Introduction to growing innovative models of health, care and support for adults

There are some really good examples of innovative models of health, social care and support for adults. The challenge now is to scale up these primarily small-scale successes so that as many people benefit from them as possible. Like Andrew, who became isolated and was drinking too much. Andrew was supported in the community by local volunteers and a microenterprise providing home care. This meant that he avoided having to stay for longer than necessary in hospital. Can we scale up small success stories like this?

The Government aims to publish a green paper on care and support in 2018, promising to look beyond the issue of funding to encompass broader questions about how we develop highquality, community-orientated and sustainable social care. This is encouraging. The green paper offers a fresh opportunity to consider how we can foster an environment in which innovative, cost-effective and impactful models of care can be shared more effectively, adopted more widely and implemented more rapidly. The goal? To improve health and wellbeing for all of us with health, care and support needs.

The development of Accountable Care Systems (ACSs), along with the planned expansion of Integrated Personal Commissioning (IPC), will promote a strong focus on integration, community-based models of care and prevention. As a result, the opportunities for testing, sharing and bringing to scale innovative models of care are arguably greater than ever before. By ‘bringing to scale’ we mean increasing the number of people who benefit from a social innovation.

In pilots across England ACSs have shown early potential to make better use of resources to drive transformative change. Additionally, as we are beginning to learn more about what works from the models of care in the NHS Vanguards, it will be vital to ensure that opportunities are not missed to bring these to scale.

Our reports Realising the value, Six Innovations in Social Care, and Total transformation of care and support have highlighted a number of the innovative care models within the sector which are transforming outcomes in a costeffective way. We argue that while encouraging new innovations remains important, the greater problem facing the sector is finding ways to bring to scale new models of care which have been proven to work. This is at the core of driving transformational change, not just in pockets and for the few, but across the whole of England and beyond. Other papers look at how new innovations can be identified and started. Here, we articulate how we can help innovations in the health and care sector grow to scale.

The briefing is based on research conducted during the spring of 2017 by Nesta, SCIE, Shared Lives Plus and PPL. The intention is to inform the work carried out by the Cabinet Office and the Department of Health on emerging plans for the care and support green paper. The research involved:

Growing innovative models of health, care and support for adults
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