Delivering Integrated Care

“Patients have been described as the greatest untapped resource in healthcare. Recognising their capacity and that of local communities as co-producers of health, could do much to transform quality. What is needed is a shift away from a reactive, disease-focused, fragmented model of care, towards one that is more proactive, holistic and preventative, in which people are encouraged to play a central role in managing their own care”

Angela Coulter, Kings Fund and Fabian Society 

To deliver the new models of care care delivery requires cross-sector  collaboration to design services around patient needs through co-productive, empowering care processes.    The outcomes will include improved quality and satisfaction for patients  and can  prevent and avoid admissions and reduce pressure on acute bed capacity. This requires integrated and innovative techniques such as  utilisation management, effective long-term condition programmes as well as more ‘joined-up’ primary and community services.

Our series of Papers on ‘Making Integrated Care Systems Happen’ (that can be found and downloaded here) focuses on the key components that include:

Integrated Care in Place

Integrated care offers a great opportunity both to redesign primary care staffing and community services to  realize the opportunities of care closer to home tailored to the specific requirements of each locality,  including patient empowerment and virtual working.

Levels of Care

Integrated care requires the commissioning and provision of services according to the levels of care from acute to home care and show a significant cost benefit.  Our consultants have established each of these approaches as practical, work-able solutions which are delivering benefits in the NHS today.  

Concurrent Utilisation Review using proprietary patient-flow and appropriate care  guidelines 

In a typical acute provider, many  acute admissions and current inpatients  could be avoided, prevented or mitigated.  Concurrent utilisation review identifies the scope for change at local level and sets out practical proposals for realising this opportunity.

Clinical Care Coordination

An evidence based, co-productive approach to working with people with complex needs   tailoring care plans to each individual.   Clinical care coordination delivers triple-aims outcomes including mitigating hospital utilisation arising from more reactive  healthcare.

Modelling scenarios for the outcome of whole-system redesign

Working with Vanguards and other integrated care developments, we have developed models which quantify the opportunities from re-orientating the care delivery networks.   The impact of different options on  activity, staffing and costs,  within and between providers is quantified to aid option appraisal for local investment  strategies and business cases. 

What our clients say;