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Showing results for tags 'Integrated Care System (ICS)'.
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Content ArticleIn 2021. the National Quality Board (NQB) refreshed its Shared commitment to quality, which describes what quality is and how it can be delivered in integrated care systems (ICSs). It reflects the ambition set out by the NQB in 2015: "We want improving people’s experiences to be as important as improving clinical outcomes and safety." This document provides an overarching context for work on improving experience of care as a principal and integral part of delivering safe and effective care. It sets out a shared understanding of experience and what the best possible experience of care looks like, and outlines key components for delivering the best possible experience of care: Co-production as default for improvement Using insight and feedback Improving experience of care at the core priority work programmes The NQB was set up in 2009 to promote the importance of quality across health and care on behalf of NHS England and Improvement, NHS Digital, the Care Quality Commission, the Office of Health Promotion and Disparities, the National Institute for Health and Care Excellence, Health Education England, the Department of Health and Social Care and Healthwatch England.
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EventuntilThis winter The Patients Association is bringing patients, carers and healthcare professionals together to talk about patient partnership. Join the following speakers to hear some great examples of regional working: Helen Hassell to talk about work the Patients Association is doing with Notts ICS on the MSK pathway Dr Debbie Freake, GP and member of the National Centre for Rural Health and Care Heather Aylward, and Lauren Oldershaw, from NHS Hertfordshire and West Essex Integrated Care Board, on their work with 155 GP practices' patient participation groups, which the Patients Association is supporting Register for this event
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Content ArticleAccess useful case studies as well as the NHS Confederation's latest reports, blogs, podcasts and the ICS Communications Toolkit.
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EventThe Convenzis Integrated Care Summit provides a secure and high-value platform for NHS Managers and leaders to meet, share practical insights, and listen to some of the sector's most reputable and thought-provoking experts. In support of the NHS, registration is complimentary and CPD accredited. NHS England explains that ICSs are partnerships of health and care organisations that come together to plan and deliver joined-up services, and to improve the health, of people who live and work in their area. Integrated care is about giving people the support they need, joining up across local councils, the NHS, and other partners. It removes traditional divisions between hospitals and family doctors, between physical and mental health, and between NHS and council services. ICSs (integrated care systems) are seen by NHS leaders as the future of health and care integration in England. The NHS Long Term Plan, and now the Government’s white paper on health and care reform, both place ICSs at the heart of the NHS. This upcoming event will provide NHS healthcare leaders from across primary, social and secondary care sectors with a secure and high-value platform to discuss the key challenges and benefits of the integrated care strategy. This event will showcase some examples of best practices from teams across the NHS and provide you with a platform to meet and engage with 5 commercial sectors thought leaders as they share innovative services and solutions with delegates across the day. Register
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Content ArticleThe Healthcare Safety Investigation Branch's (HSIB's) local investigation pilot aimed to evaluate the organisation's ability to carry out effective locality-based patient safety investigations with actions aimed at specific NHS organisations, while still identifying and sharing relevant national learning. It differs from HSIB's usual national investigations, which make safety recommendations to organisations that can make changes at a national level across the NHS in England. The pilot published three investigations focused on cross boundary and multi-agency safety events: Investigation 1: incorrect patient identification Investigation 2: incorrect patient details on handover Investigation 3: transfer of a patient with a stroke to emergency care The report summarises how the HSIB local investigation pilot was undertaken, and shares findings applicable to local healthcare systems including healthcare organisations and Integrated Care Systems.
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News Article
Six ICS chiefs to lead regional decision-making group
Patient Safety Learning posted a news article in News
Six integrated care boards across the West Midlands are proposing to establish a joint committee of chief executives to make shared decisions on key issues impacting the region, it has emerged. The CEOs of Shropshire, Telford and Wrekin ICS, Black Country integrated care systems, Birmingham and Solihull ICS, Herefordshire and Worcestershire ICS, Coventry and Warwickshire ICS and Staffordshire and Stoke-on-Trent ICS have each presented plans for a senior joint committee of the ICBs in their respective board papers. Chiefs say there are several areas where it will be “beneficial or necessary” for the six ICBs to collaborate and make joint decisions, and it is intended this committee will provide such a mechanism. HSJ understands it could also act as a forum to discuss performance. Proposed shared areas of action include primary care and specialised services, which ICBs will be responsible for from April 2023, commissioning for 111/999 services, mutual aid on elective/cancer recovery, and urgent and emergency care, including ambulance handover delays. According to draft terms of reference, an executive committee of CEOs would be accountable to the six ICB boards and would be required to report all decisions, actions and progress to their respective systems. Read full story (paywalled) Source: HSJ, 7 October 2022 -
Content ArticlePolicymakers are increasingly emphasising the role of health services in addressing social and economic factors that shape health, but guidance on how this should be done in practice is limited. This long read from The Health Foundation outlines a framework to understand potential approaches for NHS organisations to address social factors that shape health, focusing on local and regional action. It describes four categories of potential approaches, from more narrow interventions focused on improving care for individual patients, to broader partnerships to improve health of populations.
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Content ArticleIn this position statement, the National Quality Board (NQB) outlines: Key requirements for quality oversight in Integrated Care Systems (ICSs) The role of System Quality Groups (formally Quality Surveillance Groups) NQB work to support quality oversight in ICSs
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EventuntilPopulation health is an increasingly clear and important priority for the health and care system and is key in addressing health inequalities. This is clear in the NHS Long Term Plan, in the 2022 Health and Care Act, and in the current and likely future policy landscape. A population health-led approach to health and care aims to improve physical and mental health outcomes, promote wellbeing and reduce health inequalities across an entire population. Whether you’re working in an integrated care system (ICS), primary care network, a national body, community group, or you’re someone with lived experience it is likely that you have been thinking about your own role in population health and how best you can help to improve the health and care of the people in your local area. This event from the King's Fund will bring together those working in the NHS, public health, local authorities, the voluntary, community and social enterprise sector, and local communities to consider how best they can join the dots between work that is already under way and how to support others in their efforts to improve population health. Register
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EventuntilOn 1 July, integrated care systems (ICSs) became statutory bodies following changes brought about by the Health and Care Act 2022. Through keynote speeches, panel debates and practical case study sessions, this King's Fund virtual conference will explore how to make the most of the opportunities created by the current reforms and deliver meaningful improvements in quality of care and population health. Register
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EventuntilThe health and care sector is undergoing fundamental change and facing profound challenges. As it continues to deal with the impact of Covid-19, which has exacerbated the workforce crisis and health inequalities, the Health and Care Act introduces changes to how health and care services are organised and delivered with the aim of integrating care for people in England. The King’s Fund annual conference 2022 will bring together leaders from across the health and care system. Through keynote speeches, panel debates and interactive workshops, you can join peers to explore the impact of current reforms on service delivery and share experiences of the reality of working on the ground in this complex and challenging system. The agenda provides a key opportunity to hear from influential speakers about an inclusive approach to recovery and the impact of integrated care systems (ICSs) in the six months since they have become statutory bodies. Amanda Pritchard, Chief Executive Officer at NHS England recently setting out her reflections on the wider challenges and opportunities for the NHS around the theme of the four Rs: recovery, reform, resilience and respect. The agenda provides a key opportunity to hear from influential speakers about what this approach means in reality, what capacity and resource a system which has been under severe strain has to meet these challenges, how we can practically work to ensure an inclusive approach. Register
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News Article
Trusts ‘rationing’ crisis support as only seven ICSs achieve service expansion
Patient Safety Learning posted a news article in News
Only a handful of integrated care systems have so far managed to implement a key expansion in their support for patients in mental health crisis. Internal NHS England documents, seen by HSJ, suggest that only 7 out of 42 health systems have begun offering enhanced mental health crisis support through the 111 helpline. This was a key target set out by the NHS long term plan in 2019, to be fully rolled out by next year. Some areas of the country have implemented the expansion, but others are lagging well behind, the document suggests. Currently, all areas offer separate 24/7 all-age crisis lines run by individual mental health trusts, offering brief psychological interventions and advice. But HSJ has been told of national problems affecting the existing helplines, with callers facing long waits. In a recent review, Healthwatch England said the services are having to “pick and choose” who to help because of high demand, which in effect led to “service rationing”. Siân Balsom manager for Healthwatch York, said: “People are overwhelmingly positive about the NHS. But there’s an acceptance that crisis support is not going to be there for people. That feels like a really bad place to be in. “We know people in the voluntary sector feel like they are holding people they don’t have the skills and experience to support. [They] feel they are holding people in the wrong service because the right service is not there for them. “People are trying to do a good job, but the system is more under pressure than it has ever been and there are clearly a lot of people who are experiencing significant mental illness who are not able to get support right there and then.” Read full story (paywalled) Source: HSJ, 3 October 2022 -
Content ArticleIntegrated care systems (ICSs) and provider collaboratives are ushering in a move towards more collaborative working across organisations in health, social care and the voluntary and community sector – and digital health technologies have an important role to play. Digital technologies can help information and communication to flow across organisations, people and places, bringing benefits for both patients and staff, eg, fewer tests, improved patient safety, reduced costs and saving both patients and staff time. However, using digital health technologies to overcome silos, often referred to as interoperability, has been a longstanding challenge. The King's Fund undertook research to understand how to progress interoperability in health and care.
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Content ArticleCompassionate leaders place quality of care at the heart of what they do, and respect and empower people drawing on and delivering care to achieve this together. This article sets out NHS England's vision for developing compassionate, inclusive leadership, highlighting that it results in better outcomes for everyone. It sets out the following four priorities: The NHS Leadership Academy will soon be publishing new NHS Leadership Competency Frameworks for system leaders. We support these frameworks and ask each of our professional bodies, colleges and employers to review their own systems to ensure that our leaders have the skills to lead compassionately today, with curiosity to transform our services for tomorrow. We commit to supporting compassionate, inclusive leadership and doing what we can to create the conditions for it, including addressing issues that stand in the way such as bureaucracy and misaligned policy. This leadership is crucial to developing and maintaining an open and transparent culture committed to learning and continuous improvement, that is responsive and accountable to the public. We will go further to open up the recruitment pool for future leaders and will support the recruitment and development of a diverse talent pipeline with the right skills, behaviours and values to be our leaders of today and tomorrow. We will support those leading ICSs to develop a new kind of system leadership, which inspires collaboration, diversity of thought and experience, and always puts the well-being of people drawing on and delivering services first. ICS implementation guidance on effective clinical and care professional leadership can now be found here. We will lead by example and ensure that our people have the tools to support compassionate behaviours. This will require a continuous approach to lifetime learning and a growth mindset, based on an agile and evolving way of seeing the world.
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Content ArticleThis guidance from NHS England aims to support Integrated Care System (ICS) leaders as they develop their approach to quality management, providing clarity on how quality concerns and risks should be managed through systems. It provides an overarching approach to quality risk response and escalation, including guidance on routine, enhanced and intensive quality assurance and improvement activity.
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EventuntilBreaking down the barriers between organisations is key to the successful development of integrated care systems (ICSs), and the underpinning digital transformation that their introduction demands. Digital transformation can become the foundation of partnership working across health, social care, local government, and wider partners – including those in the voluntary, community and social enterprise, and private sectors – as place-based approaches to delivering care develop. This session from The King's Fund will explore what is being done to create collaborative digital strategies at ICS level that enable practical and flexible ways of working between partners. It will discuss how best to harness and use the data the system already holds, and how partnerships can move beyond barriers around data sharing, co-ordination and workforce capacity. Register
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Content ArticleSpecialised services typically care for small numbers of patients with rare or complex conditions. They are commonly overlooked in debates around the future of the NHS. This is despite costs growing by over 50% in eight years, and now exceeding £20bn per year. The spotlight is returning, with proposals from NHS England to change how these services are planned, with power and responsibility being devolved down to new Integrated Care Boards – sub-regional structures across England. This report sets out a series of recommendations which Policy Exchange believe should underpin these reforms, including refinement of the services into more logical groupings, an expanded role for patient and carer input into service design, and stronger ministerial and financial oversight to ensure the sustainability of service delivery for the longer term.
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News Article
‘Broken’ health system failing to tackle ‘unsustainable’ emergency care pressures
Patient Safety Learning posted a news article in News
An integrated care system which has some of England’s worst waiting times for emergency care lacks “delivery structure and processes” to make desperately needed improvements, according to an external report. Research by consultancy Prism into the Cornwall and Isles of Scilly integrated care system (ICS) concluded it had “unclear governance” for management and recovery of urgent and emergency care, with “multiple disconnected structures in place to manage tactical and strategic recovery of performance”. The report comes as the ICS grapples with record waits for emergency care, with stroke and heart attack victims waiting three hours for an ambulance and patients stuck for two days in Royal Cornwall Hospital’s emergency department. The review was commissioned by the Cornwall Integrated Care Board to look at patient flow across the system and make recommendations about how this can be improved. Prism interviewed leaders from the organisations within the Cornish ICS. One leader described the system as “so broken”, while another commented that the role of the ICB in supporting and delivering urgent and emergency care “is not clear”. -
Content ArticlePEOPLE FIRST is a CQC resource to help system leaders and service providers.
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Content ArticleTo improve their diagnosis and management skills, doctors need consistent, timely and accurate feedback, as it helps them become better calibrated, leading to more appropriate clinical decisions. Despite its benefits, clinicians do not consistently receive information on the subsequent clinical outcomes of patients they have diagnosed and treated, known as patient outcome feedback. This paper discusses challenges faced in developing systems for effective patient outcome feedback. The authors propose applying a sociotechnical approach using health IT to support these systems. The concepts they discuss are applicable not only to fragmented systems of care, but also to integrated health systems that plan to harness the benefits of integration for providing effective clinician feedback.
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Content ArticleThe Health and Care Act 2022 placed Integrated Care Systems (ICSs) on a statutory footing in July 2022, and trusts will play a critical role in delivering the key purposes of ICSs in order to benefit patients and service users. This briefing from NHS Providers: provides a brief overview of how provider collaboratives are developing across England. illustrates some of the emerging benefits that collaboratives are working to realise. explores how trust leaders see the role of provider collaboratives developing within ICSs. identifies some key enablers and risks trust boards need to consider.
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Content ArticlePresentation from Professor Mark Brinell, Vice Chair and Global Healthcare Expert at KMPG, on lessons we can learn from integrated care systems across the globe.
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News Article
ICSs will be first to intervene in failing trusts, says NHS England
Patient Safety Learning posted a news article in News
NHS England has said integrated care systems (ICSs) will be responsible for ‘initial problem solving and intervention’ if trusts fail to deliver against key targets to prepare for winter. NHSE’s letter on winter planning and response, published on Friday, said system working “means a new approach to accountability” and that ICBs – the NHS executive of ICSs – would be accountable for ensuring that providers and others “deliver their agreed role in their local plans and work together effectively”. The document, signed by NHSE’s leadership, says: “ICBs are responsible for initial problem solving and intervention should providers fail, or be unable, to deliver their agreed role. “Intervention support can be provided from NHS England regional teams as required, drawing on the expertise of our national level urgent and emergency care team as needed.” Read full story (paywalled) Source: HSJ, 15 August 2022 -
Content ArticleThis document from the Department of Health and Social Care (DHSC) contains guidance for integrated care partnerships on the preparation of integrated care strategies. It contains an introduction, two sections of statutory guidance on the preparation of the integrated care strategy including involvement and content, and a section of non-statutory guidance relating to the publication and review of the integrated care strategy. It also includes case studies that demonstrate some of the innovative approaches taking place throughout England.
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Content ArticleThe establishment of 42 integrated care systems ushers in an unprecedented opportunity to deliver wide ranging improvements in population health and care as well as wider system performance. If that potential is to be realised, digital and analytics will need to play a central role. How can ICS leaders grasp this opportunity?
