Joining up care: overcoming barriers to integrated care

"85% agree that #integratedcare leads to better health outcomes, while 32% agree it will generate savings for #localgov"

As the pressures facing health and social care organisations continue to mount, there is growing recognition that a whole system approach is needed in response.

Our survey shows that local authorities increasingly recognise that further integration of health and social care has the potential to deliver improved outcomes, but significant barriers remain. Securing these improved health outcomes requires transcending organisational boundaries and working with partners and the public across a place to deliver the best value for the ‘locality pound’.

While the current configuration of the health and social care system clearly provides constraints to integrating care, this can’t be an excuse for inaction. As some areas of the country are already demonstrating, substantial progress can be made when health and social care commissioners and providers from across a place can come together and transcend their organisational boundaries to consider their joint ‘locality pound’ and develop a shared vision for the outcomes they’re seeking to achieve.

Critical factors for successful integration include: the need for facilitated discussion with strategic health and social care leaders; ensuring people working in the system have the space and time to think and plan and the infrastructure to enable change to happen; engaging the public on what they want and need; and crucially establishing a timeframe for delivering change that everybody buys in to.

View the infographic here

View the infographic here

85% of local authority chief executives and leaders agree that further integration of health and social care will have a positive impact on health outcomes

What are the main barriers to integrated care?

“We’re trying to work with local partners to have a fundamental appraisal of income flows and outputs to see whether they genuinely match to outcomes” Local authority Chief Executive

What are the main barriers to integrated care?

“The Better Care Fund is a good idea, however it involves the Authority and CCG but there is nothing to draw in the FT who do not necessarily see reducing their work as a desired outcome, all three parts of the system need to be incentivised to produce the desired results.” Local authority leader

What are the main barriers to integrated care?

“The NHS doesn’t understand… how to commission. They have never had to make anything like the efficiencies that local authorities have and cannot either reengineer or innovate and transform because they don't have the skill set” Local authority Chief Executive

What are the main barriers to integrated care?

“Actually getting all partners to work together is difficult......Too many talk but do not act” Local authority leader

What are the main barriers to integrated care?

“The main barrier to integrated care is that our neighbouring local authorities 'do not get it’. Some organisations do not get the bigger picture in fear that they may not exist as a result.” Local authority Chief Executive

1 2 3 4 5