one of the worst things over recent years has been, certainly here in Scotland but elsewhere, is an obsession with the delayed discharges reporting metric. While, possibly well meant, it resulted, and still does, in the acute guys kicking folk out ASAP to meet the target (not all the time but they are aware of it) and the local authority picking up a much larger care plan bill (which has been one of the pressures on the social work budgets) and for years the two have still been fighting it out here. Notwithstanding the fact they won't be getting the care they need and so frequently need to be re-admitted.
Incidentally Nicola, in her majestic glory, is planning to go ahead with this new national care centre model up here despite, literally everyone in health/local authorities, saying it's a bad, ill thought out idea. As if some sort of, yet more, red tape governance type structure is going to solve it.
Why i always remain sceptical with blanket 'we need more money!' shout outs to solve the current mess a lot of the health trusts and the council's are in. Part of it, but certainly not all of the solution.