The document discusses the increasing prominence of integrated care in health policy documents over time, with references to integration increasing at a rate of 78% per year. While integration is increasingly emphasized, there is no national data showing whether it is actually improving quality of care experienced by individuals. To make integrated care more than just a "pipe dream", the document argues that interventions to support integration must address issues of context, like funding and work stress, through approaches that bring together data, workforce capability, and management across services.

1. Is genuine integration
just a pipe dream?
Richard Taunt
Director of Policy, Health Foundation
20 March 2015

2. Let’s look at the numbers
2

3. Increasing need:
Growth of multiple conditions
3
1

4. Increasing prominence:
References up at rate of 78%
4
0.41
0.14
0.25
0.44
0.78
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90
NHS: from good to
great (2009)
Equity and
Excellence:
Liberating the NHS
(2010)
Mandate to the NHS
(2012)
Five year forward
view (2014)
Labour 10 year plan
(2015)
Usesperpage
Uses of "Integration“ or “Integrated care” per page
2

5. Increasing quality?
No national data
5
3
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Individuals' experience of integration
?

6. Stopping it being a pipe dream
Context
+
Intervention
=
Outcome
6

7. Stopping it being a pipe dream
Context
+
Intervention
=
Outcome
7
Funding
Work stress
‘Headspace’

8. Stopping it being a pipe dream
Context
+
Intervention
=
Outcome
8
Funding
Work stress
‘Headspace’
Data
Capability
Management

9. 9
‘There is a need for far
more ... services that
support people outside
hospital. Often what there
is could achieve more if it
were better co-ordinated
with other services in and
out of hospital’

10. 10
‘There is a need for far
more ... services that
support people outside
hospital. Often what there
is could achieve more if it
were better co-ordinated
with other services in and
out of hospital’
National Health Service Reorganisation White Paper, August 1972

11. 11
Richard Taunt, Director of Policy, Health Foundation
richard.taunt@health.org.uk