Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 16
A story of hard won success
- Author:
- VIZE Richard
- Journal article citation:
- British Medical Journal, 9.6.12, 2012, pp.24-25.
- Publisher:
- British Medical Association
The North West London pilot of integrated services was launched in 2001 to meet the needs of people with diabetes and those aged over 75. It brings together primary care, community services, acute care, social care and mental health. It aims to cut hospital use and nursing home admissions while reducing costs of services for diabetic and older patients by 24% over five years. The pilot is showing early signs of success, but clinicians explain that this is often despite NHS processes and not because of them. The article highlights the importance of listening to and involving patients and overcoming professional hostility.
Integrated care in action
- Author:
- O'HANLON Shaun
- Journal article citation:
- Health Service Journal, 123(6372), 25 October 2013, pp.20-21.
- Publisher:
- Emap Healthcare
The Caldicott review's 'duty to share' data is an imperative for the NHS, but the author asks whether the systems are in place, and identifies the rewards and pitfalls. (Edited publisher abstract)
Integrated care: what is it? Does it work? What does it mean for the NHS?
- Authors:
- HAM Chris, CURRY Natasha
- Publisher:
- King's Fund
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The author summarises the different forms of integrated care and their impact so far on the NHS. This short paper is based on a major review of integrated care published by The King’s Fund (Curry and Ham 2010). Integrated care takes many different forms and may involve whole populations, care for particular groups or people with the same diseases, and co-ordination of care for individual service users and carers. There is good evidence of the benefits of integrated care for whole populations, as seen in organisations such as Kaiser Permanente, the Veterans Health Administration and integrated medical groups in the United States. The evidence of the benefits of integrated care for older people, for example as seen in areas like Torbay, is good. However there is mixed evidence of the benefits of integrated care for people with long-term conditions like diabetes and those with complex needs. There is evidence of the benefits of care co-ordination for individual service users and carers, especially when multiple approaches are used together. The report concludes that integrated care in the NHS needs to be pursued at all levels to overcome the risks of fragmentation. Policy-makers need to act on the evidence not by promoting a preferred approach but by supporting clinical and managerial leaders to adapt the ingredients of integrated care discussed.
‘Trying to do a jigsaw without the picture on the box’: understanding the challenges of care integration in the context of single assessment for older people in England
- Authors:
- WILSON Rob, et al
- Journal article citation:
- International Journal of Integrated Care, 7(2), 2007, Online only
- Publisher:
- International Foundation for Integrated Care
This article discusses recent developments towards integrated care in the context of the Single Assessment Process (SAP) to support the care for older people in England. It draws upon accounts of local SAP implementations in order to assess and reflect upon some of the successes and limitations of service integration enabled by information and communication technologies (ICTs). The Single Assessment Processes (SAP) is an instance of inter-organisational and cross-sectoral sharing of information intended to improve communication and coordination amongst professions and agencies and so support more integrated care. The aim of SAP is to ensure that older people receive appropriate, effective and timely responses to their health and social care needs and that professionals do not duplicate each others efforts. This article examines examples from two programmes of work within the context of SAP in England: one with the direction coming from local government social services, the other where the momentum is coming from the National Health Service (NHS). Both examples show that the policy and practice of ICT-supported integration continues to represent a significant challenge. Although the notion of integrated care underpinned by ICT-enabled information sharing is persuasive, it has limitations in practice. The notion of an ‘open systems’ approach is proposed as an alternative way of improving communication and coordination across the domains of health and social care.
Priorities for the next government
- Author:
- KING'S FUND
- Publisher:
- King's Fund
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- London
Sets out the key health and social care challenges and priorities for the next government. These include: meeting the financial needs, with a renewed drive to improve productivity, the establishment of a health and social care transformation fund and a new settlement for health and social care; transforming services for patients, through integrated care delivered at scale and pace, a new deal for general practice and political backing for service changes; improving the quality of care, by engendering a new culture of care, parity of esteem for mental health and a revolution in the care of older people; and a new approach to NHS reform, with a new political settlement to demarcate the role of politicians, a focus on reform from within and investment in the right kind of leadership. (Edited publisher abstract)
Irreversible? Health and social care policy in a post-Coalition landscape
- Editors:
- WILSON CRAW Dan, EDOBOR Martin
- Publisher:
- Fabian Society
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- London
With increasing demands on the NHS from an ageing population, cuts to frontline services and an estimated 800,000 older people in England currently not receiving the care they need, Britain faces a growing crisis in health and social care. This pamphlet is the culmination of the Young Fabians' health service and social care reform series, involving Young Fabian members, who have held meetings with Shadow Ministers, MPs, community stakeholders and health care workers. The authors, all Young Fabian members, set out new analysis and solutions for the Labour Party to debate and reflect on. (Edited publisher abstract)
The tartan road: the Scottish route to health and social care integration
- Author:
- PETCH Alison
- Journal article citation:
- Journal of Care Services Management, 6(1), 2012, pp.16-25.
- Publisher:
- Taylor and Francis
Plans for health and social care integration in Scotland were announced in December 2011. Under the proposals the existing community health partnerships are to be replaced by health and social care partnerships which will be the joint and equal responsibility of the NHS and the local authority in each area. The partnerships are intended to deliver integrated care and support in the community, with an initial focus on services for older people. This article explores the proposals in the context of earlier developments in Scotland, the evidence on effective models for integrated working, and the existing community health partnerships. It draws on the findings of an evidence review commissioned from the author by the Scottish Association of Directors of Social Work. It also looks at the Reshaping Care for Older People programme launched in 2011, and the work of the community health partnerships. The article notes the 7 proposed health and care integration outcomes set out in the formal consultation on the integration proposals, and identifies and discusses factors most likely to lead to successful implementation of the proposals.
Integrated care for patients and populations: improving outcomes by working together: a report to the Department of Health and the NHS Future Forum
- Authors:
- GOODWIN Nick, et al
- Publisher:
- King's Fund
- Publication year:
- 2011
- Pagination:
- 20p., bibliog.
- Place of publication:
- London
The implementation of integrated care aims to transform the way in which care is provided for the ageing population and people with long-term conditions and complex health and social care needs. This report looks at the case for integrated care; existing barriers and how they can be overcome; how the Department of Health can support a framework to enable integrated care; and options for implementing integrated care, including approaches to evaluate its impact. The report also highlights three main priorities for the future: setting clear goals to improve the experience of patients and service users; offering patient with complex needs guaranteed levels of services, and implementing changes at both scale and pace. It has been written to inform the development of the Department of Health's integrated care strategy and to contribute to the work of the NHS Future Forum.
Opportunities to improve health and well-being: integrating secondary and acute health care and housing in the new NHS
- Author:
- MOLYNEUX Peter
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
In the current economic climate, Clinical Commissioning Groups will be looking to their local providers to work together to ensure that better patient outcomes are delivered at lower cost. There will be greater choice for patients and greater integration between health, social care and community services. This paper looks at the current policy and operating context for the NHS, and considers the contribution that housing services can make to meet the challenges that lie ahead. It argues that new forms of alignment between health, housing and social care may emerge from the changes within the NHS. Housing organisations have a key role to play in engaging with their local health care commissioners in helping them with these challenges. There will be an increased focus on integration of care pathways, especially for those with long-term conditions. Housing organisations have a track record in reducing the demand for acute health care services, and in addition have developed flexible, responsive community based services for older people who live in their own homes. The current crisis provides an opportunity to accelerate the provision of ‘care closer to home’, identify the demand for new purpose-built, special housing, and to adapt the home to enable independent living. This paper is the fourth of 4 briefings by the Housing LIN on personalisation, public health reform, and the emerging primary and secondary health care landscapes.
Integration: clinical commissioning groups and long-term conditions
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
This film presents two case studies which look at how clinical commissioning groups led by GPs can work with social care to improve outcomes for people with long-term conditions. The first case study is based in Bromley by Bow, East London, and features the Pollen project. This is an innovative community organisation that supports people to improve their health and wellbeing and achieve their full potential in one of the most deprived areas of London. The second case study is based in rural Norfolk at the North Elmham Surgery. It describes how working with the local adult social care department has dramatically reduced the number of unnecessary emergency admissions of frail, older people to hospital. The film finishes with a reminder from Professor Peter Beresford that separate health and social care systems make meaning integration difficult but is crucial to improving people's experiences and quality of life.