Consultancy support on integrating health and care systems
SCIE consultants and partners can help local authorities, clinical commissioning groups, health and wellbeing boards, care and health providers, service user and carer networks to:
- review existing relationships and joint working arrangements
- develop and implement integration and transformation plans, including Better Care Fund plans
- 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 Social Care, City of York 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
Our services include:
- facilitated workshops with local leaders and partners
- co-production of integration plans with people who use services and carers
- audits and reviews of policies, procedures and practice, with clear recommendations for action
- evaluation of implementation and impact
- training on related issues such as multi-agency approaches to safeguarding and co-production with people who use services.
Integrated care consultants and partners
Our integration consultancy services is delivered by a combination of SCIE staff, senior freelance consultants and partners. We tailor our services to meet your requirements, timescale and budget.
Our consultants include:
- Lord Michael Bichard – Chair, SCIE
- Tony Hunter - Chief Executive, SCIE
- Carmen Colomina – Practice Development Manager, SCIE
- Hannah Miller – former Director Adult Services and Housing at London Borough of Croydon
- Tina Coldham – Chair of SCIE Co-production Network and former Chair of the National Survivor User Network
- Richard Jones – former Area Director for NHS England and former President of ADASS
- Andrew Cozens CBE- Vice-President, Carers Trust and former adviser at the Improvement & Development Agency
Our partners include management consultants KPMG and PPL, and research agency, SQW.
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.
Better Care Support Team, NHS England – Better Care Fund Advisors Support Programme 2016 Open
The Better Care Fund support programme aims to help local areas to develop and implement Better Care Fund plans across England.
SCIE was commissioned by NHS England, along with KPMG and PPL, to provide the national Better Care Fund Advisors Programme, which is delivered between January and May 2016.
The consortium’s role is to provide local areas with Better Care Advisors and consultancy support to help them deliver high-quality Better Care Fund Plans.
As part of our role, we are providing senior Better Care Advisors and consultancy support to ten local areas to help them with a range of tasks including:
- reviewing BCF schemes
- supporting the analysis of performance data
- facilitating workshops with systems leaders to build agreement on plans
- providing hands-on support with Plan drafting.
In addition, SCIE also led the development of new guidance to help local areas develop plans to reduce Delayed Transfers of Care.
SCIE also provided support to the 2014/15 Better Care Fund programme, including supporting the delivery of a range of How to guides, webinars and development of the Better Care Exchange.
For further information visit our Better Care Fund pages.
To find out more about out advisors, please complete our enquiries form.
Better Care Support Team, NHS England – Better Care Fund Implementation Support 2017 Open
NHS England has commissioned SCIE and partners PPL to provide a range of BCF implementation support in early 2017. This includes:
- Four masterclasses and four webinars on priority themes associated with making integrated care work in practice. Each masterclass will major on one theme – but also include short workshops on the three other topics. The events will be led by an integration expert, and spread across the country. The four webinars will summarise the learning points on each key theme.
- Regional networking support: SCIE and PPL will work with Better Care Managers to support regional networking and peer-to-peer support. For example, SCIE and PPL will offer access to speakers, case studies, emerging evidence and practical event management to support networking workshops.
Better Care Support Team, NHS England - Better Care Fund Learning and Development Support 2017/18 Open
The Better Care Support team (BCST) within NHS England has commissioned SCIE to develop and deliver a programme of support to: assist local areas in the delivery of their 2017-19 Better Care Fund plans; and support wider learning on integrated care for better care managers and better care leads. The support programme includes:
- National thematic workshops to bring together the most up-to-date information, insight and solutions on priority themes associated with integrated care. There will be four half-day workshops across the country. The first two will be held by the end of December 2017 and cover intermediate care, and multi-disciplinary teams.
- Regional workshops to share experiences and deal with local challenges. The aim is to encourage peer-to-peer support, learning and challenge. There will be up to seven half-day regional workshops before 31 March 2018.
- Webinars on key themes and topics related to integrated care, including those covered at the thematic national workshops. SCIE will host six webinars before 31 March 2018.
- Integration handbook will be a useful resource for anyone starting a role linked to the Better Care Fund. The handbook will cover the recent history of integrated care, including the rational, legislative and policy developments, and details of current policy and stakeholders. The aim will be to clarify roles and responsibilities of different key partners and stakeholders and provide links to key policy and legislative documentation.
- Integrated care learning programmes for Better Care Managers and Better Care Leads.
Croydon CCG, Croydon Council and Croydon Healthcare Services - Exploring options for future health and social care devolution and integration Open
In August 2016, Croydon CCG, Croydon Council and Croydon Healthcare Services commissioned PPL and SCIE to consider:
- opportunities for health devolution in Croydon and other practical and strategic options for integration at scale
- effective whole system leadership and governance mechanisms to support this.
The project involves a combination of:
- a desk review of local evidence
- interviews with local stakeholders, including patients, service users and their families
- research into models of devolution being developed across England
- workshops with stakeholders.
The project will conclude with a report and recommendations in October 2016.
Department of Health - CQC Local System Reviews: Brokerage Support 2017/18 Open
Following a request from the Secretaries of State for Health and for Communities and Local Government, the Care Quality Commission (CQC) is carrying out a programme of 20 targeted reviews in local authority areas, the first 12 of which have been announced.
The purpose of the reviews is to understand how people move through the health and social care system with a focus on the interfaces between services.
SCIE has been commissioned by the Department of Health to provide independent brokerage and co-ordinating support to local areas that have been subject to the CQC’s local health and care systems reviews. The reviews focus on the care and health interface, with an emphasis on delayed transfers of care, in 12 local areas.
SCIE’s role is to help areas to identify and access the right package to suit specific local needs. In each area the particular type and focus of support offered is being agreed with the local lead, and is dependent on the CQC findings and conclusions
SCIE will ensure localities are aware of the range of existing improvement tools and resources notably from NHS England, NHS Improvement, the Local Government Association, Association of Director of Adult Social Services and Skills for Care - as well as the specific SCIE offers and materials.
SCIE’s role involves:
- providing local areas with a senior consultant to advise on how the area can respond to the review recommendations
- facilitating a systems summit with local system leaders from across health and social care to consider how the area responds to the review
- supporting local areas develop an action plan on the back of the summit.
Department of Health – Integration 2020 research Open
Research to inform the next phase of the government’s plans to integrate health and social care by 2020.
The government wants to see the integration of health and social care by 2020. Every area of England needs to have a plan in place by 2017.
The Government has commissioned the Social Care Institute for Institute (SCIE) to undertake a programme of research and engagement with national stakeholders, local areas, patients, people who use care services, carers and families to better understand what excellent integrated health and social care should look like in 2020.
As part of this work, SCIE will research emerging practice on the integration of health and social care in a number of local areas and consult with national stakeholders. The research will be co-produced with people who use health and care services, carers and families.
The research will be informed by an Expert Advisory Group Chaired by Lord Michael Bichard, Chair of SCIE and will inform the government’s future plans for the further integration of health of social care, including the next phase of the Better Care Fund.
Further information about the process will be published on the SCIE website as this project progresses.
Ewan King, Director of Business Development and Delivery, SCIE
Greater Manchester Health and Social Care Partnership – Supporting delivery of adult social care reform programme (March 2017) Open
KPMG and SCIE have been commissioned by the Greater Manchester Health and Social Care Partnership to develop detailed plans to support the delivery of a Greater Manchester adult social care reform programme.
As an essential part of Taking Charge of our health and social care in Greater Manchester, the adult social care reform programme aims to deliver significant improvements in outcomes, including:
- achieving at least a ‘good’ rating in 140 more residential and nursing homes
- 600 more people with learning disabilities being supported into employment opportunities
- mitigating the risk of losing 17m care hours annually by improving the offer to carers.
Building on work carried out by SCIE and PPL on the Greater Manchester baseline and good practice review earlier this year, this phase of the work will involve the co-design and development with stakeholders of detailed business cases on homecare, learning disabilities, residential and nursing, and intermediate care.
As part of this work, SCIE will lead the development of a scoping plan for the development of a Greater Manchester-wide approach to asset based care and support, involving local and national stakeholders.
Greater Manchester Health and Social Care Partnership - Baselining and best practice review to inform adult social care strategy Open
Greater Manchester Health and Social Care Partnership has commissioned SCIE and PPL to undertake a baselining exercise and best practice review to inform the adult social care strategy for Greater Manchester.
The project involves:
- consulting with systems leaders across adult social care in Manchester to identify effective local practice and aspirations for a Greater Manchester-wide approach to adult social care, including integration with health services
- compiling and analysing adult social care and other data sources to develop a single baseline picture of issues and challenges facing Greater Manchester
- reviewing good practice nationally in relation to residential care, home care, learning disabilities and carers.
The work will be completed by January 2017 and inform the development of a high-level strategy and support plans for adult social care across the devolved region.
Hampshire and the Isle of Wight – Recommendations on integrating health and social care Open
Hampshire and the Isle of Wight (HIOW) has a large and complex health and care system. It serves two million people and like elsewhere faces significant and looming financial and delivery challenges; in particular meeting the increasingly complex needs of its population, addressing inequalities, delivering sustainable health and care services, and recruiting and retaining a dynamic workforce.
The PPL-SCIE partnership was commissioned to develop strategic recommendations for integrating health and social care in practical and sustainable ways and for establishing system leadership and governance.
Their consultants interviewed lots of people, reviewed local and national evidence, analysed performance in key areas such as delayed hospital transfers and reviewed emerging practice across the country. They developed a list of options on how to integrate services for evaluation and development in workshops with senior organisational representatives.
The final PPL-SCIE report recommended the creation of a HIOW-wide Health and Wellbeing Board (HWB) which could encourage integration, oversee transformation of health and social care and support changes to commissioning arrangements, working closely with the four more locally based HWBs.
Colleagues and I have enjoyed working with PPL and SCIE on this important initiative. They recognised the complexity of the structural environment in which we are working, with four upper tier local authorities, 11 lower tier authorities and eight CCGs, and with some, understandably, different views on future alignments for tackling issues across the area. They listened hard, encouraged discussions which respected the strength and integrity of current arrangements and varying positions, and have proposed sensible and pragmatic ways forward for helping us address the right issues on the right geographical footprints.John Coughlan, Hampshire County Council Chief Executive
Haringey – Better Care Fund Support (with PPL) Open
SCIE and our partners PPL provided support to Haringey local authority and the local clinical commissioning group to help them to develop an agreed vision and high quality Better Care Fund (BCF) plan. Acting in the role of critical friend, our support involves reviewing their emerging BCF-funded schemes and providing critical challenge. The work culminated in a systems leader’s workshop, facilitated by SCIE associate Hannah Miller, with CCG and local authority commissioners. This was in order to provide independent challenge on the emerging BCF Delivery Plan.
Delivering a BCF plan that is affordable, yet ambitious, is challenging. We appreciated the skilled facilitation, and evidencebased insights, offered by SCIE and PPL in helping us arrive at an agreed plan for Haringey.’Beverley Tarka, Director of Adult Social Care, London Borough of Haringey
NHS England, advice on evaluation of Integration Accelerator Sites Open
NHS England, working together with the Local Government Association and Voluntary, Community and Social Enterprise partners, is supporting 22 demonstrator sites across England to implement a comprehensive model for personalised care which includes integration at the level of the person. The sites include three integration accelerator pilot areas (Gloucestershire, Nottinghamshire and Lincolnshire) which are testing how to introduce a joined-up approach to assessment and care planning for people who get a needs assessment for adult social care. These were announced by Jeremy Hunt, Secretary of State for Health and Social Care, in March.
NHS England have asked SCIE to advise on the development of an evaluation framework; and offer support to those leading the Integration Accelerator Sites; plus to advise on a wider evaluation framework for the personalised care demonstrator sites. The work will involve developing logic models and outcome frameworks to underpin the evaluations of the demonstrator sites and providing advice on selection of evaluation designs and data collection methodologies.
NHS England, Integrating Better Open
SCIE has been asked to be an expert advisor and national partner to this programme, and spoke at the launch event in April 2018. Closer integration of health with social care and other community services has the potential to deliver a significant impact in preventing the escalation of need and managing demand. This ambition is identified in many sustainability and transformation plans and ICS plans, but in practice there is significant variation in the degree of progress. To understand the issues in this space, NHS England has established the Integrating Better Programme which will explore with local health and care systems, NHS Trusts, Local Authority Directors of Adult Social Care and Public Health, health and care commissioners and providers how we can overcome the barriers to integration. SCIE is providing expert support in the area of integration, particularly around the theme of supporting independence and wellbeing at home.
Find out more: SCIE: Integrated health and social care
Shropshire Council and Shropshire CCG – Integrated care support Open
Shropshire Council and Shropshire Clinical Commissioning Group contracted SCIE to support the development of effective systems leadership, using the Better Care Fund planning programme as a focus.
SCIE developed and facilitated a workshop for local leaders – including people who use services and carers, health and care commissioners and providers.
The objectives for the workshop, which was facilitated by SCIE’s chief executive, Tony Hunter, were to:
- learn from the development of the 2016/17 Better Care Fund plan
- develop a shared vision of how we get full integration by 2020 and agreement on how we can best use the BCF to do this
- develop greater understanding of organisational differences and challenges and how we can help each other overcome these in the context of systems leadership
- enable leaders to develop a strategy to help use the entire system and people to their maximum potential
The workshop was informed by anonymous interviews and survey responses from participants.
Information from the workshop is being used to develop longer-term plans for system-wide leadership.
I was really pleased with how it went and I feel it over-achieved my hopes in giving us a really good start in working through the systems leadership changes needed to really get the most out of the Better Care Fund.Tom Brettell, Better Care Fund Manager, Shropshire Clinical Commissioning Group and Shropshire Council.
Sutton Clinical Commissioning Group – Evaluation of Sutton Homes of Care enhanced health in care homes vanguard, 2016-17 Open
SCIE is working in partnership with SQW to evaluate the Sutton Homes of Care Vanguard. This is one of six enhanced health in care home (EHCH) vanguards in England that will offer care home residents better, joined up health, care and rehabilitation services. The Sutton vanguard has developed a care home provider network to support training across local care homes, and a new model of health and social care, which includes expanded in-reach services such as end of life care nurses, aiming to provide the right care at the right time where residents need it. The vanguard is seeking to enhance the lives of its growing number of care home residents, and their carers/families, and improve job satisfaction for the staff that work to support them.
The mixed method evaluation will involve both qualitative and quantitative research including surveys and interviews with staff, residents and carers/families and a cost-effectiveness review. SCIE will particularly focus on putting in place an approach to co-producing the research and findings with residents, carers and families and will produce a series of research videos.
We welcome the recent launch of the Enhanced Health in Care Homes Framework as a way of really transforming the way that health care is delivered across residential and nursing care homes nationally.Viccie Nelson, Programme Director, Sutton Homes of Care Vanguard
Sutton Homes of Care has been implementing improved ways of collaborative working across health and social care as a key element of the vanguard programme, focusing on residents receiving the best quality of care.
We’re delighted to be working with SCIE and SQW to evaluate the success of our vanguard programme and hope that our work will guide other CCGs in driving real change across local care homes.
Tameside Metropolitan Borough Council - Review of Adult Social Care Transformation Programme Open
Tameside has commissioned SCIE to:
- review emerging proposals for the transformation of adult social care and assess them against national good practice
- conduct cost-benefit analysis of projects to look at their potential return on investment and cost avoidance to the health and care system
- facilitate workshops with staff and service users to develop recommendations
Tameside is seeking to transform its adult social care services by investing in a number of innovative projects which aim to help more people live at home, improve the quality of care, and enable people to live better lives. The plans are designed to complement and enhance Greater Manchester’s Adult Social Care Transformation Programme.
The programme, which has been approved by Tameside’s Single Commissioning Board, involves investment in a number of transformation projects, including services for people with dementia, carers and people with learning disabilities.
Vale of York Clinical Commissioning Group and City of York Council – Integration and Transformation Programme Open
SCIE is supporting the City of York locality (including Vale of York CCG and City of York Council) develop and deliver a cross-organisational strategy that improves the health and wellbeing of local citizens, provides better care for individuals and delivers value through the efficient use of local resources. The intention is transform local services into a ‘whole life’ system model, with wellbeing as the starting point. This approach will enable York to meet the needs of all its people - from children and young people through to older adults - in a financially sustainable way.
Whilst the Vale of York CCG and partners have made significant improvements on implementing the Better Care Fund (BCF), the area continues to face challenges across a whole range of health and social care indicators.
SCIE is providing support to a new Integration and Transformation Board made up of systems leaders that will agree a strategic plan to transform health and care delivery and outcomes for the City. Our support includes:
- assisting with the development of a refreshed Health and Wellbeing Strategy
- developing an ‘as is’ picture of health and social care performance and outcomes in the area, including the impact of BCF initiatives
- providing hands-on support to the Board to help it develop a clear action plan and programme of work.
The health and social care system in York faces significant challenges, including rising demand whilst budgets decrease. 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. The aim is to transform outcomes for citizens and communities by enabling more people to manage their health and social care across their whole lives; and by focusing services on prevention and early intervention, including better information, advice and signposting, to promote their wellbeing. In doing this work, we welcome SCIE's expertise, insights and ability to work across the system.Martin Farran, Director of Adult Social Care, City of York Council