Relationships over structures
Leading integration, with case studies.
- Level
- Bitesize
- Learning time
- 1 hour 15 minutes
- Where
- Leading Health and Social Care Integration
- Price
- £39
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
Overview and Outcomes.
Overview
Structures can open the door to integrated care, but only people working with trust and shared purpose can walk through it. This module draws on Huxham and Vangen's collaborative advantage and inertia, compares leading through structure with leading through relationship, and reads the Greater Manchester devolution evaluation. It explores leading at place, inviting the third sector early, cross-border learning and what integration asks of leaders in each role. This capstone reads three very different cases through the key ideas of integration, keeping one person at the centre throughout. Torbay shows what designing for Mrs Smith rather than the organogram can achieve; the Regional Integration Fund, read through Audit Wales's 2026 review, shows why time-limited funds need a lasting plan; and Gwent, the first Marmot region in Wales, shows systems leadership on the wider determinants of health.
What you'll develop
In this Bitesize, you will develop the ability to:
- Explain why relationships are the infrastructure of integration, using Huxham and Vangen's distinction between collaborative advantage and collaborative inertia.
- Compare leading through structure with leading through relationship, and judge what a structural change such as Greater Manchester devolution can and cannot deliver.
- Plan how you will lead at place and from the person's journey, including inviting the third sector before the plan is written and acting on what your role asks of you.
- 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.
- Judge what a time-limited fund needs to leave a lasting legacy, and apply the design for Mrs Smith approach to a service or decision of your own.
- Use the six-move loop of leading integration to find what your partnership has neglected, and plan one change from following a single person's journey.
The Modules.
1 hour 15 minutes of learning.
- 08Leading Integration: Relationships over StructuresStructures can open the door to integrated care, but only people working with trust and shared purpose can walk through it. This module draws on Huxham and Vangen's collaborative advantage and inertia, compares leading through structure with leading through relationship, and reads the Greater Manchester devolution evaluation. It explores leading at place, inviting the third sector early, cross-border learning and what integration asks of leaders in each role.38 min
- 09Applied Case Studies: CapstoneThis capstone reads three very different cases through the key ideas of integration, keeping one person at the centre throughout. Torbay shows what designing for Mrs Smith rather than the organogram can achieve; the Regional Integration Fund, read through Audit Wales's 2026 review, shows why time-limited funds need a lasting plan; and Gwent, the first Marmot region in Wales, shows systems leadership on the wider determinants of health.42 min
Keep going.
Part of the Leading Health and Social Care Integration topic, also sold whole as One system, one person.
Go deeper, and pay only the difference
- You are hereBitesize, 1 hour 15 minutes, £39
- Next stepFocus, Making integration real, 2 hours 30 minutes, £69. Already own the Bitesize? You pay £30.
- The whole topicExplore, One system, one person, 6 hours, £129. Already own the Bitesize? You pay £90.
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. Prices per person. Read the full terms
Also part of: Health, care and home, Health and care, joined up, Joining up care