Social Care Institute for Excellence: Webinar recording: Integrating Better

Social Care Institute for Excellence | March 2019 | Webinar recording: Integrating Better

The purpose of this webinar, recorded on 29 March 2019, has been to introduce a new guide which captures common features of good practice of integration between health, social care and the voluntary and community sector. The guide and associated materials are called Integrating Better: new resources on health and social care integration.

The guide – and the accompanying webinar – covers key topics such as: Leadership for integration; Promoting self-care; Supporting care closer to home; and care and support in a crisis

Webinar recording: Integrating Better

Guide available (requires SCIE registration)

Starting community conversations

NHS England | March 2019 | Starting community conversations

In a recent post on NHS England’s blog the Deputy Chief Executive and Chief Nurse at the Royal Devon and Exeter NHS Foundation Trust, explains how the Trust has started bringing together all the different groups in what we call ‘community conversations’, in an initiative which aims to pass leadership on engagement to local communities, and better connect GPs and other health professionals, local government, social services, the voluntary sector and local people, in ways that work for them. 

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Read the full post Starting community conversations

Age UK’s Personalised Integrated Care Programme: Evaluation Of Impact On Hospital Activity

Nuffield Trust | February 2019 | Age UK’s Personalised Integrated Care Programme: Evaluation Of Impact On Hospital Activity

Age UK commissioned the Nuffield Trust to conduct a detailed evaluation of a scheme providing personalised care for older people. Given the severe pressure on health and care services across England, could this scheme help local systems by reducing the numbers of people being admitted to hospital in an emergency? 

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Image source: nuffieldtrust.org.uk

Read the full piece from Nuffield Trust

Download the publication Age UK’s Personalised Integrated Care Programme

 

Delivering effective governance and accountability for integrated health and care

NHS Clinical Commissioners | February 2019 | Delivering effective governance and accountability for integrated health and care

NHS Clinical Commissioners has released a new explainer for the NHS and local authorities outlines possible solutions for the governance and accountability challenges brought by the move to integrated health and care.

NHS organisations and local authorities are already working closely together to join up approaches to delivery and this will become even more important as the journey towards more integrated approaches to planning for health and care continues via ICSs, as set out in the NHS Long Term Plan earlier this year.

But we know from our members that there are several important differences in governance and accountability between the NHS and local authorities, which creates challenges when seeking to integrate systems and structures (Source: NHS Clinical Commissioners)

NHS Clinical Commissioners Download the explainer

Age UK’s Personalised Integrated Care Programme: Evaluation of impact on hospital activity

Nuffield Trust | January 2019 | Age UK’s Personalised Integrated Care Programme: Evaluation of impact on hospital activity

Age UK commissioned the Nuffield Trust to conduct a detailed evaluation of a scheme providing personalised care for older people. Given the severe pressure on health and care services across England, could this scheme help local systems by reducing the numbers of people being admitted to hospital in an emergency? (Source: Nuffield Trust)

Using data linkage the Nuffield Trust analysed the hospital use of 1,996 older people who had received a service from PICP in eight areas in England, and we compared their activity to that of a carefully selected control group. Their detailed analysis concludes – with some confidence – that it has almost certainly not been able to reduce costs or emergency admissions.

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Image source: nuffieldtrust.org.uk

While in some areas there was no apparent impact on hospital activity, overall there was a higher than expected use of emergency and outpatient services, and a corresponding increase in costs. These effects were detectable from the very start of the service and persisted for more than a year after.

However, the results suggest that the scheme may be identifying unmet need in the population, which manifests in greater use of hospital care (Source: Nuffield Trust).

The report- Age UK’s Personalised Integrated Care Programme – is available to download from the Nuffield Trust

Are patients benefiting from integrated care?

Nuffield Trust | January 2019 | Are patients benefiting from integrated care?

As QualityWatch publishes a scrolling data story investigating whether the drive in recent years to integrate services more closely has resulted in any tangible improvements for patients, Sarah Scobie puts the study in context and explains the findings. They find there is limited evidence that patients are benefiting from better integrated care: only one of the seven indicators has improved, three have deteriorated, and three show either no change or an inconsistent pattern (Source: Nuffield Trust).

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Nuffield Trust Are patients benefitting from better integrated care?

See also:

Quality Watch Are patients benefiting from integrated care? 

 

Leadership in integrated care systems (ICSs)

Social Care Institute for Excellence | November 2018 | Leadership in integrated care systems (ICSs)


The NHS Leadership Academy commissioned SCIE (Social Care Institute for Excellence) to undertake  research to further expand the understanding of systems leadership and leadership of integrated care systems. The research will inform the Leadership Academy’s long-term plans for supporting leaders in integrated care systems.

This Future of Care paper, aimed at chief executives, directors and senior managers from the NHS, local authorities, housing organisations and voluntary and community sector, is based on findings from interviews with systems leaders and a review of the literature (Source: SCIE).

 

Report available from  SCIE

See also: Free online webinar