Bringing together physical and mental health

"The report identifies 10 areas where there is particular scope for improvement. These span the full range of health system activities, illustrating that change is needed across the system. Commissioners and providers can use these 10 areas as a guide to identify where some of the most significant opportunities for quality improvement and cost control lie."

Bringing together physical and mental health: A new frontier for integrated care
C Naylor, P Das, S Ross, M Honeyman, J Thompson, H Gilburt
The King's Fund
March 2016

Read more here.

Transforming healthcare in England’s core cities

"The report demonstrates how commissioners in Nottingham, Leeds, Sheffield, Bristol, Newcastle, Birmingham, Liverpool and Manchester are addressing profound health challenges. It also highlights how clinically-led commissioning is making it possible to deliver healthcare focused on the needs of specific populations."

Transforming healthcare in England’s core cities 
NHS Clinical Commissioners
September 2015

Read more here.

Integrated care clinical Pharmacist GSTT@home service

"The ICCPs have made a significant impact in the overall quality of care that the GSTT @home service patients have received, and have also had a positive effect on the overall medicines optimisation of the service in general."

Integrated care clinical Pharmacist GSTT@home service
Guys & St Thomas NHS Foundation Trust (Community Health Services) NHS Specialist Pharmacy services

NICE Shared Learning examples
September 2015

Read more here.

Transforming our health care system: Ten priorities for commissioners

"We have identified ten priorities for action. A striking feature of all the priorities is the degree to which they call for change within primary care and the way in which primary care relates to the rest of the system. "

Transforming our health care system: Ten priorities for commissioners
C Naylor et al.
The King's Fund
April 2015

Read more here.

Health Service Journal - Integration

"Integrated care has been a goal for the NHS almost since it was founded. Now that it is finally top of the agenda, can local and national leaders seize the opportunity to deliver it?"

Integration
Health Service Journal supplement
10 April 2015

Read more here.

Commissioning for Value Integrated care pathways packs

NHS England and RightCare have created Commissioning for Value packs to support integrated care pathways across CCGs.

Access the London packs here.

Multifocal Clinical Performance Improvement Across 21 Hospitals

"Improving quality and safety across an entire healthcare system in multiple clinical areas within a short time frame is challenging. We describe our experience with improving inpatient quality and safety at Kaiser Permanente Northern California."

Multifocal Clinical Performance Improvement Across 21 Hospitals
Crawford, Barbara; Skeath, Melinda; Whippy, Alan
Journal For Healthcare Quality, 2015 - 37(2), pp. 117–125

Read more here.

New care models explained: How the NHS can successfully integrate care

"Multispecialty community providers (or MCPs) and the primary and acute care services (or PACS) are new types of delivery models, integrating hitherto relatively poorly coordinated care providers into new and efficient organisations or alliances capable of delivering on the “triple aim” – a better patient experience, better population health and more efficient use of resources."

New care models explained: How the NHS can successfully integrate care
R Lewis
Health Service Journal
March 2015

Read more here.

Acute hospitals and integrated care: From hospitals to health systems

"This report explores the role that acute hospitals can play in integrated care, drawing on learning from five case study sites in England where acute hospital providers have engaged actively with the integration agenda."

Acute hospitals and integrated care: From hospitals to health systems
C Naylor, H Alderwick, M Honeyman
The King's Fund
March 2015

Read more here.

Population health systems: Going beyond integrated care

"The central purpose of this paper is to challenge those involved in integrated care and public health to ‘join up the dots’. This challenge recognises that population health is affected by a wide range of influences across society and within communities. Improving population health is not just the responsibility of health and social care services, or of public health professionals. Instead, we argue that it requires co-ordinated efforts across population health systems."

Population health systems: Going beyond integrated care
H Alderwick, C Ham, D Buck
The King's Fund
February 2015

Read more here.

Joining up health and social care personal budgets: Key points on implementation

"Joint health and care personal budgets offer a potential model for delivering integrated care from the bottom up, at the level of the individual person. This briefing outlines the key themes from a workshop for senior professionals on joining up personal budgets, held at the King’s Fund. It also sets out a series of practical approaches to implementation that might be considered by local
leaders as they develop their approaches to integrating personal budgets."

Joining up health and social care personal budgets: Key points on implementation
NHS Confederation Briefing
January 2015 Issue 280

Read more here.

Inclusive integration: How whole person care can work for adults with disabilities

"This report provides an empirical evidence base to demonstrate how whole person care should meet the needs of working age disabled adults. It explores how integrated care outcomes for working-age disabled adults might be formulated to take account of wider health inequalities within a social model of disability."

Inclusive integration: How whole person care can work for adults with disabilities
Angela Broadbridge
December 2014

Read more here.

Capitation: a potential new payment model to enable integrated care

"Capitated payment can offer significant benefits to patients but there are some risks. For the approach to deliver its full potential benefits to patients and to the health system as a whole, commissioners and providers need to agree on mechanisms for mitigating the risks."

Capitation: a potential new payment model to enable integrated care: A supporting document of ‘2015/16 National Tariff Payment System: A consultation notice’

Monitor, NHS England
November 2014

Read more here.

Changes in costs and effects after the implementation of disease management programs

"After one year we have found indications of improvements in level of integrated care for cardiovascular risk  patients and lifestyle indicators for all diseases, but in none of the diseases we have found indications of cost savings due to disease management programs. However, it is likely that it takes more time before the improvements in care lead to reductions in complications and hospitalizations."

Changes in costs and effects after the implementation of disease management programs in the Netherlands: variability and determinants
A Tsiachristas, J Murray Cramm, AP Nieboer, MPMH Rutten-van Mölken
Cost Effectiveness and Resource Allocation 2014, 12:17

Read more here.

Commissioning and contracting for integrated care

"Many clinical commissioning groups (CCGs) have started to develop novel contracting and commissioning tools to drive more transformational and sustainable service integration. There is a range of contractual models being discussed and implemented across England. In this paper, we describe two broad frameworks that are currently being developed in five areas of the country to stimulate more integrated models of care – a prime contract and an alliance contract."

Commissioning and contracting for integrated care
R Addicott
The King's Fund
November 2014

Read more here.

What is the evidence on the economic impacts of integrated care?

"There is evidence of cost–effectiveness of selected integrated care approaches but the evidence base remains weak. Eight of the nineteen studies reported on cost–effectiveness."

What is the evidence on the economic impacts of integrated care?
E Nolte, E Pitchforth
European Observatory on Health Systems and Policies
World Health Organization
2014

Read more here.

System leadership: Lessons and learning

"A consensus is emerging in England around the concept of ‘integrated care’ as the best hope for a sustainable NHS. For leaders in the health care system, this represents an immense challenge. Leading across complex interdependent systems of care is a new and different role, undertaken alongside the already difficult task of leading successful institutions."

System leadership: Lessons and learning from AQuA's Integrated Care Discovery Communities
D Fillingham, B Weir
October 2014

Read more here.

Priorities for the next government

"The next government must ensure that the focus on improving quality of care established in the wake of the Francis report is sustained. It will also need to set in train a transformation of services to meet the needs of patients more effectively."

Priorities for the next government
The King's Fund
September 2014

Read more here.

Organising health care services for people with an acquired brain injury

"The review found evidence to support integrated care, early supported discharge and quality monitoring interventions however, this evidence was based on studies conducted with people following stroke and may not be appropriate for all people with an ABI."

Organising health care services for people with an acquired brain injury: an overview of systematic reviews and randomised controlled trials
K Laver et al.
BMC Health Services Research 2014, 14:397

Read more here.

Changes in costs and effects after the implementation of disease management programs

"After one year we have found indications of improvements in level of integrated care for cardiovascular risk patients and lifestyle indicators for all diseases, but in none of the diseases we have found indications of cost savings due to disease management programs. However, it is likely that it takes more time before the improvements in care lead to reductions in complications and hospitalizations."

Changes in costs and effects after the implementation of disease management programs in the Netherlands: variability and determinants
A Tsiachristas, J Murray Cramm, AP Nieboer, MPMH Rutten-van Mölken
Cost Effectiveness and Resource Allocation 2014, 12:17

Read more here.