Achieving the Provision of Integrated Care

This report traces the development and impact of integrated care to date, highlights some examples of successful practice and draws out the key lessons for later-adopters |  National Association of Primary Care

This report suggests that a number of of factors – ageing populations, an increased prevalence of multiple chronic disease and rising expectations of what health care and technology can offer –  combined with limited human and financial resources, have placed health  systems under intolerable and unsustainable strain.

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Image source: http://napc.co.uk

Integrated Care Systems, where health providers collaborate with other community  stakeholders to prevent ill health, provide more comprehensive care closer to home, keep people out of hospital and reduce costs, is seen as the antidote to these problems. This approach is now spreading around the world, taking many different forms from country to country.

This report of a two-day symposium attended by health experts from the UK, USA and Ireland, traces the development and impact of integrated care to date, highlights some examples of successful practice and draws out the key lessons for later-adopters.

Full report:

Achieving the Provision of Integrated Care:  Exploring the development and successful
implementation internationally of new models of integrated care

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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

 

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 

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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

 

Refreshing NHS Plans for 2018/19

NHS England & NHS Improvement | Refreshing NHS Plans for 2018/19

This publication  responds to the November 2017 Budget announcement of additional NHS funding of  £1.6bn for 2018/19, which will increase funding for emergency & urgent care and elective surgery.

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It outlines how additional funding will impact on frontline services such as primary care and A&E services. The Department of Health and Social Care (DHSC) is making a further £540 million available through the Mandate over the coming financial year.

It also sets out plans for the development of accountable care systems into integrated care systems. The guidance is accompanied by revised clinical commissioning group allocations for 2018/19.

The publication Refreshing NHS Plans for 2018/19 is here

A link to the revised CCG allocations is also available

Infographic to show CCG allocations are here

 

Supporting transformational change

Supporting Change In Your NHS: The Non-Executive Community In Transformational Change | NHS Clinical Commissoners | NHS England |  NHS Improvement

This joint publication with NHS England and NHS Improvement summarises discussions held at two events earlier this year that brought together more than 200 CCG lay members and trust non-executive directors. These events focused on how lay members and NEDs can contribute to the integration and transformation of their local health communities.

Full document available here

Integrating physical and mental health care

This article provides an overview of The King’s Fund ‘Integrating physical and mental health care learning network’ and how it helps translate a policy ambition to new models of care. It looks at the following questions:

  • Who comes to the network and how does it work?
  • What are the main challenges network members have in integrating physical and mental health care?
  • How has the network helped them to deal with these challenges?
  • What areas are people in the network focusing on to develop new models of care that integrate physical and mental health?

Find out more about the Integrating physical and mental health care learning network

Accountable care

Accountable care: policy fad or step forward on the journey towards integrated care? | Nicola Walsh |The Kings Fund

Accountable care is under discussion almost everywhere in the NHS. Groups of NHS providers (sometimes with the local commissioner) are exploring how they can work more closely together to take on the responsibility for the health and care of a given population within a given budget. Currently, we are seeing emerging accountable care arrangements adopting various forms according to local needs and preferences: in some areas the focus is on creating a single organisation; in others, organisations are keen to use the words ‘system’ or ‘partnership’ – to reinforce the notion of working together.

In this Kings Fund blog, Nicola Walsh looks in more detail at Accountable Care Systems and partnerships.