Health Management and Policy Alert

Changing lives, changing places, changing systems: making progress on social prescribing

National Voices -
This report explores what needs to happen to engage a wider set of stakeholders with planning, funding and delivering social prescribing services and the community activities, groups and services upon which they rely across places and within new Integrated Care Systems. It explores the structures needed to support collaborative planning and delivery and how improving data flows could encourage more partners to get involved. It also describes how communication about social prescribing can be improved to make clearer how it fits into wider plans for transforming health and care across communities and supporting people to improve their health and wellbeing.

• Report
• National Voices - publications

Integration and innovation in action: population health

NHS Confederation -
This report shows how health and care systems are connecting people, place and power structures to establish partnerships that are sharing power and decision-making – creating healthier, resilient and empowered communities. It spotlights some of these examples, demonstrating how health and care organisations are working in new and different ways to improve population health. It concludes that local health and care systems need to reset their focus to cultivate the conditions for health creation through asset-based community health development.

• Report

A reflective learning framework for partnering: insights from the early work of the Healthy Communities Together partnerships

The King's Fund -
As integrated care systems develop, NHS, local authority and voluntary sector organisations working in health and care in England are coming together and working in partnership to improve the health and wellbeing of local populations. But what does it take to ensure these new partnerships succeed? Here we offer a framework for reflective learning that partners can use together.

• Read it now

National guidance on quality risk response and escalation in integrated care systems

NHS England -
This guidance is to support system leaders as they develop their approach to quality management. It sets out how quality concerns and risks should be managed within integrated care systems in collaboration with NHS England and wider partners.

• Guidance
• NHS England - publications

NHS Continuing Healthcare: delivering excellence

NHS Confederation - 

Collaborative working between clinical commissioning groups and local authorities plays a major role in delivering NHS continuing healthcare. Based on perspectives from local leaders, this report offers key themes that determine good joint working practice, and outlines recommendations for integrated care systems, NHS England and the Department of Health and Social Care, to ensure NHS Continuing Healthcare is delivered as smoothly and effectively as possible for patients and families.

• Report

Roadmap for integrating specialised services within integrated care systems

NHS England and NHS Improvement - 

This document sets out the roadmap for how the commissioning model for specialised services will evolve in the coming years. It charts a phased and managed approach to integrating commissioning of specialised services with wider ICB (integrated care board) commissioning responsibilities.

• Document
• More detail

ICS engagement with the adult social care sector in decision-making: final report

Good Governance Institute - 

This report (produced with Care England and the Homecare Association) explores how measurement and culture might transform engagement from integrated care systems (ICSs) with the adult social care (ASC) sector.

• Report
• More detail

 

Next steps for integrating primary care: Fuller stocktake report

NHS England -
This is the final report of the stocktake undertaken by Dr Claire Fuller on integrated primary care, looking at what is working well, why it’s working well and how the implementation of integrated primary care (incorporating the current four pillars of general practice, community pharmacy, dentistry and optometry) across systems can be accelerated. The report contains a new vision for integrating primary care, improving the access, experience and outcomes for our communities, which centres around three essential offers: streamlining access to care and advice; providing more proactive, personalised care with support from a multidisciplinary team of professionals; and helping people to stay well for longer.

• Report
• NHS England - publications

Devolve to evolve? The future of specialised services within integrated care

Policy Exchange - 

Specialised services support people with rare and complex conditions. The allocation for specialised services has grown by 50 per cent in eight years (from £13bn in 2013 to £20bn by 2020/21. There are proposals to delegate responsibility for commissioning at least half of these services from the national level to 42 integrated care boards (ICBs) across the NHS in England. This report evaluates these proposals and sets out a series of recommendations the authors would like to see taken forward.

• Report
• More detail

Integrated working to address frailty needs: Bradford District and Craven Health and Care Partnership

NHS Confederation - 

The delivery of an integrated approach has led to significant health and social improvements among frail and older people within Bradford District and Craven. Key benefits and outcomes include: the transformation of the lives of more than 300 frail and older people; effective identification through data of patients most at risk; reduced gaps in care and risk through partnership working; improved navigation for patients through health and care services (considering health, care, socio economic needs); and reduced duplication through collaboration, ensuring patients are seen at the right place at the right time.

• Case study