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What Comes Around Goes Around: On the Language and Practice of ‘Integration’ in Health and Social Care in Scotland

Kate Bell (Making Integration Work Course)
Tony Kinder (Management School, University of Edinburgh)
Guro Huby (School of Health in Social Science, University of Edinburgh)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 1 August 2008



Rhetoric and reality lead separate lives when it comes to integrating health and social services in Scotland, and it is making planning and implementation difficult for practitioners of integration. This paper is a collaboration between a practitioner and two academics who teach, research and write about integration. It explores the views of other integration practitioners about the policy, language and nature of integration, and the issues practitioners are currently grappling with, especially how the policy language of ‘integration’ fails to connect with integration in practice. It appears that ‘integration’ has less to do with broad policy aspirations and principles of service (re)organisation, than with the specific aims, objectives and outcomes of individual projects delivered in very specific circumstances. Acknowledging the localisation of integration, and allowing the time for productive problem solving which can generate a new language, ought to be essential elements of integration.



Bell, K., Kinder, T. and Huby, G. (2008), "What Comes Around Goes Around: On the Language and Practice of ‘Integration’ in Health and Social Care in Scotland", Journal of Integrated Care, Vol. 16 No. 4, pp. 40-48.



Emerald Group Publishing Limited

Copyright © 2008, Emerald Group Publishing Limited

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