Joined Up Thinking

I'm sure we all suspected it already, but a report this week from the Kings Fund Explaining variation in use of emergency hospital beds by patients over 65 gives us an explicit statement that areas where there are well developed integrated care services for older people have lower emergency hospital bed occupancy, and in areas where there are larger than average proportions of older people in the community, hospital bed occupancy by this demographic is lower. This is possibly because the development of integrated services is more advanced in these locales, having developed in response to the needs of the population. The corollary of this is that in areas of high bed occupancy tended to have overly long lengths of stay related to older people transitioning from hospital back to supported home or social care living. The wide spread introduction of more joined up services would reduce hospital costs considerably and one would hope improve the lives of service users.
In Swindon services for a different demographic group have also shown that inter-professional working can improve the efficacy of health and social services. A formal partnership between NHS Swindon and Swindon Borough Council to work with Participle, reduced the number of different contacts with outside agencies with families who participate, with integrated teams. The results have seen  increases in adults returning to work or training, children returning to school and  reduction in numbers of children on child protection plans, as participating families were supported in making changes. See Guardian 10 August for more information.