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Complex care needs and devolution in Greater Manchester: A pilot study to explore social care innovation in newly integrated service arrangements for older people

Malik, Baber; Wells, Jude; Hughes, Jane; Clarkson, Paul; Keady, John; Young, Alys; Challis, David

Complex care needs and devolution in Greater Manchester: A pilot study to explore social care innovation in newly integrated service arrangements for older people Thumbnail


Authors

Baber Malik

Jude Wells

Jane Hughes

Paul Clarkson

John Keady

Alys Young



Abstract

© 2020 AHHA. Objective: The aim of this study was to describe emergent approaches to integrated care for older people with complex care needs and investigate the viability of measuring integrated care. Methods: A case study approach was used. Sites were recruited following discussion with senior staff in health and social care agencies. Service arrangements were categorised using a framework developed by the researchers. To investigate joint working within the sites, the development model for integrated care was adapted and administered to the manager of each service. Data were collected in 2018. Results: Six case study sites were recruited illustrating adult social care services partnerships in services for older people with home care providers, mental health and community nursing services. Most were established in 2018. Service arrangements were characterised by joint assessment and informal face-to-face discussions between staff. The development of an infrastructure to promote partnership working was evident between adult social care and each of the other services and most developed with home care providers. There was little evidence of a sequential approach to the development of integrated working practices. Conclusion: Components of partnerships promoting integrated care have been highlighted and understanding of the complexity of measuring integrated care enhanced. Means of information sharing and work force development require further consideration. What is known about the topic?: The devolution of health and social care arrangements in Greater Manchester has aroused considerable interest in much wider arenas. Necessarily much of the focus in available material has been upon strategic development, analysis of broader trends and mechanisms and a concern with changes in the healthcare system. What does this paper add?: The findings from this study will enable emerging approaches to be described and codified, and permit the specific social care contribution to the new arrangements to be discerned. The findings are relevant beyond the immediate context of Greater Manchester to wider integrated care. The evidence can be used by commissioners and services, providing a sound basis for further work as service systems develop. What are the implications for practitioners?: This research is important because it is one of the first pieces of work to examine the new integrated care arrangements in Greater Manchester. By providing guidance to promote evidence-based practice, this study contributes to service development in Greater Manchester and the achievement of the broad national service objectives of improving user and carer experiences and ensuring value for money.

Citation

Malik, B., Wells, J., Hughes, J., Clarkson, P., Keady, J., Young, A., & Challis, D. (2020). Complex care needs and devolution in Greater Manchester: A pilot study to explore social care innovation in newly integrated service arrangements for older people. Australian Health Review, 44(6), 838-846. https://doi.org/10.1071/AH19168

Journal Article Type Article
Acceptance Date Jan 3, 2020
Online Publication Date Aug 13, 2020
Publication Date 2020
Deposit Date Apr 22, 2020
Publicly Available Date Mar 28, 2024
Journal Australian Health Review
Print ISSN 0156-5788
Electronic ISSN 1449-8944
Publisher CSIRO Publishing
Peer Reviewed Peer Reviewed
Volume 44
Issue 6
Pages 838-846
DOI https://doi.org/10.1071/AH19168
Public URL https://nottingham-repository.worktribe.com/output/4326206
Publisher URL https://www.publish.csiro.au/ah/AH19168

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