Putting integrated care into practice: the North West London experience

WISTOW Gerald, et al
Nuffield Trust
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An evaluation of the Whole Systems Integrated Care (WSIC) programme in North West London. The WSIC programme is the largest of the 14 integrated care pioneers launched by the Coalition Government in 2013 to remove barriers to integrated care and enable it to be extended ‘at scale and pace’. The report shows that the programme has been able to make significant investments in co-design and planning, before developing pilot schemes, known as ‘early adopters’. The initial co-design phase was completed roughly within the planned timescale, and its outputs have supported the early adopter phase. However, the programme was more than a year behind schedule when the evaluation ended and had yet to deliver significant service change. Barriers to implementation include: difficulties obtaining data-sharing agreements, and clarifying and establishing the necessary information governance arrangements; separate payment systems and governance structures between sectors; organisational fragmentation; and difficulties striking a balance between a number of factors, including collective leadership and local autonomy, integrated commissioning and integrated provision, and NHS leadership and local authority engagement. (Edited publisher abstract)

Subject terms:
integrated care, evaluation, intervention, information sharing, NHS, local authorities;
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