Integrated health and social care

House of Commons Committee of Public Accounts, April 2017

This report investigates the Better Care Fund and concludes that it has missed its objectives to reduce emergency admissions and delayed transfers of care. The report strongly criticises the implementation of the Better Care Fund and argues that the focus on integration should be shifted towards the STP process.

Click here to view the report.

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Integration and Better Care Fund policy framework 2017 to 2019

Department of Health, April 2017

This document sets out the story of integration of health, social care and other public services, and provides an overview of related policy initiatives and legislation.

It is intended for use by those responsible for delivering the Better Care Fund at a local level (such as clinical commissioning groups, local authorities, health and wellbeing boards) and NHS England.

It includes the policy framework for the implementation of the statutory Better Care Fund in 2017 to 2019, which was first announced in the government’s Spending Review of 2013 and established in the Care Act 2014.

It also sets out the Department of Health proposals for going beyond the Fund towards further integration by 2020.

Click here to view the framework.

Integration 2020: scoping research

Social Care Institute for Excellence, April 2017

This research was commissioned by the Department of Health to inform the development of the integration standard and the next phase of plans to integrated health and social care. The integration standard would enable the collection of qualitative and quantitative data to measure the progress and performance within local areas. This report presents the findings of scoping research and engagement to better understand what integrated health should look like by 2020; testing out the integration standard and how feedback and support should be used to develop the standard.

Click here to view the report.

Social work: essential to integration

Department of Health, March 2017

The document should be used to support and inform local and regional health and social care integration initiatives. It explains:

  • the critical contribution that social workers make to integrated services
  • how social work is essential to the whole system
  • the necessity of support to ensure integration succeeds in providing the services people need

It also includes ‘top tips’ for directors of adult social services and for principal social workers to assist in progressing the integration agenda.

Click here to access the document.

Health and social care integration

National Audit Office, February 2017

This report warns that progress with integration of health and social care has, to date, been slower and less successful than envisaged and has not delivered all of the expected benefits for patients, the NHS or local authorities. As a result, the government’s plan for integrated health and social care services across England by 2020 is at significant risk.  The report also finds that  The Better Care Fund has not achieved the expected value for money, in terms of savings, outcomes for patients or hospital activity.

Click here to view the report.

Integrating health and social care across the UK: toolkit for nurses

Royal College of Nursing, January 2017

A new RCN UK-wide toolkit for members working in strategic decision-making roles or involved in forums around integrated care. The toolkit has a series of themed prompt questions for reflection and action. It will support members to provide confident nursing leadership to shape, deliver and monitor safe, quality and local integrated services.

Click here to access the toolkit.

Outcome-focused integrated care: lessons from experience

Institute of Public Care, January 2017

This paper captures some of the learning and experience from work on developing integrated practice. It aims to offer guidance to those embarking on a significant period of change on what they may need to consider. It draws on IPC’s practice-based experience of integration across a range of different organisational set-ups and cultures.

Click here to read the full report.