Understanding Integrated Care January 2013
Understanding Integrated Care in England
Jul 15, 2015
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Understanding Integrated Care
January 2013
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
UK Examples of Best Practice Integrated Care
From LGA Toolkit for BCF
Integrated Care
Example: Torbay
Integrated Care Example:
Isle of Wight
Integrated Care
Example: NWL
Integrated Care Example:
Cumbria
Integrated Care Example:
Greenwich
Integrated Care Example:
Northamptonshire
Integrated Care Example:
North Devon
Integrated Care Example:
Waltham, East Lon & City
Integrated Care Example:
Greater Manchester
Integrated Care Example:
US: PACE
Integrated Care Example:
Germany: GK
Example services
could offer in
Integrated Care
Integrated Care:
LGA Examples
What technology services are required to make these
models a reality?
Create Services Across the
patient journey
Example cost savings in the
high priority areas
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%
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
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
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
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
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
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
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
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
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
Dr. M.J. RicePrincipal Consultant
Kokomowww.kokomo.eu
London (44) : 074 387 89155Dublin (353) : 086 823 1447
@malachyrice
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