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Coordinated care

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Many people receive care from more than one provider and in more than one setting. This programme looks at the way services work together to make sure people's care meets their individual needs.

For many people, care is rarely about a single visit to a single service. Even for common conditions someone may, for example, start with their GP, go to a hospital for tests and then be referred to a service in the community, such as physiotherapy. In other cases, someone may need to move from hospital to residential care, or get the support from a home care service after a spell in hospital. Individually, health and care services could be outstanding, but if they are not working well together they may be failing people who move between them or who are finding it difficult to access services.

Person-centred care

Many people who have complex care needs receive health and social care services from multiple providers and in different care settings, and as the population grows older, with more people with more complex needs, so the connections between health and care services become more important. Good care is care that is based on individuals' needs. It is care that seamlessly moves, for example, between GP, hospital, care home and back again. The goal of healthy ageing is unmistakable and benefits everyone equally in society. The care may be delivered by traditional services or by new models of care established to meet the nation's changing health and care demands.

These new models of care are signalled in a document that sets out a vision for the future of the NHS, NHS England's Five Year Forward View. Some are in place; some are in development; some are yet to be devised. Other national changes and initiatives are also putting a focus on integrated care.

Integration, pathways and place

We have started a programme of work to look at how well services work together, how the way we regulate could respond to new ways of providing care, and how we could assess the overall quality of care in an area. We call the programme 'integration, pathways and place', and it has three strands.

New models of care

NHS England's Five Year Forward View describes ways of breaking down the traditional divide between primary care, community services and hospitals.

Quality of care in a place

This series of reviews is helping us to understand how we can encourage improvement in local areas.

 

Looking at the quality of care pathways

This programme of thematic reviews looks at how well the 'system' delivers joined-up care for people under specific circumstances.

 

Last updated:
29 May 2017