Joining up care
Leading health and social care integration across systems.
A day on joining up care: what integration is for, Wales and England compared, systems thinking and mapping, pooled money, workforce, care closer to home, accountability, partnership and relationships over structures.
- Level
- Immerse
- Learning time
- 12 hours
- Where
- Communities and systems
- Price
- £249
When you step up to a higher level, what you paid in the last 12 months for lower-level courses inside the bigger course comes off its price, in proportion to how much of each is inside it, whichever topic it's from. Courses at the same or a lower level don't give credit against each other. A Focus course or above always costs at least £15. Read the full terms
Certificate of Completion, or Certificate of Completion and Assessment with a short assessment
Overview and Outcomes.
Who It's For
Leaders across councils, the NHS, social care and the third sector
Overview
Integration is a means, not an end, and the shift from hospital to home succeeds or fails at the boundaries between organisations. This day begins with Walter Leutz's three levels and the rainbow model, then sets out Regional Partnership Boards in Wales, integrated care systems in England, the Senedd and the NHS in England. Systems thinking follows, from Donella Meadows to Peter Checkland's Soft Systems Methodology, before the practical heart of integration: pooled budgets, workforce and culture, care closer to home and accountability. It closes with Welsh law as a systems framework, place in England, partnership working, relational leadership and a capstone on Torbay, the Regional Integration Fund and Gwent.
Aims
The overall aim is to develop leaders who ask what integration is for before choosing a structure, plan around functions while the map keeps moving, test pooled funds and joint workforce plans with the right questions, and lead across boundaries through trust, designing around the person rather than the organogram.
In summary, you will be able to:
- Explain why integration is a means rather than an end, and compare the Welsh and English models of planning and delivering care.
- Assess a pooled fund's purpose, governance, risk sharing, evidence and exit plan, including the oversight duties of statutory members.
- Plan how you will lead at place from one person's journey, using relational leadership and the lessons of Torbay and Gwent.
What you'll develop
By the end of this Immerse, you will be able to:
- Explain why integration is a means rather than an end, and use Leutz's three levels and the rainbow model to judge how much integration a group of people needs and where it has to happen.
- Describe how an integrated care system works under the Health and Care Act 2022, including the distinct roles of integrated care boards, integrated care partnerships and health and wellbeing boards.
- Explain what a system is, using elements, interconnections, purpose and boundary, and distinguish tame problems from wicked ones.
- Distinguish rich pictures, causal loop diagrams and actor maps and choose the right one for the stage a group has reached.
- Set out the five steps of a good hospital discharge and explain why discharge is a shared regional responsibility rather than a hospital problem.
- Explain how the five ways of working in the Well-being of Future Generations Act map onto systems ideas such as delays, the fundamental solution and boundary critique.
- Explain why every partnership is contested space and use four practical moves to bring negotiated goals, unequal power, working assumptions and competing accountabilities into the open.
- Analyse Torbay, the Regional Integration Fund and Gwent through the themes of integration, identifying what each case shares and what it took, over years, to change things for people.
Built from 8 parts.
12 hours of learning.
- 01Two nations, one ambitionIntegration in Wales and EnglandBitesize · Leading Health and Social Care Integration3 modules
- 02Wales and the NHSThe Senedd and the NHS in EnglandBitesize · The Public Sector2 modules
- 03Seeing the wholeSystems thinking and system mappingBitesize · Systems Leadership3 modules
- 04Money and peoplePooled budgets and workforce across boundariesBitesize · Leading Health and Social Care Integration2 modules
- 05Closer to home, clear on accountabilityCare closer to home, data and governanceBitesize · Leading Health and Social Care Integration2 modules
- 06Where law and place meetWelsh law, integrated care and devolutionBitesize · Systems Leadership2 modules
- 07Better togetherPartnership working and collaborative leadershipBitesize · Working with Communities and Partnerships2 modules
- 08Relationships over structuresLeading integration, with case studiesBitesize · Leading Health and Social Care Integration2 modules