The Nuffied Trust first year Evaluation of the first year of the Inner North West London Integrated Care Pilot finds that there is substantial progress in terms of developing integrated care in terms of developing new forms of care for older people and those with diabetes. There remains a need to:
- Review governance to develop a locality-based model in response to the development of Clinical Commissioning Group.
- There is a need for improved quality of care planning ensuring that patients are involved and engaged.
- Performance of multidisciplinary groups formed as part of the pilot have been successful enhancing communication and collaboration among professionals.
- There is widespread frustration felt with progress in developing a user-friendly tool for recording care planning that also has all the functionality that partners would wish to see. Shared data and IT is an area requiring work.
- Increased efforts to engage and involve patients in the pilot, representatives from the Patients and Users Committee have been appointed full members of the Integrated Management Board and its committees, and have contributed to the development of the Inner North West London Integrated Care Pilot’s policies and processes.
Community Services: The missing piece of the jigsaw? from Cheshire and Merseyside Commissioning Support Unit asks key questions about whether the community services environment and its attendant set of disparate providers, is really geared up to take on the unprecedented challenges the NHS and social services face and to support the fundamental shift in focus from secondary care to the community and primary care environments? It outlines:
- The ‘TCS’ legacy
- Secrets of success
- Social care integration
- The Transformational Journey
Cost-effective Commissioning For Continence Care is a guide written by continence professionals for the All Party Parliamentary Group For Continence Care. It outlines the essential elements needed during each phase of the commissioning cycle.
Continence care pathways are only effectively delivered through an integrated continence service that is clinically-driven, patient-sensitive and treatment-focused. They offer cost savings by reducing:
- unnecessary catheterisations and associated urinary tract infections (UTI)
- pressure ulcers linked to poor continence care
- acute hospitalisations for UTI, urinary retention, renal failure and faecal impaction
- care home admissions precipitated by incontinence
- the use of incontinence products through low-cost interventions such as bladder retraining, pelvic floor muscle
- training and the appropriate use of medications for incontinence
A narrative for person-centred coordinated care by National Voices and partners shows what coordinated care would look like from the perspective of patients, service users, families and carers. It is hoped all local areas will adopt it, especially through their Clinical Commissioning Groups and Health and Wellbeing Boards, taking up the challenge of seeing & redesigning services through their users’ eyes.
Cited by Roy Lilley in his nhsManagers.net email newsletter Integration of health and social care: A review of literature and models: Implications for Scotland offers an international comparison of models of integrated care.
The NHS Confederation and the RCGP set out six principles for delivering integrated out-of-hospital care. They are:
- Making best use of resources to improve health and wellbeing outcomes for the whole population.
- Empowering patients to have more control over their care packages, strengthen prevention, self-care and wellbeing.
- Targeting services – focusing integrated services on those patient groups most likely to derive the most benefit.
- Collective leadership and joint working – health and social care leaders jointly deliver solutions appropriate to their own communities.
- Incentivising integrated care – develop mechanisms to reward organisations and staff to deliver integrated care.
- Ensuring openness and transparency – using an open-book approach towards all aspects of integrated care
GP super-partnerships: a route to integrated care? This report of a Nuffield Trust seminar by Dr Rebecca Rosen looks at the example of the Vitality partnership in the Midlands