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Benchmarking integrated care for people with long-term neurological conditions
- Authors:
- BERNARD Sylvia, et al
- Journal article citation:
- Journal of Integrated Care, 20(3), 2012, pp.152-163.
- Publisher:
- Emerald
This paper presents findings from a national survey of primary care trusts (PCTs) that explored the strategic, organisational and practice context of services for people with long-term neurological conditions (LTNCs). It provides benchmarks for integrated service provision and discusses possible reasons for the variability in progress. Earlier phases of the research identified three models of care that promoted continuity of care for people with LTNCs: community interdisciplinary neurological rehabilitation teams; nurse specialists; and pro-active day opportunities. Based on this evidence, a benchmarking questionnaire was developed and a telephone survey of PCTs in England undertaken in 2009. The survey found that the prevalence of models of good practice varied widely across and within PCT areas. A little over half of responding PCTs had completed a joint strategic needs assessment that included a reference to LTNCs and a quarter of PCTs had no joint commissioning arrangements in place for LTNCs. The authors concluded that the complex interplay between strategy, organisational structures and models of delivery may account for this variation and patchy progress.
Integrated services for people with long-term neurological conditions: evaluation of the impact of the national service framework: summary
- Authors:
- BERNARD Sylvia, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2010
- Pagination:
- 4p.
- Place of publication:
- York
The National Service Framework (NSF) for Long-term Neurological Conditions recognised the need for an integrated approach to service delivery. This study aimed to identify what helps or hinders integrated services and to identify best models and practice of delivering continuity of care from the perspectives of people with LTNCs, their families, and professionals involved in their care. The research had three main components: a literature review; in-depth case studies in six neurology ‘service systems’ to identify the key indicators of good quality integrated service provision; and a benchmarking tool. The research identified 3 types of service that can promote continuity of care for people with LTNCs: community interdisciplinary neurological rehabilitation teams; nurse specialists; and proactive, holistic day opportunities services. The benchmarking tool was used to conduct a survey of English PCTs to audit progress towards implementation of the NSF nationally and the extent to which integrated services were available to people with LTNCs. Of the 152 PCTs in England, 118 responded (78%). Results of the survey showed that there is considerable variation in the availability of services for people with LTNCs, and that the implementation of the NSF for LTNCs has been hindered by competing policy, organisational and financial priorities.
Integrated services for people with long-term neurological conditions: evaluation of the impact of the national service framework
- Authors:
- BERNARD Sylvia, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2010
- Pagination:
- 179p.
- Place of publication:
- York
The National Service Framework (NSF) for Long-term Neurological Conditions (LTNCs) recognised the need for an integrated approach to service delivery. This study aimed to identify what helps or hinders integrated services and to identify best models and practice of delivering continuity of care from the perspectives of people with LTNCs, their families, and professionals involved in their care. The research had three main components: a literature review; in-depth case studies in six neurology ‘service systems’ to identify the key indicators of good quality integrated service provision; and a benchmarking tool. The research identified three types of service that can promote continuity of care for people with LTNCs: community interdisciplinary neurological rehabilitation teams; nurse specialists; and proactive, holistic day opportunities services. The benchmarking tool was used to conduct a survey of English PCTs to audit progress towards implementation of the NSF nationally and the extent to which integrated services were available to people with LTNCs. Of the 152 PCTs in England, 118 responded (78%). Results of the survey showed that there is considerable variation in the availability of services for people with LTNCs, and that the implementation of the NSF for LTNCs has been hindered by competing policy, organisational and financial priorities.