Partnership working in England—where we are now and where we’ve come from

Glasby, Jon; Dickinson, Helen; Miller, Robin

doi:10.5334/ijic.545

Cited by 53 publications

(64 citation statements)

References 10 publications

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“…However, the response rate compares favorably with similar studies conducted around the same time and the problem of partial completion of online surveys has been documented by others reporting on IPW/partnership working in health and social care [34,19]. There was a level of agreement between the findings of the documentary review and the survey which suggests that the range and scope of services that involves IPW for older people living at home were captured.…”

Section: Discussionsupporting

confidence: 59%

Models of inter professional working for older people living at home: a survey and review of the local strategies of english health and social care statutory organisations

Goodman

Drennan

Scheibl

et al. 2011

BMC Health Serv Res

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BackgroundMost services provided by health and social care organisations for older people living at home rely on interprofessional working (IPW). Although there is research investigating what supports and inhibits how professionals work together, less is known about how different service models deliver care to older people and how effectiveness is measured. The aim of this study was to describe how IPW for older people living at home is delivered, enacted and evaluated in England.MethodAn online survey of health and social care managers across England directly involved in providing services to older people, and a review of local strategies for older people services produced by primary care organisations and local government adult services organisations in England.ResultsThe online survey achieved a 31% response rate and search strategies identified 50 local strategies that addressed IPW for older people living at home across health and social care organisations. IPW definitions varied, but there was an internal consistency of language informed by budgeting and organisation specific definitions of IPW.Community Services for Older People, Intermediate Care and Re-enablement (rehabilitation) Teams were the services most frequently identified as involving IPW. Other IPW services identified were problem or disease specific and reflected issues highlighted in local strategies. There was limited agreement about what interventions or strategies supported the process of IPW. Older people and their carers were not reported to be involved in the evaluation of the services they received and it was unclear how organisations and managers judged the effectiveness of IPW, particularly for services that had an open-ended commitment to the care of older people.ConclusionHealth and social care organisations and their managers recognise the value and importance of IPW. There is a theoretical literature on what supports IPW and what it can achieve. The need for precision may not be so necessary for the terms used to describe IPW. However, there is a need for shared identification of both user/patient outcomes that arise from IPW and greater understanding of what kind of model of IPW achieves what kind of outcomes for older people living at home

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Section: Discussionsupporting

confidence: 59%

Models of inter professional working for older people living at home: a survey and review of the local strategies of english health and social care statutory organisations

Goodman

Drennan

Scheibl

et al. 2011

BMC Health Serv Res

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“…The review demonstrates the importance of understanding the detail and organisation of IPW within different models of working that initially appear to have similar approaches and names. The literature on integrated work and IPW needs to acknowledge as Glasby et al. (2011) note, that structural solutions alone are not the answer.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of inter-professional working for older people living in the community: a systematic review

Trivedi

Goodman

Gage

et al. 2012

Health &Amp; Social Care in the Community

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What is known about the topic• There is policy commitment to closer working between professionals to improve health and social care but the benefits of this are poorly understood at the user ⁄ patient level.• Language and terminology used to capture the process of interprofessional working are imprecise.• There is little evidence linking interprofessional working to explicit outcomes for older people.• It is not clear how different contexts, systems, professionals, agencies, roles and services influence the effectiveness of inter-professional working. What this paper adds• There are different ways to document the process of interprofessional working.• Studies should measure effectiveness and cost effectiveness of interprofessional working.• Integrated models of inter-professional working have the potential to improve processes of care and to reduce hospital use or long-term care moves. AbstractHealth and social care policy in the UK advocates inter-professional working (IPW) to support older people with complex and multiple needs. Whilst there is a growing understanding of what supports IPW, there is a lack of evidence linking IPW to explicit outcomes for older people living in the community. This review aimed to identify the models of IPW that provide the strongest evidence base for practice with community dwelling older people. We searched electronic databases from 1 January 1990-31 March 2008. In December 2010 we updated the findings from relevant systematic reviews identified since 2008. We selected papers describing interventions that involved IPW for community dwelling older people and randomised controlled trials (RCT) reporting user-relevant outcomes. Included studies were classified by IPW models (Case Management, Collaboration and Integrated Team) and assessed for risk of bias. We conducted a narrative synthesis of the evidence according to the type of care (interventions delivering acute, chronic, palliative and preventive care) identified within each model of IPW. We retrieved 3211 records and included 37 RCTs which were mapped onto the IPW models: Overall, there is weak evidence of effectiveness and cost-effectiveness for IPW, although well-integrated and shared care models improved processes of care and have the potential to reduce hospital or nursing ⁄ care home use. Study quality varied considerably and high quality evaluations as well as observational studies are needed to identify the key components of effective IPW in relation to user-defined outcomes. Differences in local contexts raise questions about the applicability of the findings and their implications for practice. We need more information on the outcomes of the process of IPW and evaluations of the effectiveness of different configurations of health and social care professionals for the care of community dwelling older people.

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“…55 To gather information about these project-level foci, newer data-collection approaches (such as social network analyses) may be useful alongside traditional qualitative and quantitative techniques. 53 At the broad initiative level, information from across the suite of partnership projects may be required to provide the CCDP with insights into the early stages of partnership formation, including the core conditions (and linked indicators) of collective impact, such as shared agenda setting and shared measurement.…”

Section: Actionmentioning

confidence: 99%

Strengthening the evidence and action on multi-sectoral partnerships in public health: an action research initiative

Willis

Greene

Abramowicz

et al. 2016

Health Promot Chronic Dis Prev Can

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Introduction: The Public Health Agency of Canada's Multi-sectoral Partnerships Initiative, administered by the Centre for Chronic Disease Prevention (CCDP), brings together diverse partners to design, implement and advance innovative approaches for improving population health. This article describes the development and initial priorities of an action research project (a learning and improvement strategy) that aims to facilitate continuous improvement of the CCDP's partnership initiative and contribute to the evidence on multi-sectoral partnerships.

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Partnership working in England—where we are now and where we’ve come from

Abstract: Introduction: Joint working between health and social care has long been a policy priority in England, with growing interest by the previous New Labour government in achieving 'joined-up solutions to joined-up problems'.

Cited by 53 publications

References 10 publications

Models of inter professional working for older people living at home: a survey and review of the local strategies of english health and social care statutory organisations

Models of inter professional working for older people living at home: a survey and review of the local strategies of english health and social care statutory organisations

The effectiveness of inter-professional working for older people living in the community: a systematic review

Strengthening the evidence and action on multi-sectoral partnerships in public health: an action research initiative

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