Health Management and Policy Alert

How does the health and care system hear from people and communities?

The King's Fund -
People's lived experience is a powerful tool to improve existing services and identify new and better ways to meet their needs. This explainer looks at how the health and care system can listen and learn from the people and communities they serve and the sources of information available to them.

• The King's Fund - publications

Integration and innovation in action: community capacity

NHS Confederation - 

This report outlines a range of examples where NHS organisations are working collaboratively to improve outcomes for patients and local communities. Based on interviews with NHS leaders, it reflects on the opportunities and challenges of models of care that aim to treat patients in the community.

• Report
• More detail

The Health and Care Bill: House of Lords, Committee of the whole House, 11 & 13 January 2022, consideration of clauses 1-34

Nuffield Trust - 

This briefing on the Health and Care Bill provides commentary on amendments tabled for the Committee Stage in the House of Lords, scheduled to take place on 11 and 13 January 2022.

• Briefing
• More detail

Telephone survey two: PCNs and Covid-19

Policy Research Unit in Commissioning and the Healthcare System (PRUComm) - 

The purpose of the telephone survey was to try and understand the role primary care networks (PCNs) had played in response to the Covid-19 pandemic; focussing on whether the pandemic had influenced and shaped the development and operation of PCNs and whether PCNs had worked collectively or as individual practices in their Covid-19 response. This short report comprises data collected between August and December 2020. Data is from eighteen qualitative telephone interviews with clinical commissioning group staff from across England.

• Report
• More detail

Integrating health and social care: a comparison of policy and progress across the four countries of the UK

Nuffield Trust - 

The integration of health and social care has been a long-standing policy priority in each country of the UK. However, there is limited evidence these policies are delivering the results expected of them. This report looks at the impact of integration across the four countries and compares the policies and approaches each one has trialed to deliver their goals.

• Report
• Press release

Integrated care systems and social care: the opportunities and challenges

The King's Fund -
This guide, supported by Home Instead UK, explores how social care providers can create partnerships with other integrated care stakeholders to deliver better services and outcomes for their local population.

• The King's Fund - publications

NHS system oversight framework segmentation

NHS England and NHS Improvement - 

These documents outline the segmentation decisions for all integrated care systems (ICSs) and NHS trusts (including foundation trusts). NHS England and NHS Improvement have allocated trusts and ICSs to one of four ‘segments. A segmentation decision indicates the scale and general nature of support needs, from no specific support needs (segment 1) to a requirement for mandated intensive support (segment 4).

• Documents

The challenges of developing integrated care partnerships (ICPs): a discussion

NHS Confederation -
Following the publication of the national ICP engagement document, the Integrated Care Systems (ICS) Network hosted a ‘Spotlight’ session with the Department for Health and Social Care, providing ICS leaders with an opportunity to discuss and ask questions about ICP establishment. This briefing summarises the key issues covered.

• Briefing

Have integrated care programmes reduced emergency admissions?

Health Foundation - 

Understanding evidence from earlier integrated health and social care policy initiatives can provide important lessons to inform the development of integrated care systems (ICSs) in this latest round of NHS reform – including expectations for what they can deliver, and by when. The Improvement Analytics Unit examined four of its own long-term evaluations of the impact of the recent vanguard programmes on emergency hospital use, looking at impacts over 4.5–6 years. This long read summarises the key findings from these evaluations and the implications for newly established ICSs.

• Long read

Building frontiers

National Association of Primary Care (NAPC)  - 

This paper explores how to support system integration and shape future care design, formed from the collective experience of the Frontiers Group (clinicians and managers from primary care, secondary care and mental health).

• Paper
• NAPC publications