Year: 2015
Type: book
Abstract: 1.The Pioneer programme 1.1 The Integrated Care and Support Pioneer programme is a nationally led initiative to improve the quality, effectiveness and cost-effectiveness of care for people whose needs are met best when the different parts of the (NHS) and local authority services (especially adult social care) work in an integrated way.1.2 It is distinctive in adopting a definition of integrated care that is user-centred and endorsed by national agencies forming the Integrated Care and Support Collaborative: "My care is planned with people who work together to understand me and my carer(s), put me in control, co-ordinate and deliver services to achieve my best outcomes" (National Voices 2013).1.3 In spring 2013, the Collaborative called for expressions of interest from the 'most ambitious and visionary' local areas to become Pioneers to drive change 'at scale and pace, from which the rest of the country can benefit' (Department of Health May 2013).1.4 Fourteen Pioneers were announced in November 2013 and are the focus of this early evaluation commissioned by the Department of Health.A second wave of 11 Pioneers was announced in January 2015.1.5 Over a period of at least five years, the Pioneers are being given access to expertiseand support from the national partners and international experts.Only minimal additional direct funding was provided initially (£20,000), with an additional £90,000 made available to each Pioneer in June 2014. The Better Care Fund 2.1The Pioneers are operating alongside other national initiatives designed to 'rebalance' the health and care system and promote greater integration of care within highly constrained budgets.2.2 Probably the most salient is the Better Care Fund (BCF), a universal mechanism for creating pooled budgets to protect adult social services and reduce demand for acute beds.It consists of a formula-based allocation of £3.8bn to fund locally agreed integration plans for 2014/15 and 2015/16.The funding is held under joint governance by NHS Clinical Commissioning Groups (CCGs) and local authorities through Health and Wellbeing Boards (HWBs). Early evaluation3.1 The early evaluation runs from January 2014 through June 2015.It aims to describe the vision, scope, objectives, plans, interventions, underlying logic and implementation of the first wave Pioneers.3.2 The study is largely qualitative, with the principal data for this report being drawn from 140 interviews undertaken between April and November 2014. Characterising the Pioneers 4.1The Pioneers are heterogeneous, varying widely in, for example, their history of integrated care, population size, organisational complexity, ambition and user group focus.Many see the Pioneer initiative as a way of building on their past experience and maintaining progress towards more integrated care systems. Timelines (priorities/targets)Timetable in bid as follows: Phase 1 2013-14: underway as described.Phase 2 2014-16: to achieve medium term objectives including evaluation of cost savings, embedding personalised budgets and results delivery on fast track enablers.Alignment of joint programmes and delivering key impacts including improved self-direction and independence at individual, family and community level and better all-round service experience.Phase 3 2016-18: achieve whole systems transformation, better outcomes and sustainable costs.
Authors: Bob Erens, Gerald Wistow, Sandra Mounier‐Jack, Nicola Davies, Lorelei Jones, Tommaso Manacorda, Nicholas Mays
Institution: London School of Hygiene & Tropical Medicine
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2267489178