Spreading change: A guide to enabling the spread of person- and community-centred approaches for health and wellbeing

This guide outlines how behavioural science can help spread the take-up of person- and community-centred approaches to health and wellbeing.

Key findings

•     The guide uses the EAST framework to organise ideas and examples. The core message of EAST is that if you want to encourage a behaviour, you should make it Easy, Attractive, Social and Timely.
•     The guide features a number of low-tech, pragmatic and manageable activities which can increase the spread of person- and community-centred health and wellbeing programmes.

This action-focused guide is part of the NHS England-funded Realising the Value programme, which seeks to develop person- and community-centred approaches for health and wellbeing. The programme is doing so by building the evidence base and developing tools, resources and networks to support the spread and impact of these approaches.

It is aimed at people who champion these approaches in health and social care, in other statutory bodies and in ...

Supporting self-management: A guide to enabling behaviour change for health and wellbeing using person- and community-centred approaches

This guide outlines how the science of behaviour can help people to self-manage their health and wellbeing.

Key findings

• The guide uses the EAST framework to organise ideas and examples. The core message of EAST is that if you want to encourage a behaviour, you should make it Easy, Attractive, Social and Timely.
• The guide features a number of low-tech, pragmatic and manageable activities which can increase the spread of person- and community-centred health and wellbeing programmes.

This action-focused guide is part of the NHS England-funded Realising the Value programme, which seeks to develop person- and community-centred approaches for health and wellbeing. The programme is doing so by building the evidence base and developing tools, resources and networks to support the spread and impact of these approaches.

This guide offers two things: a framework for understanding and changing behaviour, and real-world examples of how these changes happen in practice

It ...

The multispecialty community provider (MCP) emerging care model and contract framework

Across the country, NHS leaders have been developing sustainability and transformation plans (STPs) to implement the NHS Five Year Forward View. Nearly all of the STPs involve creating new models of accountable care provision.  Some are planning MCPs, others the bigger primary and acute care systems (PACS) model, under which all hospital services are also included under a single  form of integrated provision. The underlying logic of an MCP is that by focusing on prevention and redesigning care, it is possible to improve health and wellbeing, achieve better quality, reduce  avoidable hospital admissions and elective activity, and unlock more efficient ways of delivering care.

This document defines what being a multispecialty community provider (MCP) means by assembling features from the 14 MCP vanguards into a common framework.

Future of Digital Health Systems in the European Region

The WHO Symposium on the Future of Digital Health Systems in the European Region will bring together evidence and experience to show how governments and organizations can adopt digital health to reduce inequalities and improve the health and well-being of populations.

The Symposium will help policy-makers prepare for the digitalization of health systems by sharing country experiences of:

• - How digital health and emerging innovations are being used to strengthen national health systems
• - Digital health activities currently underway
• - How digital technologies can empower individuals and health-care workers.

The multispecialty community provider (MCP) emerging care model and contract framework

Across the country, NHS leaders have been developing sustainability and transformation plans (STPs) to implement the NHS Five Year Forward View. Nearly all of the STPs involve creating new models of accountable care provision.  Some are planning MCPs, others the bigger primary and acute care systems (PACS) model, under which all hospital services are also included under a single  form of integrated provision. The underlying logic of an MCP is that by focusing on prevention and redesigning care, it is possible to improve health and wellbeing, achieve better quality, reduce  avoidable hospital admissions and elective activity, and unlock more efficient ways of delivering care.

This document defines what being a multispecialty community provider (MCP) means by assembling features from the 14 MCP vanguards into a common framework.

Collaborative Experience Success Stories in Integrated Care of Older People: A Narrative Analysis

With the increasing differentiation of organisations involved in the pursuit of public health, there is also a growing need for inter?organisational integration. Starting from the concepts of differentiation and integration, this article is attempting a theoretical reconstruction based on published research on inter?organisational integration in public health and related welfare services.

The call for integrated care has been induced by demographic change, increased fragmentation of the welfare sector and increased demand for technically and more expensive care solutions. There is a wide variety of strategies and initiatives to improve care continuity and coordination for people with chronic diseases, not least for older people with complex care needs who require care from multiple providers.

Inter-organisational collaboration is crucial in the care of older people, as is the development of integrated care. Storytelling in organisations is one way of understanding how to achieve successful collaboration. This article provides insights into ...

World Health Organization Integrated Care for Older People (ICOPE) and the Integrated Care of Older Patients with Frailty in Primary Care (ICOOP_Frail) Study in Korea

The World Health Organization (WHO) recently endorsed the proposal for a Decade of Healthy Ageing (2020-2030). The WHO defines "healthy aging" as "the process of developing and maintaining the functional ability that enables wellbeing in older age." Among the strategies for the Decade of Healthy Ageing, the WHO has suggested enhancing intrinsic capacity, promoting functional ability, and implementing the Integrated Care for Older People (ICOPE) package. The WHO has defined steps for ICOPE evaluation and scale-up and is performing a prospective study in 2-3 countries (low and middle income, high income) to test its feasibility in 2021-2022 and a multinational randomized study to validate its clinical efficacy and effectiveness in 2022-2024. Intrinsic capacity and frailty represent two faces of the same coin, with one indicating the reserves of the individual and the other indicating the deficits that accumulate with age. The Integrated Care of Older Patients with Frailty in Primary ...

IFIC Scotland Integrated Care Matters: Webinar Series 6

IFIC Scotland and partners have launched series 6 of IFIC Integrated Care Matters webinars. The series kicked off with some webinars led by IFICs SIGs then begin to explore how we can work together to promote health and wellbeing, inclusion and participation in communities. This builds on IFIC`s plenary session at ICIC21 – you can view that session here.

Guest panelists from different systems will share insights and challenge us to create age friendly, compassionate, healthy communities that leave no one behind. Each webinar is accompanied by a topic resource with links to further information. All who register will receive links to the recordings and topic resources. 
 

Person-centred long-term care for older persons: a new Lancet Commission

The UN declared 2021–30 to be the Decade of Healthy Ageing, and efforts are being made to maximise the functional ability of people over their life course. Yet older people are marginalised and perceived as a burden, particularly those with ongoing loss in capacity. Nowhere is this more conspicuous than in the context of long-term care (LTC) worldwide, where older people in some settings encounter a loss of independence and other violations of their human rights. Such experiences can range from deprivation of liberty and loss of legal capacity and consent to coerced institutionalisation, exposure to abuse, neglect,and disrespect, and persistent use of restraints. 

Integrated care strategy, health and wellbeing board and joint forward plan guidance: what you need to know

Key points

• The Department for Health and Social Care has released guidance for:

1. the preparation of integrated care strategies by integrated care partnerships
2. health and wellbeing boards and how they will work with and within integrated care systems
3. principles for integrated care partnership engagement with adult social care providers
4. principles for integrated care partnership engagement with health overview and scrutiny committees.

• NHS England has released guidance on developing the joint forward plan, to support integrated care boards and their partner trusts to develop their first 5-year joint forward plans.
• Integrated care partnerships may wish to publish an initial interim strategy by December 2022 if they want to align and influence integrated care boards' first five-year joint forward plans.
• Integrated care boards (ICBs) and their partner trusts are required to prepare a joint forward plan before the start of each financial year, and share the final version with their integrated care ...