Integrated care: organisations, partnerships and systems

House of Commons Health and Social Care Committee | June 2018 | Integrated care: organisations, partnerships and systems 

This inquiry report explores the development of new integrated ways of planning local health and social care services (sustainability and transformation partnerships and integrated care systems) and delivering care (integrated care partnerships and accountable care organisations), which have arisen out of the NHS five year forward view.

The report supports the move away from a competitive landscape of autonomous providers towards more integrated, collaborative and place-based care. However, it finds that understanding of these changes has been hampered by poor communication and states that the government and the NHS must improve how they communicate NHS reforms to the public (House of Commons Health and Social Care Committee).

There is an accompanying news release available here 

The full report is available to read  here

Alternatively, you can read the Summary 

The report’s conclusions and recommendations 

Integrated care: organisations, partnerships and systems

The Health and Social Care Committee has published Integrated care: organisations, partnerships and systems.  The Committee say the Government and the NHS must improve how they communicate NHS reforms to the public in their report on integrated care.  The Committee recognises the potential benefits of further integration and calls on the Government to bring forward legislation to remove legal barriers imposed by the Health and Social Care Act 2012.  The Committee says the Government must recognise the importance of adequate transformation and capital funding to effective service change.

Leading healthcare professor Don Berwick says NHS could be world number one if it integrates care

NHS England | May 2018| Leading healthcare professor Don Berwick says NHS could be world number one if it integrates care

A former advisor to Barack Obama Professor Don Berwick argues that the NHS  “I think the NHS probably has a better chance to truly integrate care than almost any other health care system in the world.”

Prof Berwick said improving health through social determinants like housing and lifestyle would be key to its success.  Now an advisor to The King’s Fund,  he also said the fragmented nature of the NHS could be addressed  if all local health and care organisations, worked in partnership and pooled resources, a movement which is underway.  Prof Berwick also underlined the importance of finding time to build relationships, acknowledging the pressure the NHS already faces:

“Right now the NHS is under enormous pressure. You’re going to have to find the time.

“There’s no reason the NHS can’t have the best care in the world, why you can’t take an appropriate proportion of your efforts and move them upstream to the causes of illness and use social determinants to prevent illness. There’s no reason why you have to waste money; you have limited resources and you can use those resources increasingly wisely.” (Source: NHS England)

 

The full, unedited piece can be read at NHS England 

 

A new national approach to large-scale change?

Developing new models of care in the PACS vanguards: a new national approach to large-scale change? | The Kings Fundlight-bulbs-1125016_1920This independent report was commissioned by NHS England as part of a package of support provided to primary and acute care system (PACS) vanguard sites by The King’s Fund. The PACS model is an attempt to bring about closer working between GPs, hospitals, community health professionals, social care and others.

The report offers a unique set of first-hand perspectives into the experience of those leading a major programme at the national level and those living it at the local level. The insights shared will be invaluable to those constructing future national support programmes intended to facilitate transformation in local health and care systems. The lessons learned will also be highly relevant to those involved in the ongoing implementation of PACS and similar models.

Full report: Developing new models of care in the PACS vanguards: a new national approach to large-scale change?

See also: An international perspective on developing new models of care in the PACS vanguards

 

Population health management

How population health management will deliver a sustainable NHS | The Good Governance Institute | IBM Watson Health

PHM
Image source: http://www.good-governance.org.uk

This report explores the potential of population health management (PHM) to deliver a more sustainable version of the NHS by looking at what it takes to develop an integrated healthcare model, evaluating system maturity to embrace PHM, and drawing on case studies from both the UK and the US.

Full document available here

Integrated care systems

Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England |  Chris Ham | The King’s Fund 

integration-2489613_1920

NHS England has recently changed the name of accountable care systems to integrated care systems. In this updated long read, Chris Ham looks at work under way in these systems and at NHS England’s proposals for an accountable care organisation contract.

The article looks at the following:

  • Why is change needed?
  • What are integrated care and population health?
  • What’s happening with new care models?
  • What’s happening in integrated care systems?
  • What are ACOs and why are they controversial?
  • How are integrated care systems and partnerships developing?
  • What has this way of working achieved?
  • What do these developments mean for commissioning?
  • Are these developments really a way of making cuts?
  • Will these developments lead to privatisation?
  • Where next?

The author concludes that integrated care should be supported as it is the best hope for the NHS and its partners to provide services to meet the needs of the growing and ageing population.

Full article: Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England

 

Integrated care: impact on commissioning

Integrated care: what does it mean for commissioning?  | The Nuffield Trust 

This article looks at the risks and opportunities for commissioning as integrated care develops and evolves. Topics discussed include:

  • What are ACSs and ACOs?

  • NHS commissioning to date

  • The limited effectiveness of the market

  • Commissioning in integrated care systems

Additional link: Commissioning: the times are a changing