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Different models of health and social care in Devon – observations and implications for commissioners and providers

Virginia Pearson (Joint Director of Public Health at NHS Devon and Devon County Council, Exeter, UK)
Simon Chant (Head of Public Health Intelligence at NHS Devon, Exeter, UK)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 15 August 2011




The organisation of health and social care in Devon including Torbay and Plymouth has developed over the last few years into different organisational structures. This paper aims to compare these different models.


Routine information and audit data were analysed to explore what was known about the different organisational models in health and social care in Devon.


There is evidence from these data that more highly integrated models of care have demonstrable benefits for users and for local health and social care economies.

Research limitations/implications

The local organisational models are complex and it is not known whether they are transferable to other settings. The data used in the study are routine data, and therefore, may include confounding factors; the local audit data may be subject to observer error. More research is recommended in this area.

Practical implications

As health and social care services move towards greater integration and the health care market creates different combinations of provider integration, this paper discusses what routine data can tell us about these models of care and what the implications are for both commissioners and providers of health and social care in the future.


Benefits of health and social care integration are often described by case study and this review using quantitative data adds to the evidence base supporting integration as a way forward.



Pearson, V. and Chant, S. (2011), "Different models of health and social care in Devon – observations and implications for commissioners and providers", Journal of Integrated Care, Vol. 19 No. 4, pp. 22-26.



Emerald Group Publishing Limited

Copyright © 2011, Emerald Group Publishing Limited

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