Assessing Integration using the SCIE logic model
Scheme
Who?
Essex County Council
What
The SCIE logic model for integrated care provides a visual depiction of how a fully integrated health and care system might be structured and function, and the outcomes and benefits it should deliver for those who use
Why?
‘We were looking for something that could give us an indicative view of what good might look like, some of the key functions and how it could link to outcomes and benefits. We knew that it would not be a blueprint for the integration
When?
The assessment was carried out in 2018. There will be another assessment in 2019 to help Essex understand the successes and challenges they have faced over the last year.
How?
- Essex County Council has a team dedicated to integration with ‘partnership leads’ linked to each clinical commissioning group (CCG) and countywide under a head of integration and partnership.
Challenges
Essex identified a number of challenges to assessing progress with integration.
- Significant demographic differences between localities.
- Local issues vs countywide issues.
Impact
The assessment for Essex in 2018 was red/amber. The authority has been able to indicate the level of progress they would like to achieve over the next 12 months and to focus resources on accomplishing their goals.
Case study
Example of summarised assessment of one locality – South Essex.
Utilising Better Care Fund (BCF) and Improved Better Care Fund (iBCF) resources to increase integration across the quadrant has begun