A Scoping Review ofthe Benefits of Integrated Care at Service User Level in UK Health and Social Care System.
Abstract
Background: The clinical commissioners were constituted to ensure patient centeredness and to tackle health inequalities for the local population. The health and social care act 2012 was a catalyst in the integration and development of the health and social care strategic partnership working. This was aimed to facilitate a major shift from competition to cooperation.
Purpose: What are the end-user benefits of the integrated care system developed through health and social care strategic partnership?
Methods:A scoping review is conducted to explore the available sources of information on the service user benefits of an integrated form of working at the grass root level. This review is an end user focussed study, specific to the service user perspectives.
Results:The individual organisations are still budget driven and the care planning assessments such as decision support tool are complex for the end user to understand. Even though there are several studies and government documents available focussing on macro- level integration with benefits on cost aspects, there are questions on the end user benefits.There is scant information regardingthe benefits of collaboration at the end-user level.
Conclusion:The preliminary results conclude that there are strategic gains in strategic-level integration such as financial savings and tackling staff shortages.However, the service user benefit needs to be further explored. The work is conceptual and preliminary and there is scope for further exploration of the issue in discussion empirically.
-
Page Number : 33–38
-
Published Date : 2021-10-15
-
Keywords
Integrated care, service user, health and social care, National health services
-
DOI Number
10.15415/jtmge.2021.122004
-
Authors
Biju Mathew
References
- Alzheimers’sSociety.(2017).Applying for NHS Continuing Healthcare – Caution, requires extreme strength of character, Real Stories. Retrievedfrom https://www.alzheimers.org.uk/blog/applying-nhs-continuing-healthcare-caution-requires-extreme-strength
- Alzheimer’s Society.(2022).Alzheimer’s Society’s view on NHS Continuing Healthcare available at. Retrieved from https://www.alzheimers.org.uk/about-us/policy-and-influencing/what-we-think/nhs-continuing-healthcare
- Beauchamp, T. L., &Childress, J.(2009). Principles of biomedicalethics. New York: Oxford University Press,2009, 221.
- Charles,A.,Wenzel,L.,Kershaw,M.,Ham,c., &Walsh,N. (2018). A year of integrated care systems; Reviewing the journey so far.London:King’s Fund, 2018-09
- Department of health and social care.(2018); NHScontinuinghealthcaredecisionsupporttool.
- Department of Health.(2005).Mental Capacity Act (c 9).Retrievedfromhttps://www.legislation.gov.uk/ukpga/2005/9/contentsAccessed. London:HMSO.
- Department of Health&and social care (2022),Statutory guidance Care and support statutory guidance.AvailableRetrieved at. Retrieved fromhttps://www.gov.uk/government/publications/care-act-statutory-guidance/care-and-support-statutory-guidance. (Updated27January 27.2022).
- Department of Health and Social Care.(updated 2021). Integrated Care Partnership (ICP) engagement document: Integrated Care System (ICS) implementation.
- Department of Health.(2014). The Care Act and whole-family approaches.London: Department of Health.
- Department of health and Social care.(2018).National Framework for NHS ContinuingHealthcare and NHS-FundedNursingCare.Retrievedfrom https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care
- Jones, E., Mould, S., Ward, L., Ryan, L., &Patel, H. P.(2022). Integrated care for people living with dementia. Clinics in Integrated Care, 11, 100095. doi:10.1016/j.intcar.2022.100095
- Health and CareAct.(2022)Available at Health and Care Act 2022.Retrieved from legislation.gov.
- Legislation.gov.uk. (2010). Equality act2010[Online].Retrievedfromhttp://www.legislation.gov.uk/ukpga/2010/15/contents
- Health and socialcareact2012, c. Retrievedfrom https://www.legislation.gov.uk/ukpga/2012/7/contents/enacted, 7.
- Lawton, M., Sage, K., Haddock, G., Conroy, P., &Serrant, L.(2018). Speech and Language therapists’ perspectives of therapeutic alliance construction and maintenance in aphasia rehabilitation post‐stroke. International Journal of Language and Communication Disorders, 53(3), 550–563. doi:10.1111/1460-6984.12368
- National Framework for NHS Continuing Health Care and NHS Funded Nursing care.(2022).
- Available at :National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care - July 2022 (Revised). Assessed on 20/10/2022.Retrieved from publishing.service.gov.uk
- NHS Confederation.(2022).The state of integrated care systems 2021/2.Retrievedfrom https://www.nhsconfed.org/publications/state-integrated-care-systems-202122
- NHS England.(2021).Integrated caresystems: Guidance.Retrievedfrom https://www.england.nhs.uk/publication/integrated-care-systems-guidance
- NHSEngland.(2015). Guidance for NHS commissioners on equality and health inequalities legal duties.Retrievedfromhttps://www.england.nhs.uk/about/equality/equality-hub/resources/legislation
- National Health Service.(2009). Planning for your future care available at. Retrieved from https://www.cancerresearchuk.org/about-cancer/coping/dying-with-cancer/making-plans/care-planning/preferred-priorities-of-care
- NHS England. (2021). quick guide to Discharging to Assess. Retrievedfromhttps://www.nhs.uk/NHSEngland/keogh-review/Documents/quick-guides/Quick-Guide-discharge-to-access.
- Nursing and Midwifery Council.(2018). The code. [pdf].Retrievedfrom https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf
- Riste, L. K., Coventry, P. A., Reilly, S. T., Bower, P., &Sanders, C.(2018). Enactingperson‐centredness in integrated care: A qualitative study of practice and perspectives within multidisciplinary groups in the care of older people. Health Expectations, 21(6), 1066–1074. doi:10.1111/hex.12803
- Rosell, L., Alexandersson, N., Hagberg, O., &Nilbert, M.(2018). Benefits, barriers and opinions on multidisciplinary team meetings: A survey in Swedish cancer care. BMC HealthServicesResearch, 18(1), 249. doi:10.1186/s12913-018-2990-4
- The King’s Fund.(April2021). Developing place-based partnerships.
- The King’s Fund.(2021). Long-term conditions and multi-morbidity. Retrievedfrom https://www.kingsfund.org.uk/projects/time-think-differently/trends-disease-and-disability-long-term-conditions-multi-morbidity
- West, M. A., &Chowla, R.(2017). Compassionate leadership for compassionate health care. In Compassion (pp. 237–257). Routledge.