This lecture will describe the interplay between policy and practice on integrated care in the English National Health Service (NHS) since 2000, including the influence of national patient lobby groups. It will examine the meaning of integration and use case studies to illustrate how selected English organisations have interpreted the concept and developed integrated services. Drawing on the case studies, it will illustrate recent innovations in some of the ‘essential ingredients’for integrated care (integrated IT and shared information, aligned incentives and new payment systems) and examine the extent to which current English policy is supporting or blocking the development of integrated care.
About Dr Rebecca Rosen
Dr Rosen is a Senior Fellow in Health Policy at the Nuffield Trust and a General Practitioner in Greenwich. She is also an accredited public health specialist. Her current policy interests include integrated care, primary care, new organisational models for general practice and NHS commissioning. Dr Rosen is a clinical commissioner in Greenwich Clinical Commissioning Group – where her lead areas are long-term conditions and quality. Within her GP practice, she leads work to improve continuity and quality of care for people with chronic complex ill health and to apply the principles of the chronic care model in a practice setting.