This document discusses integrated health and social care. It begins by explaining that integrated care is important due to rising chronic disease in an aging population, increasing hospital admissions, and fragmented care coordination. The second section defines integrated care as having the patient perspective at the heart of service delivery. Common barriers to integrated care are then outlined, such as differing health and social care systems and a lack of electronic patient records. Finally, ten steps are provided for making integrated care happen, including developing new care models, aligning financial incentives, and evaluating changes over time.
People are well aware of the need to make large scale savings – much discussed in general termsBut missing from much of hte the discussion about service developmentsIs this just becasue we haven’t been in the right meetingsQIPP – tool for bringing discussions of money to the fore – but can be a the expense of discussions of quality (see example of Calderdale diabetes services – need to prove changes are ‘Qippable’)