Social work's contribution to integrated primary health care teams in the UK for older adults with complex needs

Bailey, Di; Mutale, G

doi:10.1108/jica-10-2021-0053

Cited by 5 publications

(19 citation statements)

References 21 publications

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“…Of the 24 studies included in the review, reported in 29 papers and one report, the main settings or contexts in which data-sharing took place were primary care (n = 4 studies), 9,12,20,63 the community (n = 8), 18,[64][65][66][67][68][69][70] transitional care (n = 5), 14,23,[71][72][73] palliative care (n = 5) 19,21,[74][75][76] or care home settings (n = 2). 77,78 Few studies (n = 5) 14,20,66,71,77 reported demographic details regarding the service user population that data-sharing was intended to benefit.…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

“…In 11 studies, study participants were health and social care professionals, 12,14,19,20,[67][68][69][73][74][75]78 11 studies included patients and carers as well as professionals, 9,18,21,23,[63][64][65][66]71,72,77,[79][80][81][82][83][84] in 1 study participants were not clearly reported, 76 while 1 study was conducted solely with older people. 70 Sample sizes ranged from 2 to 220 participants.…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

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Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

de Bell,

Zhelev,

Bethel

et al. 2024

Health Soc Care Deliv Res

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Background Sharing data about patients between health and social care organisations and professionals, such as details of their medication, is essential to provide co-ordinated and person-centred care. While professionals can share data in a number of ways – for example, through shared electronic record systems or multidisciplinary team meetings – there are many factors that make sharing data across the health and social care boundary difficult. These include professional hierarchies, inaccessible electronic systems and concerns around confidentiality. Data-sharing is particularly important for the care of older people, as they are more likely to have multiple or long-term conditions; understanding is needed on how to enable effective data-sharing. Objectives To identify factors perceived as influencing effective data-sharing, including the successful adoption of interventions to improve data-sharing, between healthcare and social care organisations and professionals regarding the care of older people. Methods MEDLINE and seven further databases were searched (in March 2023) for qualitative and mixed-methods studies. Relevant websites were searched and citation-chasing completed on included studies. Studies were included if they focused on older people, as defined by the study, and data-sharing, defined as the transfer of information between healthcare and social care organisations, or care professionals, regarding a patient, and were conducted in the United Kingdom. Purposive sampling was used to obtain a final set of studies which were analysed using framework synthesis. Quality appraisal was conducted using the Wallace checklist. Stakeholder and public and patient involvement groups were consulted throughout the project. Results Twenty-four studies were included; most scored highly on the quality appraisal checklist. Four main themes were identified. Within Goals, we found five purposes of data-sharing: joint (health and social care) assessment, integrated case management, transitions from hospital to home, for residents of care homes, and for palliative care. In Relationships, building interprofessional relationships, and therefore trust and respect, between professionals supported data-sharing, while the presence of professional prejudices and mistrust hindered it. Interorganisational Processes and procedures, such as a shared vision of care and operationalisation of formal agreements, for example data governance, supported data-sharing. Within Technology and infrastructure, the use of technology as a tool supported data-sharing, as did professionals’ awareness of the wider care system. There were also specific factors influencing data-sharing related to its purpose; for example, there was a lack of legal frameworks in the area of palliative care. Limitations Data-sharing was usually discussed in the context of wider initiatives, for example integrated care, which meant the information provided was often limited. The COVID-19 pandemic has had significant impacts on ways of working; none of our included studies were conducted during or since the pandemic. Conclusions Our findings indicate the importance of building interprofessional relationships and ensuring that professionals are able to share data in multiple ways. Future work Exploration of the impact of new technologies and ways of working adopted as a result of the COVID-19 pandemic on data-sharing is needed. Additionally, research should explore patient experience and the prevention of digital exclusion among health and social care professionals. Study registration The protocol was registered on PROSPERO CRD42023416621. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR135660), as part of a series of evidence syntheses under award NIHR130538, and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 12. See the NIHR Funding and Awards website for further award information.

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Section: Summary Of Included Studiesmentioning

confidence: 99%

Section: Summary Of Included Studiesmentioning

confidence: 99%

Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

de Bell,

Zhelev,

Bethel

et al. 2024

Health Soc Care Deliv Res

View full text Add to dashboard Cite

show abstract

“…Integration can take place in various ways (Robertson, 2011) but must focus on the service user's perspective (Bailey and Mutale, 2022;Boland et al, 2021;Henderson et al, 2021;Klinga et al, 2020;Perunovic, 2018;Van Raak, 2003;Willis et al, 2022). A continuum exists from co-operation between entirely separate organisations through the co-ordination of services in multidisciplinary networks (e.g.…”

Section: Integrated Well-being Service Developmentmentioning

confidence: 99%

“…Integration can take place in various ways (Robertson, 2011) but must focus on the service user's perspective (Bailey and Mutale, 2022; Boland et al ., 2021; Henderson et al. , 2021; Klinga et al.…”

Section: Introductionmentioning

confidence: 99%

A co-production approach to exploring an integrated service model in UK local authorities

Diba

Bowden

Divers

et al. 2023

JICA

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PurposeIntegrated service models aim to simplify access, enable effective delivery, remove duplication and provide a holistic and person-centred approach. This project explored the development of integrated well-being services in two local authorities in North-East England. The purpose of this paper is to address this issue.Design/methodology/approachUnderpinned by public health and co-production approaches, the project utilised a mixed-methods approach. Data were collected via online surveys (n = 95), virtual interviews with members of the local population (n = 8) and practitioners and commissioners (n = 8) to explore needs for a new service. Thematic analysis was used to identify key themes and issues.FindingsSeveral benefits of an integrated service were highlighted by both staff and service users, with a central anticipated benefit being the provision of holistic care. Improvement in information sharing was also seen to increase the efficiency of services and communication barriers between services. Beneficial aspects and barriers related to the COVID-19 pandemic on current service provision were reported that have informed our future recommendations.Originality/valueThe authors’ findings provide a much deeper insight into function, care, social inclusion and ongoing support needs, from both the perspectives of staff and service users. Service users and staff saw value in an integrated model for themselves, as well as the wider community. The authors’ findings indicate that the integrated service model is a promising one for the development of services within local authorities.

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“…Activating and integrating this pool is clearly in the spirit of the broader literature on integrated care, where integration between social work and health as well as formal and informal care is rife. For example, Di Bailey and Mutale (2022) find that when social work was embedded or attached to a primary care team; costs of care delivery were lower than in their social-work-only team, and more indicators of good quality care outcomes were recorded. Equally so, Kermode (2021) concludes that multi-agency services including both formal and informal care leads to more effective coordination of care.…”

Section: Introductionmentioning

confidence: 99%

How to handle gerontocracy

Canoy

Krabbe

Koolman

2023

JICA

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PurposeThe article demonstrates the dangers of gerontocracy and offers solutions.Design/methodology/approachThe article combines desk research, literature review and economic analytical reasoning.FindingsGerontocracy in developed countries is a threat to financial, labour market and political sustainability of care for older people. Without actions today, the problem will become bigger every year, not least because of increased electoral weight of older people. This article proposes to handle gerontocracy in two ways. First is by using the potential of healthy retired people as volunteers, thereby mitigating the intergenerational solidarity challenges. Second is by taxing part of the windfall profits on the housing market, where older generation profited disproportionally.Originality/valueThe added value of the article is twofold. First, it signals a serious problem in affluent societies that is largely ignored, both in the academic world and in politics. Second, it offers original solutions that mitigate the problem.

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Social work's contribution to integrated primary health care teams in the UK for older adults with complex needs

Cited by 5 publications

References 21 publications

Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

Factors influencing effective data sharing between health care and social care regarding the care of older people: a qualitative evidence synthesis

A co-production approach to exploring an integrated service model in UK local authorities

How to handle gerontocracy

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