Understanding Integrated Care in England
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![Page 1: Understanding Integrated Care in England](https://reader031.fdocuments.in/reader031/viewer/2022020307/55a60a731a28abd17b8b45d2/html5/thumbnails/1.jpg)
Understanding Integrated Care
January 2013
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IC3ML and the BCF
Recommendations
1: Find new services offerings beyond Telehelath and Telecare
2: Refine these services from around a theme of patient centred
care
3: Create new Services for Care-Coordination, Patient
engagement and Transitional Care
4: Understand how the new Integrated Care market as defined
by the LGA can be enabled by IC3ML technology partners
5: Work with H&W Boards to create the services they defined in
their Better Care Fund applications
6. Position IC3ML as an essential support service that scales BCF
defined clinical practice in localities
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UK Examples of Best Practice Integrated Care
From LGA Toolkit for BCF
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Integrated Care
Example: Torbay
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Integrated Care Example:
Isle of Wight
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Integrated Care
Example: NWL
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Integrated Care Example:
Cumbria
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Integrated Care Example:
Greenwich
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Integrated Care Example:
Northamptonshire
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Integrated Care Example:
North Devon
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Integrated Care Example:
Waltham, East Lon & City
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Integrated Care Example:
Greater Manchester
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Integrated Care Example:
US: PACE
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Integrated Care Example:
Germany: GK
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Example services
could offer in
Integrated Care
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Integrated Care:
LGA Examples
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What technology services are required to make these
models a reality?
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Create Services Across the
patient journey
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Example cost savings in the
high priority areas
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Savings from new Services:
Essex
What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 12m£
Non-Elective - Admissions 51m£
Non-Elective - Bed Days -£
Total 63m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 11m£
Signposting & navigation 11m£
Effective crisis response 18m£
Improving transitional care 18m£
Effective ongoing support 18m£
Effective preventive care 11m£
For a population of 1,127,298 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £63m and a
net impact of £63m.
0%0%20%
80%
0%
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What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 3m£
Non-Elective - Admissions 8m£
Non-Elective - Bed Days -£
Total 10m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 2m£
Signposting & navigation 2m£
Effective crisis response 3m£
Improving transitional care 3m£
Effective ongoing support 3m£
Effective preventive care 2m£
For a population of 186,038 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £10m and a
net impact of £10m.
0%0%
28%
72%
0%
Savings from new Services:
Camden
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What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 3m£
Non-Elective - Admissions 9m£
Non-Elective - Bed Days -£
Total 11m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 2m£
Signposting & navigation 2m£
Effective crisis response 3m£
Improving transitional care 3m£
Effective ongoing support 3m£
Effective preventive care 2m£
For a population of 191,565 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £11m and a
net impact of £11m.
0%0%23%
77%
0%
Savings from new Services:
Havering
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What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 3m£
Non-Elective - Admissions 8m£
Non-Elective - Bed Days -£
Total 11m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 2m£
Signposting & navigation 2m£
Effective crisis response 3m£
Improving transitional care 3m£
Effective ongoing support 3m£
Effective preventive care 2m£
For a population of 175,409 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £11m and a
net impact of £11m.
0%0%
25%
75%
0%
Savings from new Services:
Islington
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What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 3m£
Non-Elective - Admissions 8m£
Non-Elective - Bed Days -£
Total 11m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 2m£
Signposting & navigation 2m£
Effective crisis response 3m£
Improving transitional care 3m£
Effective ongoing support 3m£
Effective preventive care 2m£
For a population of 159,986 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £11m and a
net impact of £11m.
0%0%
25%
75%
0%
Savings from new Services:
Merton
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What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 3m£
Non-Elective - Admissions 11m£
Non-Elective - Bed Days -£
Total 14m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 3m£
Signposting & navigation 2m£
Effective crisis response 4m£
Improving transitional care 4m£
Effective ongoing support 4m£
Effective preventive care 2m£
For a population of 207,864 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £14m and a
net impact of £14m.
0%0%23%
77%
0%
Savings from new Services:
Tower Hamlets
![Page 27: Understanding Integrated Care in England](https://reader031.fdocuments.in/reader031/viewer/2022020307/55a60a731a28abd17b8b45d2/html5/thumbnails/27.jpg)
What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 5m£
Non-Elective - Admissions 23m£
Non-Elective - Bed Days -£
Total 28m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 5m£
Signposting & navigation 5m£
Effective crisis response 8m£
Improving transitional care 8m£
Effective ongoing support 8m£
Effective preventive care 5m£
For a population of 506,635 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £28m and a
net impact of £28m.
0%0%19%
81%
0%
Savings from new Services:
Cambridgeshire
![Page 28: Understanding Integrated Care in England](https://reader031.fdocuments.in/reader031/viewer/2022020307/55a60a731a28abd17b8b45d2/html5/thumbnails/28.jpg)
What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 14m£
Non-Elective - Admissions 57m£
Non-Elective - Bed Days -£
Total 70m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 13m£
Signposting & navigation 12m£
Effective crisis response 21m£
Improving transitional care 21m£
Effective ongoing support 21m£
Effective preventive care 12m£
For a population of 1,174,947 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £70m and a
net impact of £70m.
0%0%20%
80%
0%
Savings from new Services:
Kent
![Page 29: Understanding Integrated Care in England](https://reader031.fdocuments.in/reader031/viewer/2022020307/55a60a731a28abd17b8b45d2/html5/thumbnails/29.jpg)
What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 5m£
Non-Elective - Admissions 19m£
Non-Elective - Bed Days -£
Total 24m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 4m£
Signposting & navigation 4m£
Effective crisis response 7m£
Improving transitional care 7m£
Effective ongoing support 7m£
Effective preventive care 4m£
For a population of 433,006 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £24m and a
net impact of £24m.
0%0%19%
81%
0%
Savings from new Services:
East Sussex
![Page 30: Understanding Integrated Care in England](https://reader031.fdocuments.in/reader031/viewer/2022020307/55a60a731a28abd17b8b45d2/html5/thumbnails/30.jpg)
What is the impact of integrating care?
The specific gross impact on commisoned services is caculated to be as follows:
Social Care -£
Mental Health -£
A&E 3m£
Non-Elective - Admissions 10m£
Non-Elective - Bed Days -£
Total 13m£
What is the relative importance of the main drivers of integrating care?
Gross Impact
Case management 2m£
Signposting & navigation 2m£
Effective crisis response 4m£
Improving transitional care 4m£
Effective ongoing support 4m£
Effective preventive care 2m£
For a population of 228,289 being the total population (excl. children); the impact of applying a
model of integration similar to NWL will be a gross reduction in commisioner spend of £13m and a
net impact of £13m.
0%0%
24%
76%
0%
Savings from new Services:
Brighton & Hove
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Dr. M.J. RicePrincipal Consultant
Kokomowww.kokomo.eu
London (44) : 074 387 89155Dublin (353) : 086 823 1447
@malachyrice