Centre for Policy on Ageing
 

 

New conversations between old players?
 — The relationship between general practice and social care
Author(s)Jon Glasby, Robin Miller
Journal titleJournal of Integrated Care, vol 23, no 2, 2015
PublisherEmerald, 2015
Pagespp 42-52
Sourcewww.emeraldinsight.com/jica.htm
KeywordsGeneral practice ; Social work ; Doctors ; Social workers ; Interaction [welfare services] ; Coordination ; Literature reviews.
AnnotationGeneral practice and adult social care have had to overcome various challenges to forge strategic relationships since GPs have taken over the lead role in commissioning local NHS services through Clinical Commissioning Groups (CCGs). Researchers at the University of Birmingham's Health Services Management Centre conducted this scoping review of evidence on joint working, which highlighted some key issues to be resolved, including the practical difficulties of engaging GPs in inter-agency collaborations; a lack of mutual understanding; different priorities and geographical boundaries; and turbulent policy contexts in both sectors. This review looked at evidence on `integrated working', at practice or operational team levels in relation to individuals and their families, and `partnership working', at organisational or strategic levels in relation to the needs of populations or sub-groups of populations. In the context of integrated working, the research suggested that GPs and social workers often do not understand the other profession's unique role, responsibilities and perspectives. In order for the key players to engage with each other, formal (e.g. shared forums) and informal (e.g. networking) opportunities are required. The report included an examination of the key terms (primary care, adult social care, integration and partnership); what was known from previous research; key themes from the literature and from interviews; and implications for policy, practice and research. The review identified nine empirical studies, none of which contained much information about costs and savings. There was still insufficient evidence to know what impact joint working might have on future spending. The interviews identified that recent changes have created opportunities for new relationships, but that progress may be difficult in a very complex policy environment. It is suggested that more opportunities need to be given for GPs and social workers to understand their respective roles and professional perspectives, in order to develop a reciprocal acceptance of their differing practice, financial and performance contexts. (JL).
Accession NumberCPA-150522268 A
ClassmarkL5: IG: QT2: QR: QK6: QAJ: 64A

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