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The vanguard of integration or a lost tribe? Care trusts ten years on

By Robin Miller, Helen Dickinson and Jon Glasby

Abstract

In the year 2000 the option of a single organisation leading on the commissioning and/or delivery of health and social care services was proposed in England in the form of care trusts. Overall the lesson from care trusts appears to be that structure can provide additional benefits but only if there is a history of joint working and trust, a clear vision and the active engagement of prospective users, local community and staff. Furthermore their experiences underline that the historic differences and tensions between health and social care remain, and that integrating with one service can lead to a greater distance from another. These are important lessons for Health & Well-being Boards to build on as the English system moves to the new world of GP led commissioning, a national public health organisation and community services being delivered by a range of organisational forms

Topics: HV Social pathology. Social and public welfare
Publisher: University of Birmingham, Health Services Management Centre
Year: 2011
OAI identifier: oai:epapers.bham.ac.uk:763
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    Citations

    1. (2002). Care trusts: background briefing. Available online via www.dh.gov.uk Department of Health
    2. (2005). Changing organisations: a study of the context and processes of mergers of health care providers in England.
    3. (2006). Creation of a care trust: managing the project.
    4. (2004). Culture’ in partnerships - what do we mean by it and what can we do about it? Leeds: Integrated Care Network.
    5. (1999). Five laws for integrating medical and social services:lessons from the United Stated and the United Kingdom.
    6. Health (2010a) Transforming community services: the assurance and approvals process for PCT-provided community services. London: Stationery Office.
    7. (2006). Health (2010b) Plans in place to transform community services. Available online via www.dh.gov.uk
    8. (2000). Hutton sets the pace but can workers keep it up?
    9. (2008). Individual budgets and the interface with health: a discussion paper. Birmingham: HSMC/Care Services Improvement Partnership
    10. (2003). Integrating health and social care and making it work.
    11. (2005). Joined-up solutions to joined-up problems? Alternatives to care trusts.
    12. (2003). Mergers and acquisitions in the private sector: what are the lessons for health and social services? Social Policy and
    13. (2009). Only connect – policy options for integrating health & social care. London: Nuffield Trust
    14. (2007). Opportunity seized or missed? A case study of leadership and organisational change in the creation of a care trust.
    15. (2009). Partnership working and organisational culture. In J.Glasby and H.Dickinson (Eds) International perspectives on health and social care: partnership working in action.
    16. (2002). Process and impact of mergers of NHS trusts: multicentre case study and management cost analysis.
    17. (2003). Public-private partnerships in healthcare: the manager’s perspective.
    18. Secretary of State for Health (2010a) Equity and excellence: Liberating the NHS. London: Stationery Office.
    19. Secretary of State for Health (2010b) Health lives, healthy people. London: Stationery Office.
    20. (2009). The economics of integrated care. In J.Glasby and H.Dickinson (Eds) International perspectives on health and social care: partnership working in action.
    21. (2008). The evidence base for integrated care. London: Department of Health.
    22. (2000). The NHS Plan: A Plan for Investment, A Plan for Reform. London: Stationery Office.
    23. (2010). The triumph of hope over experience: lessons from the history of reorganisation.

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