National resources, briefings and publications, and support including High Impact Change Models and case studies
Resources:
- National resources
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System Leadership and ICS Development
NHS England Building strong integrated care systems everywhere (PDF) – NHS England and Improvement’s (NHSEI) “Building strong integrated care systems everywhere; ICS implementation guidance on effective clinical and care professional leadership”
Guidance on Integrated Care Partnership (ICP) engagement – This guidance sets out The Department of Health and Social Care (DHSC), NHS England and the LGA’s expectations for the role of Integrated Care Partnerships (ICPs) within Integrated Care Systems.
NHS England Integrating Care – An NHSEI document which opens up a discussion with the NHS and its partners about how ICSs could be embedded in legislation or guidance.
Health and Wellbeing Boards, and Place
Thriving Places (PDF) – LGA and NHSEI: “Thriving places: Guidance on the development of place-based partnerships as part of statutory integrated care systems”
Logic model for integrated care – A logic model for integrated care produced by Social Care Institute for Excellence (SCIE) which describes what good looks like, providing a visual depiction of how a fully integrated health and care system might be structured and function, and the outcomes and benefits it should deliver for those who use services and their carers.
Delivering integrated care: Role of the multidisciplinary team – Guidance by SCIE on the importance of Multidisciplinary teams (MDTs) in Integrated Care.
Hospital Discharge
UEC Recovery 10 Point Action Plan – Implementation guide – This ten-point action plan from NHS England demonstrates how the whole system will work together to recovery of urgent and emergency services, focusing on the immediate and medium-term actions we can take collectively.
Hospital discharge and community support: policy and operating model – DHSC guidance which sets out how health and care systems should support the safe and timely discharge of people who no longer need to stay in hospital.
Community Care and Admission Avoidance
NHS England ICS implementation guidance on partnerships with the voluntary, community and social enterprise sector (PDF) – Guidance for health and care leaders from all organisations in ICSs that are developing partnerships across local government, health, housing, social care and the voluntary, community and social enterprise (VCSE) sector.
Community health and care discharge and crisis care model: an investment in reablement – An LGA and ADASS publication which sets out the view that the approach – which more appropriately should be called ‘discharge to support recovery and then assess’ – is a key component of a person-centred community health and care model.
Better Care Fund
NHS England: Better Care Fund – NHS England’s Better Care Fund programme home page.
Regional Better Care leads – A list of regional Better Care leads, managers and a breakdown of regions.
- Briefings and publications
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System Leadership and ICS Development
Shifting the centre of gravity: making place-based, person-centred health and care a reality – A joint report by the LGA, ADASS, the Association of Directors of Public Health, the NHS Clinical Commissioners, the NHS Confederation and NHS Providers showing what can be achieved by system leaders and staff from local government, the NHS, the voluntary, community and social enterprise sector, and service user and carer groups working together to improve health and deliver person-centred care.
Six principles to achieve integrated care – The six principles that underpin our joint approach to integration outlined in Shifting the centre of gravity: making place-based, person-centred health and care a reality.
Achieving integrated care – A practice resource produced by LGA and the Social Care Institute for Excellence that supports local systems in fulfilling their ambition of integration.
Localising decision making: a guide to support effective working across neighbourhood, place and system – A guide produced by the LGA and NHS Clinical Commissioners (NHSCC) to provide key prompts and actions for local leaders to promote strong localised decision making across health and local government.
Integrating care: Next steps to building strong and effective integrated care systems – An LGA briefing which summarises the proposals of relevance to local government in the NHS consultation document and highlights the initial key messages, questions and concerns of the LGA.
Stepping up to the place – A joint report by the LGA, Association of Directors of Adult Social Services, NHS Clinical Commissioners and NHS Confederation on the key to successful health and care integration.
Health and Wellbeing Boards, and Place
Health and wellbeing systems – The LGA’s summary of Health and Wellbeing Boards
What a difference a place makes: the growing impact of health and wellbeing boards – An LGA report which captures the achievements, challenges and learning from 22 effective health and wellbeing boards (HWBs) across the country
Hospital discharge
Top tips for implementing a collaborative commissioning approach to Home First
These top tips seek to enable health and care systems to identify what they need to commission to enable people to remain living independently at home, avoiding unnecessary admissions to hospital and enabling a safe and timely discharge home after a hospital stay.Emerging Practice Guide: implementing the single coordinator – This emerging practice guide provides a range of practical advice, ideas and learning from those in the role, to help systems establish and support the single coordinator role to operate successfully.
Home First / discharge to assess – A summary of what works and how to overcome the challenges of the Home First/ Discharge to Assess model including links to national guidance and examples of local initiatives.
Developing a capacity and demand model for out of hospital care – A report from Professor John Bolton which shares the learning and developments that took place in seven health and care communities between July 2020 and June 2021 to improve their local arrangements on hospital discharge with a focus on the needs of older people.
Implementing a Home First approach to discharge from hospital – LGA and ADASS have produced a short ‘top tips’ guide to safe, timely and appropriate discharge from hospital.
People first, manage what matters... – A report published by Newton Europe - commissioned by the Better Care Support Programme - highlights the challenges health and social care systems are facing to sustainably reduce delayed discharges, and the impact this is having on people’s lives, as well as system finances.
Community Care and Admission Avoidance
Community health and care discharge and crisis care model: an investment in reablement – An LGA and ADASS publication which sets out the view that the approach – which more appropriately should be called ‘discharge to support recovery and then assess’ – is a key component of a person-centred community health and care model.
Better Care Fund
- Support including High Impact Change Models and case studies
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General
Introduction to the relational audit – a short video introduction to the relational audit – a unique tool used to measure the quality of relationships, behaviours and culture across a system and which can cross traditional organisational boundaries
Reviews, evaluation and progress checks – an explanation of how the LGA undertakes peer reviews
What is sector-led improvement? – an explanation of the LGA’s sector led improvement approach
System Leadership and ICS Development
Leadership development – A summary of the LGA’s health and care political and clinical leadership offer
COVID- 19 good practice case study: Gateshead’s collective leadership approach – A case study summarising how Gateshead has used their using their collective system leadership approach and their reflections on what they want to keep and build on.
Health and Wellbeing Boards, and Place
Leading Healthier Places 2021/22 - Support for care and health leaders – A summary of the range of leadership development events, workshops and publications the LGA offers which will help you transform your local systems.
Adult social care lead member development – A summary of the LGA’s development support offer for lead members
Hospital Discharge
Implementing the Home First Discharge Policy – What you can do now and in the next six months to improve patient flow, care and support after discharge and reduce unnecessary admissions.
Reducing preventable admissions to hospital and long-term care – A High Impact Change Model – An LGA tool which aims to support local care, health, and wellbeing partners to work together to prevent, delay or divert the need for acute hospital or long-term bed-based care.
Managing transfers of care – A High Impact Change Model – An LGA tool which promotes a new approach to system resilience, moving away from a focus solely on winter pressures to a year-round approach to support timely hospital discharge.
Managing transfers of care: frequently asked questions –
COVID-19 good practice case study: Leicester City – A case study summarising how Leicester City developed its discharge pathways and established a discharge coordination hub supported by the Urgent Community Response and [email protected] services, and enhanced its intelligence and insight to help it manage its response.
COVID-19 good practice case study: Discharge to assess in Warwickshire – A case study summarising how Warwickshire has maintained, and strengthened, its ‘discharge to assess’ model through the COVID-19 period by remaining aligned to its core principle of maintaining a person centred Home First approach.
Bath: Home First/D2A – A case study summarising how Bath commissioned CURO to provide a Step down service for adults discharged from hospital with no ongoing medical need to remain in hospital, but who are unable to return home immediately.
Community Care and Admission Avoidance
Achieving integrated care through community and neighbourhood working – A High Impact Change Model – An LGA resource which focuses on how health and care partners can work differently with communities to build individual and community resilience and improve health and wellbeing.
Emerging practice guide: implementing the single coordinator role – This emerging practice guide provides a range of practical advice, ideas and learning from those in the single coordinator role, to help systems establish and support the role to operate successfully.
Reactive Emergency Assessment Community Team - Creating a fully integrated admission avoidance hub for Ipswich and East Suffolk – A case study summarising how Ipswich and East Suffolk’s Reactive Emergency Assessment Community Team (REACT) was created to integrate existing admission avoidance services and stop crisis admissions.
Better Care Fund
Winter preparedness including discharge to assess implementation – Information about a joint offer with the Better Care Fund Team and the Emergency Care Improvement Support Team to support councils and NHS partners prepare and deliver winter plans
Care and health improvement
The care and health improvement programme provides support for social care, integration and health.
System transformation and integration
Integrated care has developed significantly since the implementation of the Better Care Fund in 2013 which required the NHS and local government to create a local single pooled budget.