Search results for ‘Subject term:"integrated services"’ Sort:
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Japan's vision of a 'total care' future looks bright
- Author:
- HAYASHI Mayumi
- Journal article citation:
- Health Service Journal, 124(6404), 27 June 2014, pp.25-27.
- Publisher:
- Emap Healthcare
Describes the Japanese government's ambitious "2025 vision" for the delivery of health care for its ageing population through the establishment of a localised 'comprehensive "total care" provision. (Edited publisher abstract)
Everyone focused on the patient
- Author:
- SONOLA Lara
- Journal article citation:
- Health Service Journal, 124(6383), 24 January 2014, pp.22-23.
- Publisher:
- Emap Healthcare
Pilot programmes have been conducted across Canada to to evaluate the PRISMA approach to coordinating care for people with long term conditions. The approach, developed in 1994, uses an integrated service delivery network of health and social care providers along side case management delivered by multidisciplinary teams. The author compares some of the key findings from this evaluation with recent results from the recent King's Fund project on coordinated care. Factors highlighted are: developing care coordination models from the bottom up, allowing relationships to develop; the need to tailor programmes to individual populations; and the need to to allow sufficient time for pilots to develop before evaluating their outcomes. (Original abstract)
Mental health treatment requirements: guidance on supporting integrated delivery
- Author:
- NATIONAL OFFENDER MANAGEMENT SERVICE
- Publisher:
- National Offender Management Service
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- London
This (non-statutory) guidance seeks to provide support to service commissioning and provider agencies so that appropriate mental health service provision and inter-agency partnerships enable MHTR delivery locally. The MHTR is intended for the sentencing of offenders convicted of an offence(s) which is below the threshold for a custodial sentence and who have a mental health problem which does not require secure in-patient treatment. The guidance reflects the changes to responsibility for probation services in England and Wales from 2014 resulting from the Government's Transforming Rehabilitation reforms and the Offender Rehabilitation Act 2014. It outlines the legal framework and the challenges in delivering MHTR and sets out an integrated delivery model. This comprises: partnership, contributions and responsibilities; clerks of the court and sentencers; consent; health agencies; providers of probation services; and mental health assessments. (Edited publisher abstract)
The development of whole-system integrated care in England
- Authors:
- KENNEDY Claire, MORIOKA Simon
- Journal article citation:
- Journal of Integrated Care, 22(4), 2014, pp.142-153.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to detail the research and findings from a piece of work commissioned by the Local Government Association in England, in May 2013 into the current implementation of integrated care. Design/methodology/approach: The field research was carried out by Integrating Care, a collaborative drawn from leading academics, health and social care executives, analysts and clinicians working in the field of integrated care; along with consultancy support from public sector consultancies PPL and GE Healthcare Finnamore. It comprised a series of local interviews, workshops, modelling and analysis and ongoing engagement. Findings: The paper describes the outputs that were delivered to support the development of “whole-system” integrated health and social care drawing on national and international best-practice, and knowledge gained from experiences of implementation. Social implications: The paper concludes by drawing together the key lessons from the overarching analysis of whole-system integration. This includes the opportunities and the complexities of redesigning and re-implementing better co-ordinated health and social care provision at scale, as experienced in England currently. Originality/value: The paper describes the specific challenges posed through the fieldwork and ongoing development process of integration in England, and the paper reflects upon some of the deeper questions that this has led to. The paper then draws together the research and analysis with emerging, strategic questions around the concept of value in health provision; and begins to question whether this has yet been demonstrated; and, if not, what a demonstration and evidencing of “value” in this context might look like. (Publisher abstract)
One person, one team, one system: report of the Independent Commission on Whole Person Care
- Authors:
- OLDHAM John, INDEPENDENT COMMISSION ON WHOLE PERSON CARE
- Publisher:
- Independent Commission on Whole Person Care
- Publication year:
- 2014
- Pagination:
- 92
- Place of publication:
- London
In April 2013, the Labour Party invited Sir John Oldham to form the Independent Commission on Whole-Person Care, to make recommendations about how we can integrate health and care services within existing resources, and without another reorganisation. This report sets out a blueprint for bringing health and care services into the 21st century. It details the major challenges for health and social care that necessitate whole-person, integrated care; and provide examples (UK and international) on how best to integrate physical and mental health and social care, It considers how we might ensure responsive, accountable services that empower users, their families and local communities - including as co-producers - of their own health and care. It outlines the development needs of the workforce and service providers necessary to achieve integrated care; and identifies the steps for moving from the current system to one where coordinated and fully integrated care is the norm., and without major structural change and within existing resources. The Independent Commission’s findings will inform Labour’s policy-making work and that of its Health and Care Policy Commission. Case studies are used throughout the report to reflect people’s good and bad experiences of care, which are based on true stories and real people, but some features have been changed to protect anonymity. (Edited publisher abstract)
Delivering integrated care and support
- Author:
- PETCH Alison
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2014
- Pagination:
- 166
- Place of publication:
- Glasgow
This Insight draws on an earlier report to summarise the key evidence to help health and social care partnerships in Scotland in their delivery of integrated care and support. It argues that structural change will not deliver improved outcomes unless attention is paid to a number of key factors. The six key factors are identified and discussed. These are: vision, leadership, culture, integrated teams and ways of working, local context, and timescales. (Original abstract)
Moving services out of hospital: joining up general practice and community services?
- Authors:
- BRAMWELL Donna, et al
- Publisher:
- Policy Research Unit in Commissioning and the Healthcare System
- Publication year:
- 2014
- Pagination:
- 57
- Place of publication:
- London
This report summarises the findings of a rapid review of the available evidence of what factors should be taken into account in planning for the closer working of primary and community health/care services in order to increase the scope of services provided outside of hospitals. The review highlighted the following key points: good multidisciplinary team working depends crucially on communication and initiatives to improve community-based care should be allowed to develop from the bottom up, building upon successful local collaborations, rather than imposing a model from above; aligning the populations covered by different services may be useful and could be achieved by the local development of carefully designed models of collaboration based around federations of practices working with community teams; there is no good evidence that any particular ownership models are better than others but fragmentation of providers may make good service provision more difficult, as it inhibits communication; the lack of data about community service activity is a significant problem as it makes it very difficult to know what services actually cost, and prevents the development of clear guidance about the staffing levels required to provide services for a given population; and there is a lack of evidence about the cost-effectiveness of models of community services. (Edited publisher abstract)
Bolder, braver and better: why we need local deals to save public services
- Author:
- PUBLIC SERVICE TRANSFORMATION NETWORK. Service Transformation Challenge Panel
- Publisher:
- Public Service Transformation Network. Service Transformation Challenge Panel
- Publication year:
- 2014
- Pagination:
- 55
This report sets out a framework for the transformation of public services across the country at a greater scale and faster pace. The report defines transformation as radically re-designed approaches to service provision that reduces unit costs and is difficult to reverse. In practice that will mean: people are the focus of delivery, regardless of the organisations providing or commissioning; outcomes for people take priority over output or process targets and measures; frequent users of public services are encouraged to make better choices, mitigate their own costs and contribute to their communities, and services designed to encourage and facilitate responsible behaviour; multi-agency provision of services, virtual and physical co-location are the norm, service silos and duplication are eliminated; and, digital technologies and big data are embedded in the design and delivery of services to improve customer experience. The report makes a number of recommendation a number of recommendations, but call for three fundamental changes: a new person centred approach to help specific groups and individuals with multiple and complex needs; more easily accessible and more flexible funding available to invest in the upfront costs of transformation; and radical improvements in how data and technology are used to provide smarter services. (Edited publisher abstract)
Making local health economies work better for patients
- Authors:
- MONITOR, NHS TRUST DEVELOPMENT AUTHORITY, NHS ENGLAND
- Publishers:
- Monitor, NHS Trust Development Authority, NHS England
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- London
This report summarises the findings of NHS England, Monitor and the NHS Trust Development Authority's joint project to support 11 local health economies to develop clinically and financially sustainable 5-year strategic plans. This move to a longer term planning horizon is to enable commissioners and providers in each LHE to plan and carry out radical structural changes in local health services, so they can meet patients' diverse, changing and growing healthcare needs within the limits of the available funding. The report highlights that plans for the Better Care Fund are a critical element of strong five-year plans and argues that in challenged LHEs, it is not always obvious that the service reorganisation and financial implications of the Better Care Fund have been considered in local healthcare organisations' preparation of their five-year plans. (Edited publisher abstract)
The role of ‘embeddedness’ in the delivery of integrated children's services
- Authors:
- WATSON Debbie, CAMERON Ailsa, AGHTAIE Nadia
- Journal article citation:
- Children and Youth Services Review, 47(3), 2014, pp.370-377.
- Publisher:
- Elsevier
How integration of statutory and voluntary children's services can occur is the focus of this paper and is theorised using ‘embeddedness’ theory. The paper considers strategies utilised by practitioners in integrated Children's Centres in one English Local Authority to engage children and families identified as requiring enhanced (targeted) services. The service comprised free early education for two year olds and bespoke packages of family support aimed at improving parenting practice, improved safeguarding and contributing to greater self-efficacy for parents and carers. The findings indicate the importance of, and often lack of, ‘embeddedness’ in local communities and within statutory and non-statutory services and propose this as a barrier to the most disadvantaged families participating in services. (Publisher abstract)