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Article
Publication date: 25 October 2019

Bob Erens, Gerald Wistow, Nicholas Mays, Tommaso Manacorda, Nick Douglas, Sandra Mounier-Jack and Mary Alison Durand

All areas in England are expected by National Health Service (NHS) England to develop integrated care systems (ICSs) by April 2021. ICSs bring together primary, secondary and…

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Abstract

Purpose

All areas in England are expected by National Health Service (NHS) England to develop integrated care systems (ICSs) by April 2021. ICSs bring together primary, secondary and community health services, and involve local authorities and the voluntary sector. ICSs build on previous pilots, including the Integrated Care Pioneers in 25 areas from November 2013 to March 2018. This analysis tracks the Pioneers’ self-reported progress, and the facilitators and barriers to improve service coordination over three years, longer than previous evaluations in England. The paper aims to discuss these issues.

Design/methodology/approach

Annual online key informant (KI) surveys, 2016–2018, are used for this study.

Findings

By the fourth year of the programme (2017), KIs had shifted from reporting plans to implementation of a wide range of initiatives. In 2018, informants reported fewer “significant” barriers to change than previously. While some progress in achieving local integration objectives was evident, it was also clear that progress can take considerable time. In parallel, there appears to have been a move away from aspects of personalised care associated with user control, perhaps in part because the emphasis of national objectives has shifted towards establishing large-scale ICSs with a particular focus on organisational fragmentation within the NHS.

Research limitations/implications

Because these are self-reports of changes, they cannot be objectively verified. Later stages of the evaluation will look at changes in outcomes and user experiences.

Originality/value

The current study shows clearly that the benefits of integrating health and social care are unlikely to be apparent for several years, and expectations of policy makers to see rapid improvements in care and outcomes are likely to be unrealistic.

Details

Journal of Integrated Care, vol. 28 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 3 July 2017

Bob Erens, Gerald Wistow, Sandra Mounier-Jack, Nick Douglas, Tommaso Manacorda, Mary Alison Durand and Nicholas Mays

Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25…

Abstract

Purpose

Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25 Integrated Care Pioneers have been established to drive change “at scale and pace”. The early phases of the evaluation (April 2014-June 2016) aimed to identify their objectives, plans and activities, and to assess the extent to which they have overcome barriers to integration. In the longer term, the authors will assess whether integrated care leads to improved outcomes and quality of care and at what cost. The paper aims to discuss these issues.

Design/methodology/approach

Mixed methods involving documentary analysis, qualitative interviews and an online key informant survey.

Findings

Over time, there was a narrowing of the integration agenda in most Pioneers. The predominant approach was to establish community-based multi-disciplinary teams focussed on (older) people with multiple long-term conditions with extensive needs. Moving from design to delivery proved difficult, as many barriers are outside the control of local actors. There was limited evidence of service change.

Research limitations/implications

Because the findings relate to the early stage of the 5+ years of the Pioneer programme (2014-2019), it is not yet possible to detect changes in services or in user experiences and outcomes.

Practical implications

The persistence of many barriers to integration highlights the need for greater national support to remove them.

Originality/value

The evaluation demonstrates that implementing integrated health and social care is not a short-term process and cannot be achieved without national support in tackling persistent barriers.

Details

Journal of Integrated Care, vol. 25 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 21 September 2015

Ailsa Cameron, Pauline Allen, Lorraine Williams, Mary Alison Durand, Will Bartlett, Virginie Perotin and Andrew Hutchings

The purpose of this paper is to explore government efforts to enhance the autonomy of community health services (CHS) in England through the creation of Foundation Trusts status…

Abstract

Purpose

The purpose of this paper is to explore government efforts to enhance the autonomy of community health services (CHS) in England through the creation of Foundation Trusts status. It considers why some CHS elected to become nascent Community Foundation Trusts (CFTs) while others had not and what advantages they thought increased levels of autonomy offered.

Design/methodology/approach

Data are drawn from the evaluation of the Department of Health’s CFT pilot programme. Participants were purposively selected from pilot sites, as well as from comparator non-pilot organisations. A total of 44 staff from 14 organisations were interviewed.

Findings

The data reveals that regardless of the different pathways that organisations were on, they all shared the same goal, a desire for greater autonomy, but specifically within the NHS. Additionally, irrespective of their organisational form most organisations were considering an almost identical set of initiatives as a means to improve service delivery and productivity.

Research limitations/implications

Despite the expectations of policy makers no CFTs were established during the course of the study, so it is not possible to find out what the effect of such changes were. Nevertheless, the authors were able to investigate the attitudes of all the providers of CHS to the plans to increase their managerial autonomy, whether simply by separating from PCTs or by becoming CFTs.

Originality/value

As no CFTs have yet been formed, this study provides the only evidence to date about increasing autonomy for CHS in England.

Details

Journal of Health Organization and Management, vol. 29 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 1 October 2001

Mary Durand and Sandra Jowett

This is a case study of the contribution of independent researchers employed to obtain feedback on performance in home care services for a Best Value exercise in Luton. The…

Abstract

This is a case study of the contribution of independent researchers employed to obtain feedback on performance in home care services for a Best Value exercise in Luton. The authors report their findings and then speculate on how local authorities might enhance the process to achieve more informed consultation with service users.

Details

Journal of Integrated Care, vol. 9 no. 5
Type: Research Article
ISSN: 1476-9018

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