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ACTION 3.1

To set up a single body to mediate the health and social spheres, establishing a one-stop shop

Many social and healthcare integration plans have already been devised in Catalonia (the Inter-sectoral and Inter-Departmental Public Health Plan-PINSAP, the Healthcare Infrastructure Action Plan-PAISS and the National Community Health and Primary Care Strategy Plan-ENAPISC, among others). However, in reality, although there are initiatives in certain regional settings and for a number of specific services (such as gender-based violence circuits), the public health system and the public social services system are entirely independent. It is vital to set up a body to mediate between the health and social spheres, thereby creating a comprehensive, integrated and preventive social and healthcare system founded on regional equity criteria which pools the relevant financial resources. A one-stop shop should be set up with a local-level focus managed by the closest public body and which benefits from decision-making authority, without falling into the trap of social services adopting a medically-oriented role. The cross-departmental nature of the services and the regional boards is a key aspect to ensuring all citizens are guaranteed access to the available services and resources that allow people to lead a dignified, healthy life with optimal independence. Indeed, health problems stem from genetics and clinical history, but above all they are triggered by socio-economic factors and habits. The social and health sectors must join forces in order to build priorities in terms of healthcare and social research, determining indicators and assessment systems to allow progress to be made when it comes to prevention, diagnosis and the identification of people's needs. It is also necessary to reach a common consensus policy for the non-academic transfer of scientific knowledge, which currently focuses on strictly healthcare-related knowledge.