G505 Vertical integration in NHS paediatric care: a qualitative exploration of barriers and enablers

Maile, E L; Machen, Samantha; D’Lima, Danielle; Black, Georgia

doi:10.1136/archdischild-2020-rcpch.430

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14 Moreover, some paediatricians have reported reservations about community working, due to loss of 'prestige' of being in a hospital, as well as more practical misgivings about a 'lack of specialist equipment and facilities' in the community and the risk involved with community care. 26,46 In contrast, others preferred the 'more peaceful' environment of community clinics. 26 The third is about the human and financial resources needed to initiate and sustain integrated services.…”

Section: Lessons From the Pastmentioning

confidence: 99%

“…51 The fifth lesson is that effective integration depends on strong relationships and trust between professional groups. 15,46 For example, case studies of integration of community children's nurses with urgent care found that success was predicated on trust between professionals. 52 Strong professional relationships encompass both formal interactions and informal contact, such as ad hoc communication via telephone or email, with both supporting integration.…”

Section: Lessons From the Pastmentioning

confidence: 99%

See 1 more Smart Citation

Back to the future? Lessons from the history of integrated child health services in England

Maile

Singh²,

Black

et al. 2022

Future Healthcare Journal

View full text Add to dashboard Cite

The UK has a long history of attempts to integrate child health services to improve outcomes, an ambition renewed in the recent The NHS Long Term Plan. It's therefore timely to review the history of integration to inform future initiatives. Key milestones include the Platt report (1959), Court report (1976), Sure Start (1999), National service framework (2004) and Facing the future report (2015). These stand against a backdrop of national NHS policy changes, with a myriad of local integration initiatives and research efforts in parallel. We suggest lessons for future integration initiatives: integration may support the quadruple aim; integration depends on addressing divides between primary and secondary care; workforce and funding challenges need to be resolved before integration can thrive; high-quality research and evaluation of integrated interventions is required; strong relationships between professional groups are key to integration; and integration can help address health inequalities.

show abstract