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Article
Publication date: 18 April 2017

Axel Kaehne, Derek Birrell, Robin Miller and Alison Petch

The purpose of this paper is to outline relevant policies on the integration of health and social care (HSC) in the four home nations: Scotland, Wales, Northern Ireland…

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Abstract

Purpose

The purpose of this paper is to outline relevant policies on the integration of health and social care (HSC) in the four home nations: Scotland, Wales, Northern Ireland and England and offer a comparison of emphasis and approaches and draw out general insights on the implementation of integrated care policy.

Design/methodology/approach

The paper is written as a piece of critical reflection by drawing on the authors’ knowledge and expertise and wider evidence where available.

Findings

Since 2010, HSC integration has started to diverge significantly in the four constituent countries of the UK. Although England and Wales have undergone considerable re-organisation of the NHS, Scotland and Northern Ireland have largely been marked by organisational continuity. However, beyond organisational differences, policy approaches, policy emphases and implementation strategies have also started to show considerable dissimilarity across the UK. An important contributory factor may be different ideological perspectives on the role of competition and pilots, partnership, patient choice and organisational incentives to bring about change in the field.

Research limitations/implications

The paper identifies a serious lack of comparative research in integration policy, despite the considerable opportunities for quasi-experimental studies. This lack of empirical research impedes shared learning across the home nations.

Originality/value

The paper presents a descriptive comparison of current integration policy between HSC providers in the four home nations. It reveals considerable opportunities for further research and comparative modelling of integration approaches.

Details

Journal of Integrated Care, vol. 25 no. 2
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 August 2007

Ailsa Cook, Alison Petch, Caroline Glendinning and Jon Glasby

Successful development of health and social care partnerships is contingent on the contribution of all stakeholder groups to overcome the ‘wicked’ issues that beset the…

Abstract

Successful development of health and social care partnerships is contingent on the contribution of all stakeholder groups to overcome the ‘wicked’ issues that beset the field. This article explores four key issues, identified by a network of diverse stakeholders as vital to the future of health and social care partnerships, and proposes ways in which individuals and organisations from all stakeholder groups can support health and social care organisations to work together to deliver good outcomes to service users and their carers.

Details

Journal of Integrated Care, vol. 15 no. 4
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 December 2003

Alison Petch

Intermediate care has featured strongly in evolving strategy for support provision for older people in England. In Scotland the concept appears to have been rejected in…

Abstract

Intermediate care has featured strongly in evolving strategy for support provision for older people in England. In Scotland the concept appears to have been rejected in favour of an emphasis on integrated care. This apparent divergence is explored in the broader context of policy variation post‐devolution and against the aspirations for a whole‐system approach.

Details

Journal of Integrated Care, vol. 11 no. 6
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 December 2007

Alison Petch

Abstract

Details

Journal of Integrated Care, vol. 15 no. 6
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 December 2008

Alison Petch

Abstract

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Journal of Integrated Care, vol. 16 no. 6
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 April 2008

Alison Petch

Abstract

Details

Journal of Integrated Care, vol. 16 no. 2
Type: Research Article
ISSN: 1476-9018

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Abstract

Details

Journal of Integrated Care, vol. 16 no. 4
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 26 June 2009

Alison Petch

Abstract

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Journal of Integrated Care, vol. 17 no. 3
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 December 2006

Alison Petch

Abstract

Details

Journal of Integrated Care, vol. 14 no. 6
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 February 2006

Alison Petch

The implications of the debates about evidence and knowledge transfer are explored in the context of integrated working and in the wake of a new research utilisation…

Abstract

The implications of the debates about evidence and knowledge transfer are explored in the context of integrated working and in the wake of a new research utilisation agency for adult social care.

Details

Journal of Integrated Care, vol. 14 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

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