Integrated commissioning and structural integration: the experience of Northern Ireland

2016 ◽  
Vol 24 (2) ◽  
Author(s):  
Ann Marie Gray ◽  
Derek Birrell
Keyword(s):  
Great Britain ◽  
Northern Ireland ◽  
Integrated Care ◽  
Design Methodology ◽  
Social Care ◽  
Structural Integration ◽  
The United Kingdom ◽  
Health And Social Care ◽  
The Uk ◽  
Published Research

Purpose Across the UK integrated commissioning is seen as important to achieving integrated care. In Great Britain this has largely meant separate health and social care agencies coming together to assess need and the planning and delivery of services. Achieving integrated commissioning has proved difficult in the context of different funding systems and different organisational and professional values and cultures. Northern Ireland is the only part of the United Kingdom to have a system of total structural integration of all health and social care. The purpose of this paper is to examine the challenges of operationalising integrated commissioning in Great Britain and to assess whether the Northern Ireland model of structural integration has resolved such difficulties Design/methodology/approach The paper reviews how integrated commissioning is working through analysis of published research. The authors draw on policy documents to assess and evaluate the structure and process of integrated commissioning in Northern Ireland. Findings It is concluded that structural integration is not a pre-requisite for integrated care and that there may be risks to social care in moving toward structural integration. While there is a rhetorical commitment to integrated care across the UK this is not followed through in commissioning practice. Originality/value The paper presents an original assessment of the operation of integrated commissioning in Northern Ireland that has relevance for debates in Britain about the integration of health and social care.

Integrated care partnerships in Northern Ireland: added value or added bureaucracy?

2014 ◽  
Vol 22 (5/6) ◽  
pp. 197-207 ◽  
Author(s):  
Derek Birrell ◽  
Deirdre Heenan
Keyword(s):  
Northern Ireland ◽  
Integrated Care ◽  
Comparative Studies ◽  
Design Methodology ◽  
Social Care ◽  
Added Value ◽  
Content Type ◽  
Health And Social Care ◽  
Implementation Plans ◽  
Published Paper

Purpose – The purpose of this paper is to explore and assess the configuration, role and likely contribution of the new integrated care partnerships (ICPs) established in Northern Ireland. Design/methodology/approach – The approach is based on the assessment of policy background, strategy papers, implementation plans and initial activities of ICPs. Findings – ICPs have been created with limited powers and an unclear relationship with the existing system of structurally integrated health and social care. The initial priorities and activities of ICPs suggest a focus on integrating health which may impede the further integration of health and social care. Research limitations/implications – Paper concludes there is a need for robust evaluation including monitoring of progress, performance and outcomes. Originality/value – First published paper on implementation of ICPs in Northern Ireland. Contributing to comparative studies of structures of health and social care, with particular relevance to integration.

scholarly journals Service user and carers perspectives of joint and integrated working between health and social care

2014 ◽  
Vol 22 (2) ◽  
pp. 62-70 ◽  
Author(s):  
Ailsa Cameron ◽  
Lisa Bostock ◽  
Rachel Lart
Keyword(s):  
Mental Health ◽  
Design Methodology ◽  
Social Care ◽  
Mental Health Problems ◽  
Integrated Services ◽  
Content Type ◽  
Policy Debates ◽  
Health And Social Care ◽  
The Uk ◽  
The Impact

Purpose – The purpose of this paper is to provide an update to a review of the joint working literature in the field of health and social care for adults, with particular emphasis given to the experiences of users and carers. Design/methodology/approach – The aims of the literature review remained largely the same as those of the original, they were to identify: models of joint working, evidence of effectiveness and cost-effectiveness and the factors promoting or hindering the models. However, to reflect the growing interest in the experiences of users and carers a fourth aim was added to map these experiences. Given their prominence in terms of policy debates about integration, the review focused on jointly organised services for older people and people with mental health problems in the UK only. Findings – The review demonstrates tentative signs that some initiatives designed to join-up or integrate services can deliver outcomes desired by government. Importantly some studies that report the experiences of users of services and carers suggest that they perceive benefits from efforts to join-up or integrate services. However it is our contention that the evidence is less than compelling and does not justify the faith invested in the strategy by current or previous governments. Originality/value – The study updates our knowledge of the impact of joint working in the field of health and social care for adults. Importantly the paper highlights what is known about the experiences of users and carers of joint/integrated services.

Modernising the regulation of health and social care professionals: the Law Commissions’ final report and draft Bill

2014 ◽  
Vol 16 (6) ◽  
pp. 411-420
Author(s):  
Tim Spencer-Lane
Keyword(s):  
Design Methodology ◽  
Social Care ◽  
Legal Framework ◽  
Final Report ◽  
Content Type ◽  
Health And Social Care ◽  
The Law ◽  
Draft Bill ◽  
The Uk

Purpose – The purpose of this paper is to summarise the Law Commissions’ final report and draft Bill on the regulation of health and social care professionals. Design/methodology/approach – To summarise the key recommendations that are relevant to adult safeguarding. Findings – The final report concludes that new legislation is needed to govern the UK regulators of health and social care professionals. Originality/value – The paper sets out the recommended new legal framework.

scholarly journals Analysis of Data Use Registers published by health data custodians in the UK

2021 ◽  
Author(s):  
Nada Karrar ◽  
Shahriar Kabir Khan ◽  
Sinduja Manohar ◽  
Paola Quattroni ◽  
David Seymour ◽  
...  
Keyword(s):  
Social Care ◽  
Data Use ◽  
Service Evaluation ◽  
Health Data ◽  
The Public ◽  
The United Kingdom ◽  
Health And Social Care ◽  
Public Record ◽  
The Uk ◽  
Research Alliance

Transparency of how health and social care data is used by researchers is crucial to building public trust. We define 'data use registers' as a public record of data an organisation has shared with other individuals or organisations for the purpose of research, innovation and service evaluation, and are used by some data custodians across the United Kingdom to increase transparency of data use. They typically contain information about the type of data being shared, the purpose, date of approval and name of organisation or individual using (or receiving) the data. However, information published lacks standardisation across organisations. Registers do not yet have a consistent approach and are often incomplete, updated infrequently and not accessible to the public. In this paper, we present an empirical analysis of existing data use registers in the UK and investigate accessibility, content, format and frequency of updates across health data organisations. This analysis will inform future recommendations for a data use register standard that will be published by the UK Health Data Research Alliance.

scholarly journals Health and social care access for adults with learning disabilities across the UK during the COVID-19 pandemic in 2020

2021 ◽  
Vol 26 (3) ◽  
pp. 174-179
Author(s):  
Samantha Flynn ◽  
Chris Hatton
Keyword(s):  
Learning Disabilities ◽  
Northern Ireland ◽  
Social Care ◽  
Family Carers ◽  
Content Type ◽  
Care Services ◽  
Health And Social Care ◽  
Adults With Learning Disabilities ◽  
The Uk ◽  
The Impact

Purpose This paper aims to present data about access to health and social care services during the COVID-19 pandemic for adults with learning disabilities across England, Northern Ireland, Scotland and Wales. Design/methodology/approach Data were collected directly from 621 adults with learning disabilities and through separate proxy reports by family carers and paid support staff of another 378 adults with learning disabilities. The data were collected between December 2020 and February 2021 and concerned the use of health and social care services since the start of the first COVID-19 national lockdown in March 2020. Findings Access to and use of health and social care services significantly reduced for adults with learning disabilities across the UK during the COVID-19 pandemic between March 2020 and February 2021, with many people not receiving any services at all during that period. Similar patterns were seen across England, Northern Ireland, Scotland and Wales. However, data suggest some variations between countries for some services. Practical implications Future pandemic planning must ensure that access to these essential services is not completely lost for adults with learning disabilities and their family carers, as it was in some cases during the COVID-19 pandemic in 2020. Originality/value This is the largest study about the impact of the COVID-19 pandemic on health and social care services for adults with learning disabilities in the UK. The authors primarily collected data directly from adults with learning disabilities, and worked with partner organisations of people with learning disabilities throughout the study.

The ‘South’ as a Moving Target: Europe’s Debt to the Former Colonies

2020 ◽  
pp. 163-185
Author(s):  
Peter Wagner
Keyword(s):  
Climate Change ◽  
Great Britain ◽  
Northern Ireland ◽  
Formal Concept ◽  
Moving Target ◽  
The European Union ◽  
The South ◽  
The United Kingdom ◽  
British Commonwealth ◽  
The Uk

Ireland is not normally conceived as being located south of the neighbouring Great Britain, nor of Europe, but this chapter suggests that it could be. Towards that end, the dispute over the withdrawal of the United Kingdom of Great Britain and Northern Ireland from the European Union is briefly discussed in light of the difficulties of separating political entities in our time of high global interconnectedness. Subsequently, the UK-EU dispute is compared to the separation of Algeria from France and the exit of South Africa from the British Commonwealth, opening the path towards pluralizing the notion of the “South”. Such pluralization allows the investigation of historically formed asymmetric relations between societies beyond the formal concept of colonialism. Against this background, the transformation of the relation between EU countries and their former colonies from the 1970s onwards is analyzed in terms of attempts to re-regulate the relation between Europe and its South after decolonization. These attempts aim at drawing clear lines of separation, but they keep failing because the South reveals itself as a moving target, impossible to confine to a restricted space. Thus, in conclusion, current Northward migration and climate change are discussed in terms of global social and ecological injustice the significance of which Europe cannot deny.

‘Positive direct rule’: economic policy

No Solution ◽  
2016 ◽  
Author(s):  
S.C. Aveyard
Keyword(s):  
Economic Policy ◽  
United Kingdom ◽  
Great Britain ◽  
Public Sector ◽  
Northern Ireland ◽  
Labour Government ◽  
The Public ◽  
The United Kingdom ◽  
The Uk ◽  
Positive Direct

This chapter looks at economic policy in Northern Ireland in the context of severe economic difficulties experienced by the UK as a whole. It shows how the Labour government sought to shield Northern Ireland from economic realities because of the conflict, increasing public expenditure and desperately seeking industrial investment. The level of desperation in this endeavour is illustrated through examples such as Harland & Wolff’s shipyards and the DeLorean Motor Company. The experience of the 1970s, and particularly under the Labour government, set the pattern for the following decades with a steadily increasing subvention from the rest of the United Kingdom and a growing dependence on the public sector, all at a time when the opposite trend took place in Great Britain.

scholarly journals A summary of recent constitutional reform in the United Kingdom

2005 ◽  
Vol 33 (1) ◽  
pp. 71-102
Author(s):  
Lesley Dingle ◽  
Bradley Miller
Keyword(s):  
United Kingdom ◽  
Great Britain ◽  
Northern Ireland ◽  
International Relations ◽  
Legal Systems ◽  
The European Union ◽  
The United Kingdom ◽  
House Of Lords ◽  
The Uk ◽  
Court Of Appeal

The United Kingdom of Great Britain and Northern Ireland consists of four countries: England, Northern Ireland, Scotland and Wales. Legislative competence for the UK resides in the Westminster Parliament, but there are three legal systems (England and Wales, Northern Ireland, and Scotland) with separate courts and legal professions. These legal systems have a unified final court of appeal in the House of Lords. The Isle of Man, and the two Channel Islands (Guernsey and Jersey) are not part of the UK, but possessions of the crown. Although their citizens are subject to the British Nationality Act 1981, the islands have their own legal systems. They are represented by the UK government for the purposes of international relations, but are not formal members of the European Union.

scholarly journals Equality and Devolution in the United Kingdom: A Story in Three Acts and a Sequel

2021 ◽  
pp. 1-15
Author(s):  
Paula Devine ◽  
Grace Kelly ◽  
Martina McAuley
Keyword(s):  
United Kingdom ◽  
Great Britain ◽  
Northern Ireland ◽  
Peace Agreement ◽  
Good Friday ◽  
Left Behind ◽  
The Past ◽  
The United Kingdom ◽  
The Uk ◽  
The Way

Within the United Kingdom (UK), many of the arguments driving devolution and Brexit focused on equality. This article assesses how notions of equality have been shaped over the past two decades. Using a chronology of theoretical, political and public interpretations of equality between 1998 and 2018, the article highlights the shifting positions of Northern Ireland (NI) and the rest of the UK. NI once led the way in relation to equality legislation, and equality was the cornerstone of the Good Friday/Belfast peace agreement. However, the Equality Act 2010 in Great Britain meant that NI was left behind. The nature of future UK/EU relationships and how these might influence the direction and extent of the equality debate in the UK is unclear. While this article focuses on the UK, the questions that it raises have global application, due to the international influences on equality discourse and legislation.

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