Developing place-based partnerships: the foundation of effective integrated care systems

Authors:
CHARLES Anna, et al
Publisher:
King's Fund
Publication year:
2021
Pagination:
83
Place of publication:
London

This report seeks to understand how partnerships at the level of place (described here as place-based partnerships) are forming and to provide local health and care leaders with a set of principles to support their approach to working at place. In this report, we use the term ‘place’ to refer to the geographical level below an ICS at which most of the work to join up budgets, planning and service delivery for routine health and care services (particularly community-based services) will happen. Section 1 provides some context for this work by offering a brief overview of the relationship between place and public services, including relevant past initiatives, and outlining recent developments in national policy around ICSs and place. Section 2 then draws on insights from existing literature on place-based working, together with insights from our interviews and roundtable discussions, to explore how place-based partnerships can contribute to the improvement of health and wellbeing, setting out a number of core functions. Section 3 brings together insights from our interviews, roundtable discussions and the wider literature into a series of principles guiding the approach to building and developing place-based partnerships, exploring how each principle can be applied in practice. Finally, Section 4 looks across our findings to consider the implications for national policy. The report argues that as ICSs move on to a more formal footing, they should continue to focus on the priorities of their local places, ensuring that they are adequately represented in formal ICS structures and strengthening connections between priorities, governance and leaders at system and place levels. ICSs and place-based partnerships should prioritise the relational aspects of their development, with a sustained commitment from leaders to develop collaborative ways of working. (Edited publisher abstract)

Subject terms:
integrated care, place-based approach, joint working, collaboration;
Content type:
research
Location(s):
England
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