Our clients ask, how do we…
- Improve patient outcomes and the care experience and reduce costs by joining up hospital, community health and care services?
- Understand which patient groups to focus on?
- Overcome barriers to delivering seamless care?
Patients want care services as close to home as possible and to have a seamless and positive experience of care. We know that delivering this, particularly for patients with complex needs, requires joining up the delivery of care.
Integrated care not only helps to improve outcomes, it has the potential to be more cost-effective by reducing the use of acute services and to improve the recruitment and retention of staff by improving the staff experience. We work with organisations to:
- Develop a vision and set of priorities for integrating care
- Develop and implement appropriate governance arrangements to enable the delivery of that vision
- Build the leadership and change capacity to drive forward organisational change
- Implement systems to proactively identify and support patients who would most benefit from integrated care
- Co-develop with frontline clinicians, bespoke models of care for different patient groups based on their holistic needs
- Understand the changes to the workforce, estates and digital infrastructure required to enable the development of integrated care
- Agree on approaches to tracking progress of implementation of integrated care, to enable continuous improvement
Common challenges include convincing clinicians and managers to make change happen by behaving in a different way and building trust between different professionals to facilitate joined-up ways of working.
Drawing on our team of senior clinicians, experienced health and care executives, and strategy and analytical consultants, we can:
- Conduct a baseline assessment Bringing together evidence from stakeholder interviews, data analysis and our integrated care maturity survey
- Understand population needs Employing evidence-based analytics to understand the health and care needs of the local population and segmenting based on cohorts with similar needs
- Help stakeholders agree a shared vision Supporting clinical, operational and strategic stakeholders to understand the local challenges and barriers to change and to agree on a set of tangible priorities
- Develop care models Co-producing holistic care models for specific population cohorts which ensure they receive the best possible joined-up care. This is informed by our knowledge and experience from elsewhere and the academic literature
- Support implementation Providing project management support to support the development of concrete transformation plans. Supporting the identification of enablers to successful implementation
- Coach and support organisational development Facilitating sessions which bring together different professionals to understand how they can bring down the barriers which exist between organisations
- Measure results Putting in methods to continuously evaluate the impact of integrated care on patients and help systems to improve outcomes
In 2019, we were commissioned by the Scottish government to develop a case for national investment in integrating local care. As part of this, we were asked to review the progress of three local integrated care pilots and make recommendations for how their progress could be accelerated.
Despite a national vision for local integrated care, the pace and depth of progress had not been as fast as the Scottish government wished, with the consequence that benefits to patient outcomes and experience, staff experience and the public purse had not yet been realised.
We calculated the opportunity that full implementation of integrated local care could deliver for patient outcomes and the public purse, by benchmarking average activity and spend against integrated care best practice in Scotland, the UK and internationally.
We travelled across the country to carry out in-depth interviews with pilot sites, to understand the challenges that were impeding their implementation of integrated local care. The findings were combined with each pilot site’s responses to our in-house local care system maturity matrix.
We conducted two workshops which brought the three pathfinders together to share learning and challenges. Through these workshops, we determined tangible actions which could be taken at a local, regional and national level to overcome these challenges. Based on this work, we produced a bespoke set of recommendations for each of the three pilot sites, specifying how they could speed up their integrated care implementation.
We conducted an analysis of the current policy context and triangulated this with discussions with an expert reference group to assess regional and national barriers to integrated care implementation.
Our work established a set of clear actions that needed to be taken at national and regional levels to enable Scotland to deliver its policy ambition of local integrated care. We also delivered plans for the three pathfinders to take forward integration on the ground.