Search results for ‘Subject term:"integrated services"’ Sort:
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Elder care is right up your street
- Author:
- SHEPHERD Stuart
- Journal article citation:
- Health Service Journal, 25.6.09, 2009, pp.20-21.
- Publisher:
- Emap Healthcare
Community geriatricians can make a massive difference to older people's lives and post hospital recoveries. This article briefly looks at the evidence and the role they can play in linking acute and community services.
Assessing patterns of home and community care service use and client profiles in Australia: a cluster analysis approach using linked data
- Authors:
- KENDIG Hal, et al
- Journal article citation:
- Health and Social Care in the Community, 20(4), July 2012, pp.375-387.
- Publisher:
- Wiley
The delivery of care requires knowledge on the ways in which individuals access available services. This study identified groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and explored the health and social needs and resources of client groups that accessed different services. Multiple data sets linked at the individual level provide a basis to investigate the complexity of access to service use. Analyses based on clients’ type and volume of community service use was conducted between 2006 and 2008 on the 4890 HACC clients in the linked dataset and nine distinct clusters of clients were identified. Three of these clusters were considered complex in terms of the range of community and hospital assistance received, while the others comprised mainly of one or two dominant service types. The findings provide a client-centred approach to evaluate access to local services that are being reformed to better integrate the delivery services currently funded and managed separately by national and state governments.
The whole is greater than the sum of the parts
- Author:
- WELLS Jane
- Journal article citation:
- Health Service Journal, 26.4.12, 2012, pp.30-31.
- Publisher:
- Emap Healthcare
The author highlights the role people management plays in successful integrated care by drawing on the experience of integration work at Greenwich Community Health Services - which covered integration in end of life care, long term conditions, intermediate care and reablement. The article discusses the factors that contributed to improved efficiency, and productivity and looks at the benefits of using joint health and social care performance measures and those focusing on patient related outcomes. The work at Greenwich won the engagement category at the 2011 HSJ Awards.
Teaching each other holistic care
- Authors:
- UPTON Stephen, CRESSWELL Adele
- Journal article citation:
- Health Service Journal, 124(6376), 2014, pp.20-21.
- Publisher:
- Emap Healthcare
Nottingham CityCare Partnership is a social enterprise delivering community healthcare that has introduced a new model to working. In this holistic model qualified nurses, social workers, occupational therapists and physiotherapists are learning each other's roles up to the level of general assistant practitioner. The original pilot, set up in 2009 a pilot was established to redesign an existing intermediate care team into a new crisis response team. The team uses this new model of care to provided immediate response to a health or social care emergency, with the aim of preventing hospital and care home admissions. (Original abstract)
Mental health and community services: a marriage made in heaven?
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
Mental health organisations are delivering an increasingly diverse portfolio of services. A Mental Health Network (MHN) survey of its members has revealed that two thirds of respondents are delivering non-mental health services, with others interested in doing so in the future. The diversification of mental healthcare provision raises a number of questions for a sector that has historically argued the case for delivering ‘specialist’ mental health services. This briefing shares the findings from the MHN survey and explores the opportunities and good practice currently developing in ‘combined’ or ‘integrated’ trusts, as well as the challenges. It considers whether this growing trend is good for mental health and community services and what the consequences might be, for example in light of failings in care in Mid Staffordshire and Winterbourne View. Two case studies illustrate the development of shared objectives with other parts of the local NHS Trust (Nottinghamshire Healthcare NHS Trust), and governance issues (Cheshire and Wirral Partnership NHS Foundation Trust). (Edited publisher abstract)
A fitting focus on managing dementia
- Author:
- POOLE Ruth
- Journal article citation:
- Health Service Journal, 30.6.11, 2011, pp.23-25.
- Publisher:
- Emap Healthcare
Following a workshop organised by Healthcare at Home, a care model was developed to help commissioners and providers build a more patient and carer-focused community dementia service. The care model aimed to improve the experience of people with dementia in the community and to also reduce costs. The steps taken to identify and map the out-of-hospital pathway are outlined. The three steps cover: identifying unmet need; building a care model that bridges the gaps; execute the plan. Tables illustrate mapping possible gaps in provision; the essential service elements for an effective home-based dementia care service; and a provide details of a suggested patient pathway.
Clinical and service integration: the route to improved outcomes
- Authors:
- CURRY Natasha, HAM Chris
- Publisher:
- King's Fund
- Publication year:
- 2010
- Pagination:
- 56p., bibliog.
- Place of publication:
- London
Within NHS reforms there has been an increasing interest in integrated care. To inform the debate around integrated care, this paper describes and summarises relevant evidence about high-profile integrated systems and outlines examples of integrated care for particular care groups or people with the same diseases or conditions. It also reviews ways of achieving closer integration for individual service users and carers through care co-ordination and other approaches. The aim is to offer a selective summary of experience and evidence, focusing on examples of integrated care that appear to have most relevance to the NHS in England in the context of the current coalition government’s programme. Examples are given of integration approaches at the macro, meso and micro levels. The paper is aimed primarily at policy makers and NHS leaders working on these issues. The authors conclude that the evidence shows that moves to achieve closer integration of care in the NHS in England should continue. Organisational integration alone is unlikely to deliver better outcomes and effort must focus on clinical and service integration. Action is needed at the macro, meso and micro levels, and multiple strategies should be pursued at all three levels. Policy-makers should encourage the emergence of clinically integrated groups and integrated provider networks based on patient choice wherever possible and linked through contractual integration.
Building bridges in Bridgeport for HIV-positive substance abusers
- Authors:
- WOOD Starr A., AUSTIN Sandra A.
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 8(1), January 2009, pp.20-34.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Engagement and retention in treatment are important keys to adherence to highly active antiretroviral therapy (HAART) for people living with HIV/AIDS. Engaging with HIV-positive substance abusers is particularly challenging because of their multiple needs. Although co-locating primary care, substance abuse, mental health, and support services are thought to be most effective for treatment, such programmes can be difficult to implement. Collaboration and linkage between community service providers offers a good alternative method for reaching service integration. This article provides an overview of the treatment integration needs of HIV-positive substance abusers. It describes how one empirically selected model social service programme originated and continues to assist a community-based approach to care. Family Services of Woodfield (FSW) in Bridgeport, Connecticut uses community collaboration and linkage to increase access-to-care and service integration for HIV-positive substance abusers across multiple health and social service organisations in a mid-sized American city. The article describes FSW in terms of its service delivery model, service integration, outreach and engagement, harm reduction, cultural issues, and consumer involvement, and concludes that it offers a number of innovative strategies that can be adopted, adapted, and integrated by other programmes.
One-stop service reaches all
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 14.10.10, 2010, pp.26-27.
- Publisher:
- Reed Business Information
In April 2008, Turning Point Somerset integrated three community substance misuse services into one. The service now operates from five offices, all providing the same services with a generic workforce. The change meant combining 45 NHS staff and 30 Turning Point staff. Clients now find it easier to reach appointments. This article outlines the success of the approach and its cost saving benefits.
Tackling whole-systems change: the Trafford framework for integrated services
- Authors:
- CONNOR Martin, KISSEN George
- Journal article citation:
- Journal of Integrated Care, 18(3), June 2010, pp.4-14.
- Publisher:
- Emerald
In the last decade there has been widespread interest in the lessons the UK could learn from the US with respect to integrating services. There are a host of articles debating the relative performance of Kaiser Permanente (an integrated managed care organisation, based in Oakland, California) and the NHS. More recently, this interest has grown, and there are now an abundance of publications advocating various conceptual frameworks within which integration should be pursued in the NHS. This article describes the strategy for delivering integrated care in Trafford on a whole-systems basis. It describes an approach to integrating services across primary care, community health services, social services and acute care. It covers the clinically led process of developing the strategic framework, the principles developed and used, the lessons learnt from the development process, and the specific programme to be carried out in 2010 and 2011. The authors summarise with how they now face the challenge of implementation, but do so with a clear programme involving new infrastructure, new professional relationships and a strong consensus for change. The authors believe the new spirit in Trafford – coupled with the development of an innovative capability in population risk management – presents the prospect of being able to deliver a major step forward in higher-quality, lower-cost care.