Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?

Introduction: For more than a decade the English NHS has pursued integrated care through three national pilot programmes. The independent evaluators of these programmes here identify several common themes that inform the development of integrated care. Description: The three pilot programmes shared...

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Autores principales:	Richard Q. Lewis, Kath Checkland, Mary Alison Durand, Tom Ling, Nicholas Mays, Martin Roland, Judith A. Smith
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	integrated care pilots evaluation pioneers vanguards Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f68697f68e40475993b4fb8de8981159
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spelling	oai:doaj.org-article:f68697f68e40475993b4fb8de89811592021-11-08T08:08:09ZIntegrated Care in England – what can we Learn from a Decade of National Pilot Programmes?1568-415610.5334/ijic.5631https://doaj.org/article/f68697f68e40475993b4fb8de89811592021-10-01T00:00:00Zhttps://www.ijic.org/articles/5631https://doaj.org/toc/1568-4156Introduction: For more than a decade the English NHS has pursued integrated care through three national pilot programmes. The independent evaluators of these programmes here identify several common themes that inform the development of integrated care. Description: The three pilot programmes shared the aim of better coordination between hospital and community-based health services and between health and social care. Each programme recruited local pilot sites that designed specific interventions to support inter-professional and inter-organisational collaboration. The pilots were highly heterogenous and results varied both within and between the three programmes. While staff were generally positive about their achievements, pilots had mixed success especially in reducing unplanned hospital admissions. Common facilitators to achieving pilots’ objectives included effective senior leadership and shared values, simple interventions and additional funding. Barriers included short timescales, poor professional engagement, information and data sharing problems, and conflicts with changing national policy. Discussion: There was little stable or shared understanding of what ‘integrated care’ meant resulting in different practices and priorities. An increasing focus on reducing unplanned hospital use among national sponsors created a mismatch in expectations between local and national actors. Conclusion: Pilots in all three national programmes made some headway against their objectives but were limited in their impact on unplanned hospital admissions.Richard Q. LewisKath ChecklandMary Alison DurandTom LingNicholas MaysMartin RolandJudith A. SmithUbiquity Pressarticleintegrated carepilotsevaluationpioneersvanguardsMedicine (General)R5-920ENInternational Journal of Integrated Care, Vol 21, Iss S2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	integrated care pilots evaluation pioneers vanguards Medicine (General) R5-920
spellingShingle	integrated care pilots evaluation pioneers vanguards Medicine (General) R5-920 Richard Q. Lewis Kath Checkland Mary Alison Durand Tom Ling Nicholas Mays Martin Roland Judith A. Smith Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?
description	Introduction: For more than a decade the English NHS has pursued integrated care through three national pilot programmes. The independent evaluators of these programmes here identify several common themes that inform the development of integrated care. Description: The three pilot programmes shared the aim of better coordination between hospital and community-based health services and between health and social care. Each programme recruited local pilot sites that designed specific interventions to support inter-professional and inter-organisational collaboration. The pilots were highly heterogenous and results varied both within and between the three programmes. While staff were generally positive about their achievements, pilots had mixed success especially in reducing unplanned hospital admissions. Common facilitators to achieving pilots’ objectives included effective senior leadership and shared values, simple interventions and additional funding. Barriers included short timescales, poor professional engagement, information and data sharing problems, and conflicts with changing national policy. Discussion: There was little stable or shared understanding of what ‘integrated care’ meant resulting in different practices and priorities. An increasing focus on reducing unplanned hospital use among national sponsors created a mismatch in expectations between local and national actors. Conclusion: Pilots in all three national programmes made some headway against their objectives but were limited in their impact on unplanned hospital admissions.
format	article
author	Richard Q. Lewis Kath Checkland Mary Alison Durand Tom Ling Nicholas Mays Martin Roland Judith A. Smith
author_facet	Richard Q. Lewis Kath Checkland Mary Alison Durand Tom Ling Nicholas Mays Martin Roland Judith A. Smith
author_sort	Richard Q. Lewis
title	Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?
title_short	Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?
title_full	Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?
title_fullStr	Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?
title_full_unstemmed	Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?
title_sort	integrated care in england – what can we learn from a decade of national pilot programmes?
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/f68697f68e40475993b4fb8de8981159
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Integrated Care in England – what can we Learn from a Decade of National Pilot Programmes?

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