Integrated care cannot be designed in Whitehall
File(s)
Published version
Author(s)
Darzi, A
Howitt, P
Type
Journal Article
Abstract
In recent years England has introduced a number of initiatives to promote more integrated care. Two contrasting examples are the GP-led health centres and the Integrated Care Pilots announced in the interim and final reports, respectively, of the NHS Next Stage Review in 2007-2008. The GP-led health centres were proposed as a very centralised, prescriptive approach where the aim was that all the NHS should adopt the same model of facilitating integration through co-location. Integrated Care Pilots, on the other hand, looked to the NHS to suggest their own solutions to improve integration, resulting in a variety of solutions tailored to the needs of localities. Although the results of the evaluation of the Integrated Care Pilots have been equivocal, this bottom-up approach must be the right way to foster integrated care. Long term commitment to integrate care is needed, as well as more exploration of integration between primary care and hospitals.
Date Issued
2012-05-18
Date Acceptance
2012-04-17
Citation
International Journal of Integrated Care, 2012, 12 (2)
ISSN
1568-4156
Publisher
Igitur Publishing
Journal / Book Title
International Journal of Integrated Care
Volume
12
Issue
2
Copyright Statement
© 2012 The Authors. Published by Igitur Publishing under a Creative Commons license (https://creativecommons.org/licenses/by/3.0/).
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000311840800008&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
HEALTH CARE SCIENCES & SERVICES
HEALTH POLICY & SERVICES
England
GP-led health centres
integrated care
Integrated Care Pilots
policy
1117 Public Health And Health Services
1110 Nursing
Publication Status
Published