Understanding Integrated Care

In 2013, we worked on behalf of the National Collaborative alongside colleagues including from the Local Government Association, NHS England, Public Health England, Monitor, ADASS and the Department of Health, to develop the first National Whole-System Integrated Care Toolkit.

We were commissioned to research and co-develop:

  • an overarching narrative for integrated care building on the work of UK’s National Voices defining integration from a service user perspective to look at impact across professionals and organisations.
  • the case for change including the business case for integrated care at a locality level.
  • barriers and enablers the real and perceived barriers within the system, and the enablers that can enable more integrated ways of working.
  • tools and support sharing of best practice, models, templates and guides for use by local systems.

The development process commenced with three initial design workshops, held in London, Leeds and Bristol from 17th to 19th July 2013. Invitations were issued to all Health & Wellbeing Boards in England; and via the National Collaborative to all national partners, including central government, voluntary and community sector organisations. In total, 150 individuals attended the design workshops across the 3 days, with over 350 system reprsentatives contributing to the research over the following 6 months.

In parallel, we worked with 11 sites to understand and model the impact of their experiences of integration.
These were:

  • Cumbria
  • Royal Borough of Greenwich
  • Isle of Wight
  • Manchester
  • North Devon
  • Northamptonshire
  • North West London
  • Torbay
  • Waltham Forest, East London and City (WELC)
  • PACE in the US
  • and Germany’s Gesundes Kinzigtal.

The toolkit and final product, the overarching value case, were formally launched at the King’s Fund in January 2014 and subsequently presented at the International Conference for Integrating Care in Brussels, with over 14,000 downloads of the tools and materials in the first six months and the findings feeding directly into the launch of the £3.8 billion Better Care Fund in England, including the development of the first model “Better Care” plans.

For more information on our research into integrated care and how we have been working with areas to apply this on the ground, please contact PPL integration lead David Segal.