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Wise up on...integrated services
- Author:
- de CASTELLA Tom
- Journal article citation:
- Youth Work Now, December 2007, p.24.
- Publisher:
- Haymarket Professional Publications Ltd.
- Place of publication:
- London
The 'Youth Matters' green paper called for every local authority in England to have integrated youth support service in place before the end of 2008. This article explores what this means in practice and how it affects the delivery of youth work on the ground.
Building strong integrated care systems everywhere: ICS implementation guidance on effective clinical and care professional leadership
- Authors:
- NHS ENGLAND, NHS IMPROVEMENT
- Publishers:
- NHS England, NHS Improvement
- Publication year:
- 2021
- Pagination:
- 24
- Place of publication:
- London
- Edition:
- Version 1, 2 September 2021
This guidance supports the development of distributed clinical and care professional leadership across integrated care systems (ICSs). It describes ‘what good looks like’ in this regard, based on an extensive engagement exercise involving over 2,000 clinical and care professional leaders from across the country, led by a multiprofessional steering group. The document describes two core expectations for Integrated Care Boards (ICBs) to ensure clinical and care professional leadership is embedded in ICS arrangements from April 2022 and five core design principles for effective clinical and care professional leadership across ICSs. These include: integrating clinical and care professionals in decision making at every level of the ICS; creating a culture of shared learning, collaboration and innovation, working alongside patients and local communities; ensuring clinical and care professional leaders have appropriate resources to carry out their system role(s); providing dedicated leadership development for all clinical and care professional leaders; and identifying, recruiting and creating a pipeline of clinical and care professional leaders. It is part of a set of resources developed by NHS England and NHS Improvement to guide NHS leaders in their preparations to establish statutory ICS arrangements from April 2022. (Edited publisher abstract)
Must know on adult social care 7: integrated care
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
How do you know your council is actively promoting integration of health and social care? This is the seventh in the ‘Must know on adult social care’ series, which offers ‘top tips’ on sources of information and support for council lead members on adult social care. It draws attention to best practice and initiaitves such as the National Collaboration for Integrated Care and Support (NCICS), which has developed a framework for improving health and social care integration. It lists the 16 steps drawn up by the King’s Fund, which that organisation believes will help ensure that integrated care happens widely and speedily. It provides links to relevant resources on integraed care and support. The key points in each 'Must know' can form the basis for developing lead member role descriptions, or as an annual checklist of responsibilities that could form the basis of discussion in personal development planning sessions or with the council leader. (Edited publisher abstract)
Integrated care and support: our shared commitment
- Author:
- NATIONAL COLLABORATION FOR INTEGRATED CARE AND SUPPORT
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2013
- Pagination:
- 48
- Place of publication:
- London
'Integrated care and support: our shared commitment' is the first output from the National Collaboration on Integrated Care and Support involving the following partner organisations: Association of Directors of Adult Social Services (ADASS), Association of Directors of Children’s Services (ADCS), Care Quality Commission (CQC), Department of Health, Local Government Association (LGA), Monitor, NHS England, Health Education England, NHS Improving Quality, National Institute for Health and Care Excellence (NICE),Public Health England, Social Care Institute for Excellence (SCIE), and Think Personal Act Local (TLAP), in association with: National Voices. This document has been written to inform local practitioners of integrated care and support, or those wishing to become so. Local practitioners include those involved in the planning, commissioning and provision of health and social care and support at local level, namely clinical commissioning groups, Health and Wellbeing Boards, local authorities, the voluntary sector, GPs, NHS trusts, NHS foundation trusts, healthcare providers and the diverse range of care and support providers. It will also be of interest to policy officials in national government and its arms-length bodies, national professional bodies and the Royal Colleges. (Edited publisher abstract)
Reforming care legislation in England and Wales: different legislative approaches to promoting integrated care
- Author:
- MITCHELL Ed
- Journal article citation:
- Journal of Integrated Care, 21(3), 2013, pp.64-170).
- Publisher:
- Emerald
Purpose - This article identifies the different approaches to integrated care taken by separate proposed care services legislation for England and Wales with a view to informing debate on the legislation. Design/methodology/approach - Comparative analysis of the proposed legislation. Findings - While there is much common ground between the two pieces of legislation, in other respects the approach taken to integrated care legislation differs across England and Wales. Originality/value - This is the first published analysis of the different approaches to integrated care legislation reform proposed for England and Wales. (Publisher abstract)
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.
Mental health and housing: resources for commissioners and providers: integrated care
- Authors:
- MOLYNEUX Peter, VAN DOORN Andrew
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- London
This short briefing paper is for commissioners, providers and users of services to help them place mental health and housing in wider NHS, social care and local agendas. The paper provides an overview of the policy context; the increasing integration between health and social care; and the role of integrated care in delivering better care and better value for money.
The evidence base for integrated care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 20p.
- Place of publication:
- London
This document is intended to support prospective Integrated Care Organisation pilots to develop their applications. This review of the evidence identifies: the changes integration brings about; the conditions that support successful integration; and gaps in the evidence base that evaluations of the pilots might help address. Vertical integration describes a context where different components of a supply chain are brought together in a single organisation. In health care, it can describe the situation where agencies involved at different stages of the care pathway are part of a single organisation, or where payer and provider agencies are part of a single organisation. The document concludes that there is evidence that suggests integration can be an effective way of delivering health care and that it can provide opportunities to break down barriers between primary and secondary health care, as well as health and social care. The evidence also highlights conditions that support successful integration which should be taken into account by the Integrated Care Pilots. A number of key findings and lessons for prospective Integrated Care Organisation pilots are provided.
Getting it together
- Author:
- CURTIS Lisa
- Journal article citation:
- Every Child Journal, 2(2), 2011, pp.25-32.
- Publisher:
- Imaginative Minds
- Place of publication:
- Birmingham
Good interagency working is the essential for professionals working with young people. Now, a framework has been developed by the Children’s Workforce Development Council to help managers and leaders identify the skills practitioners need. This article discusses the development of the Skills Development Framework, a non-mandatory framework to complement the specialist skills used to deliver services and used to model good joint working practice. The framework describes integrated working skills and process-related skills that support integrated working. These skills apply to all levels up to expert practitioners, mangers and leaders. The framework was developed to help those working with the development of young people operate in a collaborative, integrated way. The article describes who the framework is for, how it is used, and exactly how it promotes collaboration.
Evaluation of UK integrated care pilots: research protocol
- Authors:
- LING Tom, et al
- Journal article citation:
- International Journal of Integrated Care, 10(3), 2010, Online only
- Publisher:
- International Foundation for Integrated Care
In response to concerns that the needs of the aging population for well-integrated care were increasing, the English National Health Service (NHS) appointed 16 Integrated Care Pilots following a national competition. The pilots have a range of aims including development of new organisational structures to support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length of hospital stay, increasing patient satisfaction, and reducing cost. This paper describes the evaluation of the initiative which has been commissioned. The evaluation aimed to answer the following questions: What approaches to integration have been employed by the pilots? What approaches to integration work well and in what contexts? Who benefits from integration, in what ways, and with what consequences for equity? What resources are required to make integration succeed and how can these be efficiently used? And in delivering integrated care in the English NHS, what policies and practices are: most likely to deliver the intended outcome, most capable of being implemented and most acceptable to patients, users, clinicians, managers and the wider public. A mixed methods approach was adopted including interviews with staff and patients, non-participant observation of meetings, structured written feedback from sites, questionnaires to service users and staff, and analysis of routinely collected hospital utilisation data for patients/users who had been recruited into the pilots.