The Local Government Association (LGA) and the Social Care Institute for Excellence (SCIE) have published practical guidance for local systems in achieving care integration. Fifteen steps are cited, with links to case-studies and further information:
Person-centred coordinated care:
- Risk stratification.
- Access to information.
- Multidisciplinary team (MDT) training.
- Personalised care plans.
- Rapid response.
Building place-based care and support systems:
- Operational framework.
- Integrated commissioning.
- Shared records.
- Community capacity.
- Partnership with voluntary, community and social enterprise (VCSE) sector.
Leadership for integration:
- Common purpose.
- Collaborative culture.
- Resource allocation.
- Workforce planning.
Achieving integrated care: 15 best practice actions. [Online]: Social Care Institute for Excellence (SCIE) [and] Local Government Association (LGA), November 2019.
Collaborative Approaches to Planning and Commissioning – For Population Health
Robertson, R. [and] Ewbank, L. (2020). Thinking differently about commissioning: learning from new approaches to local planning. London: King’s Fund, February 2020.
There is also an Executive Summary.
Possibly also of interest, regarding new approaches to workforce flexibility and collaboration:
A place to work: system approaches to workforce challenges in the NHS. London: NHS Providers, December 10th 2019.
Deferred Organisational Benefits?
Results may not be apparent immediately:
“ …potential to reduce hospital use over the long term, even if there are increases in the shorter term”.
Clarke, GM. Pariza, P. [and] Wolters, A. (2020). Briefing: The long-term impacts of new care models on hospital use: an evaluation of the Integrated Care Transformation Programme in Mid-Nottinghamshire. London: Health Foundation, September 2020. ISBN: 978-1-911615-47-7