A clear vision, over the longer term, for achieving better health and wellbeing for all, alongside integrated activity, for which leadership can be held to account by citizens. Alongside a clear vision there is a shared commitment to improving local people's health and wellbeing using approaches which focus on what is the best outcome for citizens and communities.
Frequently asked questions
What are key characteristics of a place with a clear vision and shared commitment?
- working together to align priorities and responsibilities, including overcoming cultural and performance challenges to establish a common language and set of objectives
- exploring the many ways to integrate health and care to find the models and approaches which best meet local needs and aspirations
- developing a system which works cohesively, with individual services that are high-quality and safe, and is sustainable in terms of services, markets and workforce
- moving away from a focus on episodic care and treating ill health towards an emphasis on independence, wellbeing and holistic care for everyone
- understanding the needs and wishes of citizens, including the resources they and those around them can contribute to their own health and wellbeing
- bringing together all the assets in a place to stimulate and support individuals, families and communities to be more able to lead happy, safe, independent and fulfilled lives.
Case studies and examples
- NHS Providers: Birmingham Community Healthcare NHS Trust: Healthy villages and the complete care model: Complete Care is a new model of delivering integrated services for older adults, and is part of the wider Healthy Villages programme
- The King's Fund: Integrating health and social care in Torbay: Improving care for Mrs Smith shows how integration evolved from small-scale beginnings to system-wide change
- NHS Clinical Commissioners: delivering a healthier future: How CCGs are leading the way on prevention and early diagnosis: ‘Addressing preventable early deaths in Brighton and Hove' case study, p8, showing how a CCG brought together all the players in their local areas to drill down to what populations want and need – and how it can be achieved.
LGA support and resources
- Stepping up to the place: integration self- assessment tool modules A and B of the tool are focused on essential questions to assess the level of shared vision and commitment in a place, whilst in module looks at setting out a clear vision to support programme management
- The journey to integration: Learning from seven leading localities leadership section, p51 -54, shows that development and ownership of a vision is critical across the area, and strong leadership across the area's organisations is essential to maintain focus and mitigate against the risk of change in leadership and loss of momentum
- Health and Wellbeing Systems Improvement offer provides training, mentoring, bespoke support and resources for health and wellbeing boards and their leaders
brings together learning, from research and from practice in places around the country, about leadership, at both organisational and systems levels.
Selected tools and resources from our partners
- The King's Fund: Population health systems: Going beyond integration care aims to challenge those involved in integrated care and public health to ‘join up the dots', seeing integrated care as part of a broader shift away from fragmentation towards an approach focused on improving population health
- The King's Fund: Place-based systems of care proposes that organisations need to establish place-based ‘systems of care' in which they collaborate with others to address the challenges and improve the health of the populations they serve
- The Leadership Centre: The Art of Change Making models, approaches and tools used successfully by leaders to enable change.