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Two nations, one ambition
Avanti Academy / Communities and systems / Leading Health and Social Care Integration / Bitesize
Bitesize

Two nations, one ambition

Integration in Wales and England.

Level
Bitesize
Learning time
2 hours
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

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Certificate of Completion

About this course

Overview and Outcomes.

Overview

Integration is a means, not an end, and this module helps you ask what it is for before you reach for a structure. It works through Walter Leutz's three levels of integration, the rainbow model from Pim Valentijn and colleagues, the Welsh what matters conversation and England's NHS vanguard sites. It reads the evidence honestly and draws on Huxham and Vangen to explain why collaboration is hard. Regional Partnership Boards carry real money and real expectations in Wales, at a moment of transition. This module explains why integration is planned by region, how a Welsh health board both plans and delivers care, and what Part 9 of the Social Services and Well-being (Wales) Act 2014 asks of the seven boards. It traces A Healthier Wales and hears what third sector leaders told the boards in 2017. In England the map keeps moving, and the people and footprints you work with are changing before the law is settled. This module sets out integrated care systems, boards and partnerships under the Health and Care Act 2022, the plan to abolish NHS England, board mergers and the Health Bill, and the three shifts of the 10 Year Health Plan. It argues for planning around functions rather than organisations.

What you'll develop

In this Bitesize, you will develop the ability to:

  1. 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.
  2. Assess what the evidence says integration reliably delivers, and set out an honest case that does not promise quick cuts in admissions or cost.
  3. Identify the human and structural reasons collaboration between health and social care is hard, using Huxham and Vangen's four themes and the fault lines in law, charging, accountability, regulation and records.
  4. Explain why Wales plans integration by region and how the Welsh model, in which health boards both plan and deliver care, shapes partnership and accountability.
  5. Outline the five principles of the 2014 Act and the Part 9 duties of Regional Partnership Boards, from membership and planning to pooled funds and engagement.
  6. Assess whether a partnership board genuinely shapes decisions or simply approves papers, drawing on A Healthier Wales and the third sector voices of the 2017 Think Piece.
  7. 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.
  8. Outline the 2025 to 2026 reforms, from the abolition of NHS England and board mergers to the Health Bill and the 10 Year Health Plan, distinguishing what is proposed from what is law.
What it covers

The Modules.

2 hours of learning.

  1. 01Foundations: What Integration Is, and Why It Is HardIntegration is a means, not an end, and this module helps you ask what it is for before you reach for a structure. It works through Walter Leutz's three levels of integration, the rainbow model from Pim Valentijn and colleagues, the Welsh what matters conversation and England's NHS vanguard sites. It reads the evidence honestly and draws on Huxham and Vangen to explain why collaboration is hard.39 min
  2. 02Wales: Regional Partnership Boards, Pooled Funds and A Healthier WalesRegional Partnership Boards carry real money and real expectations in Wales, at a moment of transition. This module explains why integration is planned by region, how a Welsh health board both plans and delivers care, and what Part 9 of the Social Services and Well-being (Wales) Act 2014 asks of the seven boards. It traces A Healthier Wales and hears what third sector leaders told the boards in 2017.39 min
  3. 03England: Integrated Care Systems and the 2025 to 2026 ReformsIn England the map keeps moving, and the people and footprints you work with are changing before the law is settled. This module sets out integrated care systems, boards and partnerships under the Health and Care Act 2022, the plan to abolish NHS England, board mergers and the Health Bill, and the three shifts of the 10 Year Health Plan. It argues for planning around functions rather than organisations.39 min
Where it fits

Keep going.

Part of the Leading Health and Social Care Integration topic, also sold whole as One system, one person.

How credit works

Go deeper, and pay only the difference

  1. You are hereBitesize, 2 hours, £39
  2. Next stepFocus, The integration landscape, 3 hours, £69. Already own the Bitesize? You pay £30.
  3. 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

Other Bitesize in the Leading Health and Social Care Integration topic

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