LGA position paper on integration

LGA position paper on Integration
LGA 11 November 2021

• This paper outlines the learning from the LGA and its partner organisations on the critical success factors for achieving effective, joined-up and person-centred care and support to improve people’s experience of care and support and improve their health and wellbeing outcomes.

Multi-professional team-working The experience and lessons from COVID-19

Multi-professional team-working The experience and lessons from COVID-19
Academy of Medical Royal Colleges, October 2021

• This report focuses on what lessons has been learned about the enablers for and barriers to effective multi-professional team-working. Drawing on interviews with workers across different specialties, healthcare settings and regions, it explores five key themes that have shaped experiences of multi-professional team-working during the pandemic and outlines ten principles for improvement.

VCSE Health and Wellbeing programme evaluation

Health and Wellbeing Programme evaluation
DHSC 14 October 2021

• Two independent evaluation reports have been published of the VCSE Health and Wellbeing Programme which was launched in 2018. The programme provides grants to VCSE organisations through 2 co-dependent funded mechanisms:
• the Health and Wellbeing Alliance – to cover partnership working
• the Health and Wellbeing Fund – for more targeted health interventions with social prescribing the initial thematic focus

Developing place-based partnerships: the foundation of effective integrated care systems

Developing place-based partnerships: the foundation of effective integrated care systems
Kings Fund 20 April 2021

• The King’s Fund has reviewed existing evidence and experience on place-based working, explored the development of place-based partnerships within three systems and undertaken targeted engagement with local leaders from ICSs, local authorities and voluntary and community sector organisations. This research highlights the potential role of place-based partnerships in improving health and wellbeing and illustrates how these opportunities can be realised.

PCNs and place-based working: addressing health inequalities in a Covid-19 world

Primary care networks and place-based working: addressing health inequalities in a Covid-19 world
Health Creation Alliance April 2021

• This report provides fresh insights from those working to address health inequalities outside the NHS about how primary care, enabled by PCNs, might access the breadth of potential solutions that are possible when they work in partnership with their communities and local partners.

PCNs and place-based working: addressing health inequalities in a Covid-19 world

Primary care networks and place-based working: addressing health inequalities in a Covid-19 world
Health Creation Alliance April 2021

• This report provides fresh insights from those working to address health inequalities outside the NHS about how primary care, enabled by PCNs, might access the breadth of potential solutions that are possible when they work in partnership with their communities and local partners.

Remote engagement: Removing barriers to inclusion in the context of COVID-19

Remote engagement: Removing barriers to inclusion in the context of COVID-19
Centre for Ageing Better January 2021

• This paper outlines approaches and techniques to carrying out user engagement and co-production activities where traditional face to face methods aren't possible. The paper provides an array of remote engagement methods that organisations and businesses may wish to consider as they plan their research, including phone interviews, journaling, and card activities. With much engagement moving to online delivery, it highlights potential barriers around culture, IT literacy, confidence and trust building and gives examples of how these can be overcome.

Integrating care: Next steps to building strong and effective integrated care systems across England

Integrating care: Next steps to building strong and effective integrated care system sacross England
NHS England January 2021

• This document builds on previous publications that set out proposals for legislative reform and is primarily focused on the operational direction of travel. It opens up a discussion with the NHS and its partners about how ICSs could be embedded in legislation or guidance. It details how systems and their constituent organisations will accelerate collaborative ways of working in future, considering the key components of an effective integrated care system (ICS) and reflecting what a range of local leaders have told us about their experiences during the past two years, including the immediate and long-term challenges presented by the COVID-19 pandemic.
• This document also describes options for giving ICSs a firmer footing in legislation likely to take effect from April 2022 (subject to Parliamentary decision).

A glass half-full: 10 years on review

A glass half-full: 10 years on review
LGA 8 December 2020

• The asset-based approach sees citizens and communities as co-producers of health and wellbeing; promotes community networks, relationships and friendships as a way of providing mutual help and support; and, most importantly, empowers communities to control their futures and create tangible resources for themselves. This report examines progress in the use of the asset-based approach in local areas over the past decade.

Skills for collaborative change : a map and user guide

Skills for collaborative change : a map and user guide
Q Health 29 September 2020

• A practical tool setting out the skills and attitudes needed for collaborative and creative problem-solving. It has been developed in partnership with Nesta. It draws on Q’s experience of large-scale collaborative approaches, the Health Foundation’s quality improvement expertise, and Nesta’s extensive experience of government innovation.

Skills for collaborative change: a map and user guide

Skills for collaborative change: a map and user guide
Q Health 29 September

• A practical tool setting out the skills and attitudes needed for collaborative and creative problem-solving. he map and user guide is designed to support individuals and teams to have meaningful conversations about what it takes to do collaboration well and how to use those skills in practice.

Competencies to promote collaboration between primary and secondary care doctors: an integrative review.

Competencies to promote collaboration between primary and secondary care doctors: an integrative review.
BMC Fam Pract 21, 179 (2020). https://doi.org/10.1186/s12875-020-01234-6

• A literature review identified six themes regarding collaborative competencies between primary and secondary care doctors: ‘patient-centred care: a common concern’, ‘roles and responsibilities’, ‘mutual knowledge and understanding’, ‘collaborative attitude and respect’, ‘communication’ and ‘leadership’.. The results show that doctors play an important role, not only in the way they collaborate in individual patient care, but also in how they help shaping organisational preconditions for collaboration.

What’s happened to primary care networks and other forms of primary and community care collaboration?

One year on and one pandemic later: what’s happened to primary care networks and other forms of primary and community care collaboration?
NHS Confederation 13 July 2020

• "One year has passed since the deadline for all GP practices to form PCNs. The interface between primary and community care has evolved in different ways across the country, and this is all true of the response to COVID-19. Here we revisit the range of partnerships that community service providers are forming with primary care colleagues, and the support that trusts can offer to PCNs specifically."

Challenges in Integrating Health and Social Care: The Better Care Fund in England

Challenges in Integrating Health and Social Care: The Better Care Fund in EnglandJ Health Serv Res Policy Apr 2020 ;25(2):86-93. doi: 10.1177/1355819619869745. Epub 2019 Sep 4.

• In a qualitative evaluation of the Better Care Fund across 16 local health and social care sites between 2017 and 2018 participants stressed the practical and political challenges of managing pooled budgets and the complexity of working across geographical boundaries. Shared vision and leadership are essential to develop and foster this closer collaboration.

Abstract

Thinking differently about commissioning: learning from new approaches to local planning

Thinking differently about commissioning: learning from new approaches to local planning
Kings Fund 6 February 2020

• Collaboration is promoted as a key tool for improving health services. Visits to CCGs (South Tyneside, Tameside and Glossop, Bradford district and Craven) suggest that collaborative planning arrangements at place level – on footprints that are often approximately co-terminous with local authorities – will be important in the future. 
• This report explores the implications of new ways of working for the development of integrated care systems, how NHS England and NHS Improvement’s regional teams operate, and wider ways of working among NHS national bodies.

The multi-agency response to child sexual abuse in the family environment

The multi-agency response to child sexual abuse in the family environment
Ofsted, Care Quality Commission, HM Inspectorate of Probation, and HM Inspectorate of Constabulary and Fire & Rescue Services 4 February 2020

• This report summarises findings of joint targeted area inspections of ‘the multi-agency response to child sexual abuse in the family environment’ September 2018 to May 2019. It calls on professionals to give sexual abuse a higher priority in local areas, through improved training and awareness-raising of the problem.

How to build effective teams in general practice

How to build effective teams in general practice
Kings Fund 9 January 2020

• Insights from Kings Fund research, policy analysis and leadership practice.

A Place to Work: System approaches to workforce challenges in the NHS

A Place to Work: System approaches to workforce challenges in the NHS

NHS Providers December 2019

• This briefing aims to explore how trusts are working with their staff and with local partners to enable the health and care workforce to adapt to new ways of collaborative working in systems, and to support the aim of integrated, joined up care.

NHS Collaborative Learning Library

NHS Collaborative Learning Library
FutureNHS platform

• The aim of the NHS Collaborative Learning Library is share learning and knowledge amassed by the New Care Models programme between 2015 and 2017 and which may be useful to any transformation programme or improvement project. It includes Collaborative Learning Guides, Case studies and Resources developed from the programme.

System Collaboration and Financial Management Agreement

System Collaboration and Financial Management Agreement
NHS England 19 December 2019

• A draft model agreement to support the new requirement in the 2020/21 Contract for CCGs and Trusts within each local ICS/STP to agree and operate under a collaborative document, aimed at ensuring that they work together to deliver the system financial improvement trajectory for 2020/21.