Integration of health and social care – what can Wales learn … and contribute?

Morgan, Gareth

doi:10.1108/14717791311311102

Cited by 5 publications

(5 citation statements)

References 43 publications

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“…The findings on essential enablers support previous papers on the concept of generating a culture of integration (Cameron et al, 2012;Heenan and Birrell, 2006). The findings do not create a 'how-to' guide (Morgan, 2013) but offer areas that require specific attention to maximise the potential for integration to succeed. Counter to Mackie and Darvill's (2016) findings of six key areas required for integration, this study suggests a focus is required on three factors: leadership, communication and joint education need to be prioritised to avoid being overly side-lined by other potential time-consuming process areas (Figure 2) that need attention, but not at the expense of the essential enablers.…”

Section: Discussionsupporting

confidence: 80%

“…With consideration of the Welsh perspective and drawing on literature from the UK, Europe and Canada, Morgan (2013) concludes no one country can offer a single 'how-to' set of guidelines that can be used across all localities. From this he encourages professionals to utilise their own experiences to facilitate the adoption of innovative approaches.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The wider literature includes experiences from the home nations and overviews of integrated care. Those actively seeking to learn lessons from other countries include Heenan and Birrell (2006) from Northern Ireland, Hutchison (2015) from Scotland and Morgan (2013) learning from and for Wales.…”

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Facilitating integrated delivery of services across organisational boundaries: Essential enablers to integration

Best

2017

British Journal of Occupational Therapy

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Introduction: Integrating services is a key tenet to developing services across the United Kingdom. While many aspects of integration have been explored, how to facilitate integration of services remains unclear. Method: An exploratory qualitative study was undertaken in 2015 to explore occupational therapists' perceptions on integrating service provision across health and social care organisational boundaries. The views of practitioners who had experienced integration were sought on a range of aspects of integrating services. This paper focuses on the facilitators for delivering integration and the essential enablers are identified. Findings: Numerous factors were noted to facilitate integration and three essential enablers were highlighted. Leadership, communication and joint education were recognised as playing a central role in integrating services across organisational boundaries; without these three essential enablers, integration is liable to fail. Conclusion: Integration is a process rather than an event; continued emphasis will be required on leadership, communication and joint education to progress integration achievements made to date.

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Section: Discussionsupporting

confidence: 80%

Section: Literature Reviewmentioning

confidence: 99%

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Facilitating integrated delivery of services across organisational boundaries: Essential enablers to integration

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2017

British Journal of Occupational Therapy

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“…Integration pilot schemes for patients with chronic conditions, for older people and children with complex care have been launched. There is little systematic research on the effectiveness of these isolated localised pilots however and the Welsh Government has so far not published any data on their impact on care quality (Kaehne and Catherall, 2012; Morgan, 2013; Palfreman et al , 2011).…”

Section: Walesmentioning

confidence: 99%

Bringing integration home

Kaehne

Birrell

Miller

et al. 2017

JICA

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Purpose The purpose of this paper is to outline relevant policies on the integration of health and social care (HSC) in the four home nations: Scotland, Wales, Northern Ireland and England and offer a comparison of emphasis and approaches and draw out general insights on the implementation of integrated care policy. Design/methodology/approach The paper is written as a piece of critical reflection by drawing on the authors’ knowledge and expertise and wider evidence where available. Findings Since 2010, HSC integration has started to diverge significantly in the four constituent countries of the UK. Although England and Wales have undergone considerable re-organisation of the NHS, Scotland and Northern Ireland have largely been marked by organisational continuity. However, beyond organisational differences, policy approaches, policy emphases and implementation strategies have also started to show considerable dissimilarity across the UK. An important contributory factor may be different ideological perspectives on the role of competition and pilots, partnership, patient choice and organisational incentives to bring about change in the field. Research limitations/implications The paper identifies a serious lack of comparative research in integration policy, despite the considerable opportunities for quasi-experimental studies. This lack of empirical research impedes shared learning across the home nations. Originality/value The paper presents a descriptive comparison of current integration policy between HSC providers in the four home nations. It reveals considerable opportunities for further research and comparative modelling of integration approaches.

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“…Health and social care services are provided by seven Health Boards and 22 Local Authorities, with a strong provision also from voluntary and independent groups. A number of factors, including the ageing population, high burden of chronic disease, social factors and resource constraints are driving the health and social care service integration agenda in Wales (Morgan, 2013). In this paper, the implications of co-production for health and social care are explored, with some specific Welsh aspects presented.…”

Section: Introductionmentioning

confidence: 99%

Co-production within health and social care – the implications for Wales?

Phillips

Morgan

2014

Quality in Ageing and Older Adults

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Purpose – It is well recognised that individuals have much to contribute to the care that they receive, with attendant benefits on outcomes and reduction in cost. The recognition of individuals who access care services as interdependent citizens embedded in both formal and informal support networks is a shift that acknowledges their active role as partners in management of their own care and in service innovation and development. The purpose of this paper is therefore to explore and illustrate some of the domains of co-production. Design/methodology/approach – In this paper, the authors review the literature, both peer-reviewed and professional, in order to provide a broad and contemporary commentary on this emergent approach. This literature is critically summarised and presented along with a narrative that discusses the context in Wales, where the authors are based. The approach to this paper is to bring together existing knowledge and also propose potential avenues for further research and practise development. Findings – There is a diverse literature on this topic and the application of co-production appears potentially transformational within health and social care. Implementation of the principles of co-production has the potential to improve health and social care services in a range of settings. Real changes in outcomes and experience and reduction in societal cost can be achieved by making the people of Wales active partners in the design and delivery of their own health and social care. Originality/value – This review offers a readily accessible commentary on co-production, which may be of value to a wide range of professional groups and policy makers. This paper also reflects an original attempt to summarise knowledge and propose further areas for work. Most importantly, this paper offers a start point for co-production to become a reality for service provision with all the attendant benefits that will arise from this development.

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Integration of health and social care – what can Wales learn … and contribute?

Cited by 5 publications

References 43 publications

Facilitating integrated delivery of services across organisational boundaries: Essential enablers to integration

Facilitating integrated delivery of services across organisational boundaries: Essential enablers to integration

Bringing integration home

Co-production within health and social care – the implications for Wales?

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