Integration in action: tackling the elective backlog

Integration in action: tackling the elective backlog
NHS Confederation 7 October 2021

• This report provides some early examples of how local systems are addressing this challenge. Based on interviews with healthcare leaders, it details how integrated approaches are enabling rapid improvement and innovation in service delivery. This includes using population health data to pinpoint people who may suffer more from waiting; using clinical harm tools to pinpoint those on the list who are deteriorating; and proactively seeking out people who may need treatment.

Understanding integration: how to listen and learn from people and communities

Understanding integration: how to listen and learn from people and communities
Kings Fund 21 July 2021

• People’s experiences of health and care services are usually collected and understood at the level of individual providers but this does not give an understanding about whether these services are working well together to meet people’s needs. This guide, produced by Kings Fund, Picker and NHS England/Improvement, is a practical guide for partners working in these systems, with ideas on how they might go about this.

How to enhance the integration of primary care and public health?

How to enhance the integration of primary care and public health? Approaches, facilitating factors and policy options
European Observatory on Health Systems and Policies 2020

• This policy brief explores how primary care and public health can be brought together to improve the health of patients and populations. It describes the types of initiatives that have been undertaken; provides examples of such initiatives in Europe and beyond; and summarises the factors that can help to enhance or hinder the integration of primary care and public health.

Care organising technologies

Care organising technologies and the post-phenomenology of care: An ethnographic case study
Social Science & Medicine June 2020, v255; 112984

• Care organising technologies are applications that aim to help coordinate caring eg pendant alarms. 
• “We ask: what are peoples' experiences of caring when care organising technologies find a way into their lives? What are the goals and assumptions underlying technologies designed to support caring? And, in what ways do care organising technologies mediate and/or sustain caregiving?”

The Royal Wolverhampton NHS Trust and Babylon to create the world’s first integrated digital health system

The Royal Wolverhampton NHS Trust and Babylon to create the world’s first integrated digital health system to serve the city’s population
Babylon Health 23 January 2020
Babylon Health and the Royal Wolverhampton Trust have announced a 10-year partnership to develop “digital-first integrated care” across the region. The partnership will allow patients to access NHS primary, secondary and community healthcare services through a single app.
Artificial intelligence will also be used to create personal care plans and give patients medical information and triage advice based on their symptoms.

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme
Kings Fund 26 September 2019

• A series of essays which highlight a number of themes from NHS England’s Healthy New Towns programme. 
• The report concludes that there is significant potential to improve population health through place-making and community development. It also stresses the need for the NHS to be closely involved in major housing developments and regeneration programmes in order to improve health and care outcomes. 

Better Care in the Age of Automation: Data, skills and culture

Better Care in the Age of Automation: Data, skills and culture for a sustainable, effective and fair care system
DotEveryone September 2019

• This report sets out how technology can support a sustainable, effective and fair social care system. It describes the foundations needed for any technology to be responsibly and effectively deployed, specifically:
• the data needed to build and measure technology focused on wellbeing;
• the skills required to use tech to care;
• and the culture to empower people to adopt and shape technology to their needs.
• See the blog With the right foundations tech can help fix the UK’s broken social care system

Better Evidence for Better Care: How can data improve the social-care system in the UK? 

DotEveryone September 2019

• This accompanying report examines some of the questions raised in the report and finds that there’s not enough evidence currently available for commissioners and providers to effectively roll out new technology interventions into social care services. 
• It asks What data exists on social care at a local level, What data exists on outputs and outcomes and What data exists on the externalities of care? (those using care, on unpaid carers, and on paid carers.)

The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty

The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty
Journal of Integrated Care 2019, v27(3) p232-240 https://doi.org/10.1108/JICA-07-2018-0048

• The aim of this paper is to discuss three potential contributions of implementation science which are central to the field that could help clinicians and researchers better design and evaluate more effective integrated care programmes for older people with frailty. These are: stakeholder engagement; using implementation science frameworks; and assessment of implementation strategies and outcomes.

Population approaches in Integrated care research and practice

Population approaches in integrated care research and practice
SCIE

• An outline of the use of population health management (PHM) approaches as an enabler of integrated person centred care. Includes a video explaining PHM, guidance, practice examples, success measures, and research.

Guy's & St Thomas' Charity - a place based foundation

Guy's & St Thomas' Charity - a place based foundation

• "an independent, place-based foundation. We work with Guy’s and St Thomas’ NHS Foundation Trust and others to improve the health of people in the London boroughs of Lambeth and Southwark."
• The Foundation uses data, evidence and insights into people's lived experiences to guide their work on complex urban health issues.

Combining Integration of Care and a Population Health Approach

Combining Integration of Care and a Population Health Approach: A Scoping Review of Redesign Strategies and Interventions, and their Impact.
International Journal of Integrated Care. 2019;19(2):5. DOI: http://doi.org/10.5334/ijic.4197 

• Analysis of 15 published examples of integrated care organizations that incorporated a broad population health approach in countries of the OECD described in 57 articles and reports were analysed. Seven key redesign strategies and multiple redesign interventions have been identified and are described.

Abstract

Consultation feedback on Integrated Care Provider Contract

Contracting arrangements for integrated care providers – response to consultation
NHS England March 2019

• NHS England has published its response following a consultation held about a new contract which can help local health and care communities provide better care for patients.
• The ICP Contract will give commissioners the option to commission services through a single contract, to build in integration and remove operational barriers.
• The feedback will be used to further develop the ICP Contract, which will be available in its updated form as an option for use in local health and care systems from spring 2019. Neither use of the ICP Contract nor adoption of lead provider models for integration will be mandatory: they will be options for local commissioners and their providers to consider.

Improving patient safety through collaboration

Improving patient safety through collaboration
Kings FUnd for AHSN Network 6 March 2019

• Funded and coordinated by NHS Improvement, the 15 PSCs are hosted regionally by the Academic Health Science Networks (AHSNs) and play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, so they can be shared and implemented throughout the system. This report examines what worked best in particular circumstances, what practices might be applied more consistently across the collaboratives, and what further learning is needed to increase their effectiveness.
• The report notes how interest is shifting from supporting the improvement of individual services to improving how different services work together in local systems. It highlights the role the PSC programme has had in creating a movement for change and cultivating a shared vision among health and care organisations.

Future Health Index 2018

Future Health Index 2018
Phillips 2018

The Future Health Index provides a platform for discussing where governments and businesses should concentrate resources to enable a revolution in the way health care is being delivered and experienced. The 2018 FHI zeroes in on two major solutions around data collection and analytics, and care delivery.

Future Health Index 2018 Part 1 Building systems for better outcomes
Phillips 2018

Future Health Index 2018: Part 2 Moving data to the heart of health systems
Philips, October 2018

• Five key recommendations to drive better collection, analysis and use of healthcare data in order to deliver value based healthcare.

Transforming Integration through General Practice: Learning from a UK Primary Care Improvement Programme.

Transforming Integration through General Practice: Learning from a UK Primary Care Improvement Programme
International Journal of Integrated Care. 2018;18(2):13.

• Shared learning from a UK based improvement programme, commissioned by Birmingham Cross-City CCG, around transferring activities from hospital to community and developing holistic primary care.

Abstract