TY - JOUR
KW - evaluation studies
KW - Health care
KW - Health Services Research
KW - Integrated Health Care Systems
KW - patient-centred care
KW - reform
AU - N. Curry
AU - M. Harris
AU - L. H. Gunn
AU - Y. Pappas
AU - I. Blunt
AU - M. Soljak
AU - N. Mastellos
AU - H. Holder
AU - J. Smith
AU - A. Majeed
AU - A. Ignatowicz
AU - F. Greaves
AU - A. Belsi
AU - N. Costin-Davis
AU - J. D. Jones Nielsen
AU - G. Greenfield
AU - E. Cecil
AU - S. Patterson
AU - J. Car
AU - M. Bardsley
A1 - 
AB - INTRODUCTION: This paper provides the results of a year-long evaluation of a large-scale integrated care pilot in north-west London. The pilot aimed to integrate care across primary, acute, community, mental health and social care for people with diabetes and/or those aged 75+ through care planning, multidisciplinary case reviews, information sharing and project management support. METHODS: The evaluation team conducted qualitative studies of change at organisational, clinician and patient levels (using interviews, focus groups and a survey); and quantitative analysis of change in service use and patient-level clinical outcomes (using patient-level datasets and a matched control study). RESULTS: The pilot had successfully engaged provider organisations, created a shared strategic vision and established governance structures. However, the engagement of clinicians was variable and there was no evidence to date of significant reductions in emergency admissions. There was some evidence of changes in care processes. CONCLUSION: Although the pilot has demonstrated the beginnings of large-scale change, it remains in the early stages and faces significant challenges as it seeks to become sustainable for the longer term. It is critical that National Health Service managers and clinicians have realistic expectations of what can be achieved in a relatively short period of time.
BT - International journal of integrated care
C5 - General Literature
CY - Netherlands
JF - International journal of integrated care
N2 - INTRODUCTION: This paper provides the results of a year-long evaluation of a large-scale integrated care pilot in north-west London. The pilot aimed to integrate care across primary, acute, community, mental health and social care for people with diabetes and/or those aged 75+ through care planning, multidisciplinary case reviews, information sharing and project management support. METHODS: The evaluation team conducted qualitative studies of change at organisational, clinician and patient levels (using interviews, focus groups and a survey); and quantitative analysis of change in service use and patient-level clinical outcomes (using patient-level datasets and a matched control study). RESULTS: The pilot had successfully engaged provider organisations, created a shared strategic vision and established governance structures. However, the engagement of clinicians was variable and there was no evidence to date of significant reductions in emergency admissions. There was some evidence of changes in care processes. CONCLUSION: Although the pilot has demonstrated the beginnings of large-scale change, it remains in the early stages and faces significant challenges as it seeks to become sustainable for the longer term. It is critical that National Health Service managers and clinicians have realistic expectations of what can be achieved in a relatively short period of time.
PP - Netherlands
PY - 2013
SN - 1568-4156
T1 - Integrated care pilot in north-west London: a mixed methods evaluation
T2 - International journal of integrated care
TI - Integrated care pilot in north-west London: a mixed methods evaluation
U1 - General Literature
U2 - 24167455
VL - 13
VO - 1568-4156
Y1 - 2013
ER -