Rebooting Health And Social Care Integration: An Agenda For More Person Centred Care

This report finds that the health and social care integration agenda has a future but it is dependent on moving away from notions of structural integration and reliance on central policy direction | Localis

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Image source: Localis

It concludes that the issue of funding and financial sustainability is critical but can only be influenced locally. The authors also believe that health and social care integration can create new value locally, but it must build on its most important point of consensus; greater person centred care. The report makes four strategic recommendations and six policy recommendations to support integration.

Integration and Better Care Fund Policy Framework

The Better Care Fund will provide financial support for councils and NHS organisations to jointly plan and work together to deliver local services.

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This document sets out the story of integration of health, social care and other public services, and provides an overview of related policy initiatives and legislation.

It is intended for use by those responsible for delivering the Better Care Fund at a local level (such as clinical commissioning groups, local authorities, health and wellbeing boards) and NHS England.

It includes the policy framework for the implementation of the statutory Better Care Fund in 2017 to 2019, which was first announced in the government’s Spending Review of 2013 and established in the Care Act 2014.

It also sets out proposals for going beyond the Fund towards further integration by 2020.

The Social Care Institute for Excellence’s report, Integration 2020: Scoping research, has also been published.

Full paper: Integration and Better Care Fund Policy Framework 2017 to 2019

Total transformation of care and support

The Social Care Institute for Excellence has published Creating the five year forward view for social care: how transformed and integrated health and care could improve outcomes and cost-effectiveness.

This updated paper explores the potential for scaling up the most promising examples of care, support and community health services, initially using data from Birmingham City Council, modelling their outcomes and costs.  Originally published in November 2016, it has been updated to include additional models.

The report contains the following chapters:

Vision for transformed care: Re-shaping services around the needs and strengths of individuals, families and communities.

Key messages and summary: Outcomes can be improved, and costs reduced, if the sector scales up promising practice.

Case studies: Six models of care and their potential impact on costs and outcomes.

Models of care: Overview of promising practice that support transformative change in health and social care.

Conclusions and next steps

The paper is available to download here

Health and social care integration

The National Audit Office has published Health and social care integration

This report highlights that progress with integration of health and social care has been slower and less successful than envisaged and has not delivered all of the expected benefits for patients, the NHS or local authorities.  As a result, the government’s plan for integrated health and social care services across England by 2020 is at significant risk.

Full report available here

Additional links:

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Image source: http://www.nao.org.uk

Outcomes-focused integrated care: lessons from experience

This new paper, an update to ‘From the Ground Up’, captures some of the learning and experience from our work on developing integrated practice | IPC

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Image source: IPC

As local authorities and health organisations undergo significant periods of transformation, IPC has supported the cultural and organisational changes needed to deliver outcome-focused care, as well as operational design, from the start of the process through to implementation and evaluation.

The need to integrate care has long been a key issue and people’s understanding of what it takes to successfully implement it has evolved over time.  There has been a shift of focus from co-location and organisational structures towards working with teams to clarify and consolidate the professional roles and relationships which will make integration work in practice.

Here, we explore ‘what works’, offering guidance to those embarking on a significant period of change and integration on what they may need to consider.  It draws on IPC’s practice-based experience of integration across a range of different organisational set-ups and cultures.

Read the full report here

Does integrated care reduce hospital activity for patients with chronic diseases?

Damery, S. et al. (2016) BMJ Open. 6:e011952

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Objective: To summarise the evidence regarding the effectiveness of integrated care interventions in reducing hospital activity.

Conclusions: Although all outcomes showed some significant reductions, and a number of potentially effective interventions were found, interventions rarely demonstrated unequivocally positive effects. Despite the centrality of integrated care to current policy, questions remain about whether the magnitude of potentially achievable gains is enough to satisfy national targets for reductions in hospital activity.

Read the full abstract and article here

Taskforce to help integrate health and social care is scrapped

Limb, M. (2016) BMJ. 355:i5678

Prime Minister Theresa May has come under fire for scrapping the Health and Social Care Implementation Taskforce which was set up by her predecessor, David Cameron.

Jon Ashworth, shadow health secretary, said that the decision showed that May had “no interest in the long term sustainability of our NHS and social care system.” He told The BMJ, “Under the Tory government, the NHS has been engulfed in a funding and staffing crisis and the Care Quality Commission said last week that the social care system was on the verge of a ‘tipping point.’ Now is not the time to be scrapping attempts to integrate the two.”

The task force was made up of leading health, local government, and Treasury ministers and officials, and was chaired by the health secretary, Jeremy Hunt. Formed in 2015, it was meant to take forward the strategy for an integrated health and social care system. A Cabinet Office spokesperson confirmed on Wednesday 19 October that the taskforce had ceased to exist, along with several similar bodies, to make way for “more efficient” ways of working. Its work would be incorporated into a new cabinet committee focused on wide ranging social reform, to be chaired by May, the spokesperson said.

Read the full article here