Understanding Integrated Care in England
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This document discusses integrated care and provides examples of best practices from various locations in the UK and other countries. It recommends that IC3ML focus on expanding its service offerings beyond telehealth and telecare to include care coordination, patient engagement, and transitional care services. It also recommends understanding how IC3ML can enable the new integrated care market and work with health boards to create services defined in their Better Care Fund applications. The document then provides examples of integrated care models and potential cost savings from implementing such services in various localities in the UK.
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Understanding Integrated Care in England
- 2. IC3ML and the BCF Recommendations 1: Find new services offerings beyond Telehelath and Telecare 2: Refine these services from around a theme of patient centred care 3: Create new Services for Care-Coordination, Patient engagement and Transitional Care 4: Understand how the new Integrated Care market as defined by the LGA can be enabled by IC3ML technology partners 5: Work with H&W Boards to create the services they defined in their Better Care Fund applications 6. Position IC3ML as an essential support service that scales BCF defined clinical practice in localities
- 3. UK Examples of Best Practice Integrated Care From LGA Toolkit for BCF
- 5. Integrated Care Example: Isle of Wight
- 10. Integrated Care Example: North Devon
- 11. Integrated Care Example: Waltham, East Lon & City
- 12. Integrated Care Example: Greater Manchester
- 13. Integrated Care Example: US: PACE
- 15. Example services could offer in Integrated Care
- 18. What technology services are required to make these models a reality?
- 19. Create Services Across the patient journey
- 20. Example cost savings in the high priority areas
- 21. Savings from new Services: Essex What is the impact of integrating care? For a population of 1,127,298 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £63m and a net impact of £63m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 12m 51m 63m 20% 80% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 11m 11m 18m 18m 18m 11m
- 22. Savings from new Services: Camden What is the impact of integrating care? For a population of 186,038 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £10m and a net impact of £10m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 3m 8m 10m 28% 72% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 2m 2m 3m 3m 3m 2m
- 23. Savings from new Services: Havering What is the impact of integrating care? For a population of 191,565 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £11m and a net impact of £11m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 3m 9m 11m 23% 77% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 2m 2m 3m 3m 3m 2m
- 24. Savings from new Services: Islington What is the impact of integrating care? For a population of 175,409 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £11m and a net impact of £11m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 3m 8m 11m 25% 75% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 2m 2m 3m 3m 3m 2m
- 25. Savings from new Services: Merton What is the impact of integrating care? For a population of 159,986 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £11m and a net impact of £11m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 3m 8m 11m 25% 75% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 2m 2m 3m 3m 3m 2m
- 26. Savings from new Services: Tower Hamlets What is the impact of integrating care? For a population of 207,864 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £14m and a net impact of £14m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 3m 11m 14m 23% 77% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 3m 2m 4m 4m 4m 2m
- 27. Savings from new Services: Cambridgeshire What is the impact of integrating care? For a population of 506,635 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £28m and a net impact of £28m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 5m 23m 28m 19% 81% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 5m 5m 8m 8m 8m 5m
- 28. Savings from new Services: Kent What is the impact of integrating care? For a population of 1,174,947 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £70m and a net impact of £70m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 14m 57m 70m 20% 80% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 13m 12m 21m 21m 21m 12m
- 29. Savings from new Services: East Sussex What is the impact of integrating care? For a population of 433,006 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £24m and a net impact of £24m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 5m 19m 24m 19% 81% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 4m 4m 7m 7m 7m 4m
- 30. Savings from new Services: Brighton & Hove What is the impact of integrating care? For a population of 228,289 being the total population (excl. children); the impact of applying a model of integration similar to NWL will be a gross reduction in commisioner spend of £13m and a net impact of £13m. The specific gross impact on commisoned services is caculated to be as follows: Social Care Mental Health A&E Non-Elective - Admissions Non-Elective - Bed Days Total £ £ £ £ £ £ 0% 3m 10m 13m 24% 76% What is the relative importance of the main drivers of integrating care? Gross Impact Case management Signposting & navigation Effective crisis response Improving transitional care Effective ongoing support Effective preventive care £ £ £ £ £ £ 2m 2m 4m 4m 4m 2m
- 31. Dr. M.J. Rice Principal Consultant Kokomo www.kokomo.eu London (44) : 074 387 89155 Dublin (353) : 086 823 1447 @malachyrice