This report looks at the evidence on new roles and ways of spanning organisational workforce boundaries to deliver integrated health and social care. It finds increasing focus on roles which facilitate co-ordination and management of care, development of existing roles to increase the skill-mix and enable the provision of more ... and This report was commissioned by NHS Employers and the Local Government Association.
This case study explores community virtual wards based in GP practices within South Devon and Torbay Clinical Commissioning Group (CCG). Community virtual wards were first introduced by Devon Primary Care Trust in 2010 to proactively identify those at high risk of emergency admissions using a predictive risk tool and to ...
This case study looks at the Sandwell Esteem Team, part of the Sandwell Integrated Primary Care Mental Health and Wellbeing Service (the Sandwell Wellbeing Hub) in the West Midlands. The hub is a holistic primary and community care-based approach to improving social, mental and physical health and wellbeing in the ... and This case study is part of a research project undertaken by The King’s Fund and funded by Aetna and the Aetna Foundation in the United States to compare five successful UK-based models of care co-ordination.
This paper tells the story of the journey made by the District Health Board for Canterbury, New Zealand, towards its goal of providing integrated care for all. It looks at the drivers for change, the leadership values shown by key players and considers the lessons that can be learned from ...
This report synthesises evidence from seven case studies covering Australia, Canada, the Netherlands, New Zealand, Sweden, the United Kingdom and the United States. It considers similarities and differences of programmes that are successfully delivering integrated care, and identifies lessons for policy-makers and service providers to help them address the challenges ...
This paper aims to challenge those involved in integrated care and public health to ‘join up the dots’, seeing integrated care as part of a broader shift away from fragmentation towards an approach focused on improving population health. Using examples from organisations and systems in other countries that are making ...
This case study looks at integrated teams of health and social care professionals, known as community resource teams (CRTs), who work to co-ordinate care for people living at home in the largely rural county of Pembrokeshire. This model of care is one aspect of a wider strategic programme of integrated ...
Age-related chronic and complex medical conditions account for the largest and growing share of health care budgets in all industrialised nations. However, people living with multiple health and social care needs often experience a highly fragmented service leading to sub-optimal care experiences, outcomes and costs. To address this, strategies of ... and .
The fact that health and social care services are currently commissioned separately is a major obstacle to the development of integrated care. Support is growing for a new settlement based on a single ring-fenced budget and a single local commissioner – as recommended by the independent 'Commission on the Future ...
This paper explores factors that might be driving the significant variation in use of hospital beds by patients over 65 admitted as an emergency. It considers the contribution made by patient-based (demand-side) factors, hospital (supply-side) factors, the availability of community services and resources, and broader system relationships (how care systems ...