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Centre for Policy on Ageing | |
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Stranger danger! What's the real challenge in integration?
— a perspective from a housing association and care and nursing home provider | | Author(s) | Anne Thomas |
| Journal title | Journal of Integrated Care, vol 23, no 4, 2015 |
| Publisher | Emerald, 2015 |
| Pages | pp 194-205 |
| Source | www.emeraldgrouppublishing.com/jica/htm |
| Keywords | Housing Associations ; Nursing homes ; Commercial care ; Private enterprise ; Attitude ; Coordination ; Interaction [welfare services] ; Wales. |
| Annotation | The author illustrates the complexities involved in delivering seamless patient-centred care across organisational boundaries in Wales. There is particular focus on how working with an organisation outside the public sector challenges the ideology of those involved, thereby hindering progress. The article explores the challenges and solutions to delivering a service, and discusses the key components of success. It investigates the theory of partnership working, and balances the importance of the emotional investment and understanding with leadership and project management. The article examines the current "crisis" in the NHS, along with political statements, emphasising its importance, but failing to address the issues faced by workers and agencies in the "outside world". It considers the concept of the "other", to explain the struggle required to gain a place at the table in discussing integration and/or service improvement. It uses experience in negotiating between a reasonably large care and nursing home provider and public sector bodies in Wales, and considers the factors leading to a successful collaboration. The Social Services and Well-being (Wales) Act, 2014 makes it clear that integration is seen as a critical means to achieving better outcomes for people; and whilst not contesting that principle, the paper shows that integration is often limited in thinking and action to "public sector" integration. There have been few attempts to explore the role and function of care and nursing home providers in service improvement from the provider's perspective. It will challenge the practice of commissioning, that gives all the power to the commissioner and explores commissioners' accountability for their role in partnership work. It also offers hope for a different kind of relationship, based on mature conversations and mutual respect, along with a system of governance offering guarantees for sustainability. (RH). |
| Accession Number | CPA-151013200 A |
| Classmark | KKH: LHB: PI: W4D: DP: QAJ: QK6: 9 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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