The independent Commission on the Future of Health and Social Care in England chaired by Kate Barker (also known as the Barker Commission) stated that moving to a single budget with a single commissioner is a necessary, but not a sufficient, condition for tackling various barriers to integration in health and social care.
There are roughly 400 local organisations responsible for commissioning different health and social care services in the UK, offering disparate and fragmented solutions. This King’s Fund report explores the options for implementing a single budget with a single commissioner. Joint commissioning, the broad UK policy framework(s), local integrated budgets and integrated commissioning are considered.
“ …integration is not an end in itself but a means to better outcomes”. p.6
Humphries, R. [and] Wenzel, L. (2015). Options for integrated commissioning: beyond Barker. London: The King’s Fund, June 8th 2015.
There is an Executive Summary.
Possibly of interest, a recent HSJ / Local Government Chronicle survey of local government and health leaders found that respondents believe whole system integration models to be superior to care pathways for specific conditions:
Dalton, R. (2105). Integration: local government and health leaders prefer a whole system approach. HSJ. June 9th 2015.
Possibly also of interest (mostly historical):
Hudson, B. (2011). Ten years of jointly commissioning health and social care in England. International Journal of Integrated Care. March 2011; 11. (Click here to view the PubMed abstract).