National Evaluation of the Department of Health’s Integrated Care Pilots. Final report – RAND Europe, Ernst & Young LLP, prepared for the Department of Health – March 2012

Posted on March 27, 2012. Filed under: Health Mgmt Policy Planning | Tags: , |

National Evaluation of the Department of Health’s Integrated Care Pilots [UK]. Final report – RAND Europe, Ernst & Young LLP, prepared for the Department of Health – March 2012

Key messages
● While much of the wider literature focuses on ‘models’ of integrated care, we found that Integrated Care Pilots (ICPs) developed and implemented a loose collection of ‘integrating activities’ based on local circumstances. Despite the variations across the pilots, a number of aims were shared: bringing care closer to the service user; providing service users with a greater sense of continuity of care; identifying and supporting those with greatest needs; providing more preventive care; and reducing the amount of care provided unnecessarily in hospital settings.
● Most pilots concentrated on horizontal integration – e.g., integration between community-based services such as general practices, community nursing services and social services rather than vertical integration – e.g., between primary care and secondary care.
● Integrated care led to process improvements such as an increase in the use of care plans and the development of new roles for care staff. Staff believed that these process improvements were leading to improvements in care, even if some of the improvements were not yet apparent. A range of other improvements in care were reported by pilots following local evaluations. We have reported these but they lie beyond the scope of the national evaluation.
● Patients did not, in general, share the sense of improvement.” … continues on the site

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