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Integrated care in practice – the South Eastern Sydney experience
- Authors:
- STEWART Gregory, et al
- Journal article citation:
- Journal of Integrated Care, 25(1), 2017, pp.49-60.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the recent efforts of a large publicly funded healthcare organisation in Sydney, Australia to implement integrated care (IC) “at scale and pace” in the messy, real-world context of a District Health Service. Design/methodology/approach: The paper outlines the theoretical and practical considerations used to design and develop a localised IC Strategy informed by the “House of Care” model (NHS England, 2016). Findings: The need for cross-agency partnership, a shared narrative, joint leadership and an IC Strategy underpinned by proven theoretical models model is described. Originality/value: This paper highlights key factors relating to implementation and evaluation of a local IC Strategy in the real world. (Publisher abstract)
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)
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)
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.
Integrated care pilots: an introductory guide
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 37p.
- Place of publication:
- London
The programme of Integrated Care Pilots is a two year Department of Health initiative which aims to explore different ways of providing health and social care services to drive improvements in health and well-being. This guide provides an overview of the context of the national programme and details of how the evaluation will be carried out. It then provides summaries of each of the 16 Integrated Care Pilots with details the work they will be doing over the next two years.
The evidence base for vertical integration in health care
- Authors:
- RAMSAY Angus, FULOP Naomi, EDWARDS Nigel
- Journal article citation:
- Journal of Integrated Care, 17(2), April 2009, pp.3-12.
- Publisher:
- Emerald
This paper reviews the evidence base for vertical integration in health care. The authors describe its impact on organisational structures, on how services are provided, and on such outcomes as cost, clinical outcomes and patient experience. Conditions that support successful integration are also highlighted.
Co-location of health care services for homeless veterans: a case study of innovation in program implementation
- Authors:
- BLUE-HOWELLS Jessica, MCGUIRE Jim, NAKASHIMA John
- Journal article citation:
- Social Work in Health Care, 47(3), 2008, pp.219-231.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Veterans Affairs Greater Los Angeles Healthcare System’s approach to improving the utilisation of services for homeless ex-servicemen is discussed. A same-day, co-located service of mental health, medical and homelessness support was introduced, with a coordinated intake system. Analysis using the Rosenheck (2001) framework attributes the programme’s success to coalition building, linking the programme to legitimate goals, programme monitoring, and developing communities of practising clinicians. A coalition that focuses on problem solving and acts as an advocate for the programme even after successful implementation was key to sustained success, and social work leadership was critical in all phases of implementation.
What comes around goes around: on the language and practice of 'integration' in health and social care in Scotland
- Authors:
- BELL Kate, KINDER Tony, HUBY Guro
- Journal article citation:
- Journal of Integrated Care, 16(4), August 2008, pp.40-48.
- Publisher:
- Emerald
Rhetoric and reality lead separate lives when it comes to integrating health and social services in Scotland, and it is making planning and implementation difficult for practitioners of integration. This article is a collaboration between a practitioner and two academics who teach, research and write about integration. It explores the views of other integration practitioners about the policy, language and nature of integration, and the issues practitioners are currently grappling with, especially how the policy language of 'integration' fails to connect with integration in practice. It appears that 'integration' has less to do with broad policy aspirations and principles of service (re)organisations, than with the specific aims, objectives and outcomes of individual projects delivered in very specific circumstances. Acknowledging the localisation of integration, and allowing the time for productive problem solving which can generate a new language, ought to be essential elements of integration.
Respect and responsibility: sexual health strategy second annual report
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2007
- Pagination:
- 43p.
- Place of publication:
- Edinburgh
Respect and Responsibility: A Strategy and Action Plan for Improving Sexual Health was published in January 2005 after extensive consultation and against a background of poor teenage pregnancy rates and rising incidence of sexually transmitted infections (STIs). In the second year many health boards have made considerable progress towards developing integrated sexual health services, incorporating genito-urinary medicine (GUM) and family planning. Some, such as NHS Borders, have moved into new premises to amalgamate services on a single site. Likewise sexual health and relationships education across Scotland has been boosted, with many more professionals being trained and supported to deliver it appropriately. There are also good examples of joint working between different parts of the health service, local authorities and with other agencies, including the voluntary sector. In some cases these are building on relationships developed in the first year of the strategy.