Person-centred integrated care
Consultancy support on integrating health and care systems
SCIE helps government departments, local systems and individual organisations to:
- review existing relationships and joint working arrangements
- co-produce and implement integration and transformation plans with local citizens an partners
- evaluate progress on and the impact of integration plans
- share knowledge and best practice on key integrated care issues including systems leadership, risk sharing and co-production with people who use services and carers.
SCIE are helping the local area establish a strategic vision and plan of action that will guide the transformation and integration of care and support locally. We welcome SCIE's expertise, insights and ability to work across the system.Martin Farran, Director of Adult Services and Health, Liverpool City Council
Local health and care systems should be person-centred – not service or system-centred. That’s our starting point.
Our work is based on knowledge about what works to support effective integration that delivers person-centred, coordinated care.
Integrated care services
Diagnostics and analytics
Evidence-based strategies and plans
Whole-system facilitation and action planning
Integrated care clients
We provide support on integrated care to a range of national, regional and local clients. Some of our clients are listed below.
Development of learning materials for Integrated Care Systems and STPs
The NHS Confederation – the independent voice of NHS system leadership – has commissioned SCIE to capture the learning to date from Integrated Care Systems and Sustainability Partnerships (STPs).
The project will explore key topics, including payment mechanisms, financial arrangements and place-based integration, to help ICS and STP leaders respond to the challenges and succeed in their role.
I am delighted that SCIE, with its expertise in person centred integration, will be supporting the NHS Confederation.Rt Hon Paul Burstow, Chair of SCIE
Croydon CCG, Croydon Council and Croydon Healthcare Services – local authority and health services
Exploring options for future health and social care devolution and integration
SCIE and PPL were commissioned to identify opportunities for health devolution and integration in Croydon and to recommend leadership and governance mechanisms to support the new model of care.
Supporting Evaluation of Personalised Care – Phase 2
NHS England has commissioned SCIE to provide advice on the evaluation of integrated accelerator pilots and its programme of personalised care demonstrator site to take place between late September and the end of March 2019.
Research on Systems Leadership in Integrated Care Systems
SCIE has conducted research into what supports good systems leadership in integrated care systems (ICSs). The research involved interviews with 20 systems leaders in ICSs and a review of the latest literature. This research will inform the Leadership Academy’s long-term plans for supporting leaders in integrated care systems.
CQC Local system reviews: Brokerage Support 2017/18
SCIE was commissioned by the Department of Health and Social Care to provide independent brokerage and co-ordinating support to local areas that were subject to the CQC’s local health and care systems reviews.Read our report on lessons learned
SCIE was commissioned to research emerging practice relating to the integration of health and social care and to consult with national stakeholders about progress towards integration.Read the research
Reviewing existing practice and supporting delivery of adult social care reform programme
SCIE completed a baselining exercise and best practice review for the Greater Manchester Health and Social Care Partnership. SCIE went on to develop detailed plans to support the delivery of an adult social care reform programme with the aim of improving outcomes.
Developing metrics to support Integrated Intermediate Care Service
SCIE was asked by Hampshire County Council to support the development of a set of metrics for a new Integrated Intermediate Care Service (IIC). The service is expected to begin from April 2020, following the merger of Southern Health NHS Foundation Trust and the council’s IIC services. Local citizens can soon expect to receive integrated packages of community care for rehabilitation, reablement and recovery.
Prompted by the SCIE logic model for integrated care, the local authority and its NHS partners are keen to determine how they can measure their progress and monitor outcomes. SCIE’s senior associate facilitated a whole system workshop, where the senior commissioning and provider staff discussed the outcomes and expectations for the IIC, including better experiences for people using the service. They learned about the types of outcomes metrics available through routinely collected data, as well as operational measures that could be used to track interim progress. The workshop produced a bespoke logic model for the IIC service and a handful of draft metrics. This logic model built on the agreed IIC pathways and service components, and it clarified areas of agreement and disagreement.
The next step is for local partners to ensure consistency with the business plan and to confirm the metrics they intend to use. There was a recognition that the final set of metrics may not be fixed; as the new service evolves and matures, different metrics could be prioritised.
Recommendations on integrating health
SCIE and PPL were commissioned to develop strategic recommendations for integrating health and social care in practical and sustainable ways and for establishing system leadership and governance.
Evaluation of Integration Accelerator Sites – Phase 1
NHS England commissioned SCIE to advise on the development of an evaluation framework for its 22 demonstrator sites across England and to offer support to managers leading 3 Integration Accelerator Sites.
Learning and implementation support
The Better Care Fund (BCF) support programme aims to help local areas to develop and implement BCF plans across England. SCIE was first commissioned by the Better Care Support Team (now based within NHS England) to support the programme in 2014 when it was in its development phase and the work is still continuing.
Evaluation of Integrated Personal Commissioning, 2016 – 2019
The Department of Health commissioned a consortium including SCIE to evaluate the Integrated Personal Commissioning (IPC) programme – an approach to integrate health and social care services. SCIE gathered evidence from local authorities to identify lessons about the effectiveness of IPC schemes.
Support to develop an integrated discharge team
SCIE has worked with Carnell Farrah, who are leading a health and care systems improvement programme, to support the establishment of a new Integrated Complex Discharge Team to help patients with complex care needs transfer into home or community settings. The work has involved reviewing best practice and facilitation of a multidisciplinary workshop with staff who will lead the new team.