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.
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. The purpose of this support will be to:
- Develop an overarching evaluation framework for personalised care
- Develop a set of measurement tools to support the IAP and Demonstrator sites evaluate impact
- Assist local sites to develop robust evaluation approaches to evaluate their impact
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 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 programmed
SCIE has successfully completed a two-stage project for the Greater Manchester Health and Social Care Partnership.
To begin with, SCIE carried out a baselining exercise and best practice review. This involved:
- consulting with systems leaders across adult social care
- compiling and analysing adult social care and other data sources
- reviewing good practice nationally in relation to residential care, home care, learning disabilities and carers.
Based on the findings of the exercise and review, SCIE went on to develop detailed plans to support the delivery of a Greater Manchester adult social care reform programme with the aim of delivering significant improvements in outcomes. SCIE also lead the development of a scoping plan for the development of a Greater Manchester-wide approach to asset based care and support.
SCIE partnered with PPL for the first stage and KPMG for the second stage.
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.
Key activities have included:
- direct support to local areas as they develop BCF plans
- development of new guidance to help local areas develop plans to reduce Delayed Transfers of Care.
- analysis of performance data
- a series of ‘How to’ guides
- webinars on key themes and topics related to integrated care
- regional workshops to share experiences and deal
- masterclasses on priority themes associated with making integrated care work in practice
- contributing to an Integrated care learning programme for Better Care Managers and Better Care Leads.
SCIE partnered with PPL and KPMG for some of these activities. Find out more.
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 across a number of local authorities to identify key lessons about the effectiveness of IPC schemes. Working with service user groups the evaluation considered how far improved outcomes occurred, key drivers for change and value for money
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.