Integrated care pilot in North West London: a mixed methods evaluation

2.50
Hdl Handle:
http://hdl.handle.net/10547/582868
Title:
Integrated care pilot in North West London: a mixed methods evaluation
Authors:
Curry, Natasha; Harris, Matthew; Gunn, Laura; Pappas, Yannis ( 0000-0003-3087-860X ) ; Blunt, Ian; Soljak, Michael; Mastellos, Nikolaos; Holder, Holly; Smith, Judith; Majeed, Azeem; Ignatowicz, Agnieszka M; Greaves, Felix; Belsi, Athina; Costin-Davis, Nicola; Jones Nielson, Jessica D; Greenfield, Geva; Cecil, Elizabeth; Patterson, Susan; Car, Josip; Bardsley, Martin
Abstract:
Introduction: This paper provides the results of a year-long evaluation of a large-scale integrated care pilot in north-west London. The pilot aimed to integrate care across primary, acute, community, mental health and social care for people with diabetes and/or those aged 75+ through care planning, multidisciplinary case reviews, information sharing and project management support. Methods: The evaluation team conducted qualitative studies of change at organisational, clinician and patient levels (using interviews, focus groups and a survey); and quantitative analysis of change in service use and patient-level clinical outcomes (using patient-level datasets and a matched control study). Results: The pilot had successfully engaged provider organisations, created a shared strategic vision and established governance structures. However, the engagement of clinicians was variable and there was no evidence to date of significant reductions in emergency admissions. There was some evidence of changes in care processes. Conclusion: Although the pilot has demonstrated the beginnings of large-scale change, it remains in the early stages and faces significant challenges as it seeks to become sustainable for the longer term. It is critical that National Health Service managers and clinicians have realistic expectations of what can be achieved in a relatively short period of time.
Affiliation:
Nuffield Trust; Imperial College London; City University; Royal Brisbane and Women's Hospital
Citation:
Curry, N., Harris, M., Gunn, L., Pappas, Y., Blunt, I., Soljak, M., Mastellos, N., Holder, H., Smith, J., Majeed, A., Ignatowicz, A., Greaves, F., Belsi, A., Costin-Davis, N., Jones-Nielson, J., Greenfield, G., Cecil, L., Patterson, S., Car, J., Bardsley, M (2013). 'Integrated care pilot in North West London: a mixed methods evaluation'. International Journal of Integrated Care 13.
Publisher:
Igitur Publishing
Journal:
International Journal of Integrated Care
Issue Date:
2013
URI:
http://hdl.handle.net/10547/582868
PubMed ID:
24167455
PubMed Central ID:
PMC3807631
Additional Links:
http://www.ijic.org/index.php/ijic/article/view/1149/2019; http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3807631/
Type:
Article
Language:
en
ISSN:
1568-4156
Appears in Collections:
IHR Institute for Health Research

Full metadata record

DC FieldValue Language
dc.contributor.authorCurry, Natashaen
dc.contributor.authorHarris, Matthewen
dc.contributor.authorGunn, Lauraen
dc.contributor.authorPappas, Yannisen
dc.contributor.authorBlunt, Ianen
dc.contributor.authorSoljak, Michaelen
dc.contributor.authorMastellos, Nikolaosen
dc.contributor.authorHolder, Hollyen
dc.contributor.authorSmith, Judithen
dc.contributor.authorMajeed, Azeemen
dc.contributor.authorIgnatowicz, Agnieszka Men
dc.contributor.authorGreaves, Felixen
dc.contributor.authorBelsi, Athinaen
dc.contributor.authorCostin-Davis, Nicolaen
dc.contributor.authorJones Nielson, Jessica Den
dc.contributor.authorGreenfield, Gevaen
dc.contributor.authorCecil, Elizabethen
dc.contributor.authorPatterson, Susanen
dc.contributor.authorCar, Josipen
dc.contributor.authorBardsley, Martinen
dc.date.accessioned2015-11-30T10:29:22Zen
dc.date.available2015-11-30T10:29:22Zen
dc.date.issued2013en
dc.identifier.citationCurry, N., Harris, M., Gunn, L., Pappas, Y., Blunt, I., Soljak, M., Mastellos, N., Holder, H., Smith, J., Majeed, A., Ignatowicz, A., Greaves, F., Belsi, A., Costin-Davis, N., Jones-Nielson, J., Greenfield, G., Cecil, L., Patterson, S., Car, J., Bardsley, M (2013). 'Integrated care pilot in North West London: a mixed methods evaluation'. International Journal of Integrated Care 13.en
dc.identifier.issn1568-4156en
dc.identifier.pmid24167455en
dc.identifier.urihttp://hdl.handle.net/10547/582868en
dc.description.abstractIntroduction: This paper provides the results of a year-long evaluation of a large-scale integrated care pilot in north-west London. The pilot aimed to integrate care across primary, acute, community, mental health and social care for people with diabetes and/or those aged 75+ through care planning, multidisciplinary case reviews, information sharing and project management support. Methods: The evaluation team conducted qualitative studies of change at organisational, clinician and patient levels (using interviews, focus groups and a survey); and quantitative analysis of change in service use and patient-level clinical outcomes (using patient-level datasets and a matched control study). Results: The pilot had successfully engaged provider organisations, created a shared strategic vision and established governance structures. However, the engagement of clinicians was variable and there was no evidence to date of significant reductions in emergency admissions. There was some evidence of changes in care processes. Conclusion: Although the pilot has demonstrated the beginnings of large-scale change, it remains in the early stages and faces significant challenges as it seeks to become sustainable for the longer term. It is critical that National Health Service managers and clinicians have realistic expectations of what can be achieved in a relatively short period of time.en
dc.language.isoenen
dc.publisherIgitur Publishingen
dc.relation.urlhttp://www.ijic.org/index.php/ijic/article/view/1149/2019en
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3807631/en
dc.subjectintegrated health care systemsen
dc.subjecthealth services researchen
dc.subjecthealth careen
dc.subjectreformen
dc.subjectpatient-centred careen
dc.subjectevaluation studiesen
dc.subjectL510 Health & Welfareen
dc.titleIntegrated care pilot in North West London: a mixed methods evaluationen
dc.typeArticleen
dc.contributor.departmentNuffield Trusten
dc.contributor.departmentImperial College Londonen
dc.contributor.departmentCity Universityen
dc.contributor.departmentRoyal Brisbane and Women's Hospitalen
dc.identifier.journalInternational Journal of Integrated Careen
dc.identifier.pmcidPMC3807631en

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