‘Trying to do a jigsaw without the picture on the box’: understanding the challenges of care integration in the context of single assessment for older people in England

Wilson, R. G.; Baines, Susan; Cornford, James; Martin, Mike

doi:10.5334/ijic.186

Cited by 14 publications

(14 citation statements)

References 32 publications

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“…By focusing upon interactions in the workplace, it supports the recognition of the technology's material properties, as well as human agency, as a factor in the enactment of e‐government. The notion of ‘seamless’ care enabled by technology could be seen then as an over‐structuring and over‐integration of policy, practice, and technical resources aimed at creating the solution of the ‘full picture’ (Wilson et al. , 2007; Wilson and Baines, 2009).…”

Section: Discussionmentioning

confidence: 99%

Seeing the full picture? Technologically enabled multi-agency working in health and social care

Baines

Wilson

Walsh

2010

New Technology, Work and Employment

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The implementation of local e-government in England touched all public services and affected front-line workers across local authorities and partner agencies. Professional 'cultures' are invoked rhetorically as barriers to the translation of this policy into practice. We propose that the concept of 'streetlevel bureaucrats' offers a more nuanced and grounded framework to think about local responses to centrally driven change.

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Section: Discussionmentioning

confidence: 99%

Seeing the full picture? Technologically enabled multi-agency working in health and social care

Baines

Wilson

Walsh

2010

New Technology, Work and Employment

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“…English studies analysing the normalization of IHTs in usual care have shown that various technologies often fail because they did not acknowledge the ways health deliverers usually get their work done or how they understand the work they are doing [25,36,39,44,47,71,72]. These studies highlighted that in order to become workable, professionals' identities, situated knowledge, local routines, practices, and infrastructures must be acknowledged.…”

Section: Discussionmentioning

confidence: 96%

Managing Health(-Care Systems) Using Information Health Technologies

Mathar

2010

Health Care Anal

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This study aims to compare and contrast how specific information health technologies (IHTs) have been debated, how they have proliferated, and what they have enabled in Germany’s and England’s healthcare systems. For this a discourse analysis was undertaken that specifically focussed on future-scenarios articulated in policy documents and strategy papers released by relevant actors from both healthcare systems. The study reveals that the way IHTs have been debated and how they have proliferated depends on country-specific regulatory structures, their respective values, actors’ and institutions’ organized interests, and the status of health professionals. These conditions have enabled IHTs to promote a new and similar concept of patienthood in both countries, although they tend to affect practitioners’ practices more dramatically in England. The conclusion is drawn that with the usage of IHTs, healthcare systems reproduced existing patterns of health provision while also enabling a sort of convergence. Future research should investigate whether the new concept of patienthood emerging in both welfare states actually suits patients and professionals needs and requirements.

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“…'prototypes' or 'probes' is commonly used in market research and increasingly in social research (Gaver 2004, Jenkings andWilson 2007). Each workshop was designed for a different set of stakeholders involved in directory production.…”

Section: Policy Context: Joined-up Services and Provider Diversitymentioning

confidence: 99%

‘You're Just Treating Us as Informants!’ Roles, Responsibilities and Relationships in the Production of Children's Services Directories

Walsh

Wilson

Baines

et al. 2012

Local Government Studies

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Local authorities in England are required to make directories of services available to practitioners working with children and young people. This is against a background of continuing reforms intended to ensure that services are joined-up around the needs and choices of children, young people and their families. There are high expectations that more of these services will be delivered by organisations from the Voluntary and Community Sector (VCS), especially services for groups or communities that public sector agencies find hard to engage. This article reports and comments upon a regional study focusing on the production of children's service directories involving service providers and commissioners, as well as the producers of directories, in a series of facilitated workshop activities. The study highlights tensions between local authorities and service providers around how information about services is controlled, edited and accessed. We argue that current approaches to the provision of directories are unlikely to have the transformational effects predicted by policy makers. This is partly because local authorities' traditional position (supported by the prevailing technologies) has meant that they have tended to monopolise the roles and responsibilities which in turn maintains their control of directory content. They do so in the face of increasing dissent from new and established providers. Moreover, current models of service directories fail to meet the emerging information needs of a range of stakeholders including service providers, service commissioners and service users. In conclusion we propose some questions to improve visibility and governance in the creation and maintenance of service directories.

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‘Trying to do a jigsaw without the picture on the box’: understanding the challenges of care integration in the context of single assessment for older people in England

Cited by 14 publications

References 32 publications

Seeing the full picture? Technologically enabled multi-agency working in health and social care

Seeing the full picture? Technologically enabled multi-agency working in health and social care

Managing Health(-Care Systems) Using Information Health Technologies

‘You're Just Treating Us as Informants!’ Roles, Responsibilities and Relationships in the Production of Children's Services Directories

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