Skip to navigation Skip to main content

Health and Care Interface

We work at the interface between health and social care to improve outcomes for service users and reduce costs

The challenge

Across the country, local health and social care systems do not work closely enough together. The best interests of patients are sometimes lost as service providers, healthcare specialists and social workers too often work in silos. This can mean that patients’ needs are not addressed early enough, their independence is not prioritised, and there is insufficient coordination between the services provided. Every day, this is resulting in avoidable hospital admissions, increased costs, pressure on social care services at the point of discharge, and poor patient outcomes.

Our solution

Addressing demand at the interface of health and care presents the biggest opportunity to deliver better outcomes for less. Our solutions enable clients to significantly improve outcomes for patients and social care users by better managing demand for services, and therefore also to reduce costs.

Interface Demand Model

Who is accessing both health and care services?

Often we find that there isn’t enough shared understanding about this group. Who are they? What services are they accessing – and how, when, at what cost and with what outcomes? The Interface Demand Model enables organisations to identify this cohort by mapping health and care data at an individual patient level. The model identifies the levers which could significantly affect both outcomes and spend.

Case Note Reviews and Behavioural Observations

What is happening to people accessing both health and care services?

Clinicians or social workers typically deal with an immediate presenting need, such as an urgent admission to hospital or a social care assessment. Case Note Reviews form a key part of iMPOWER's reflective practice and makes it possible to analyse what has happened to individual patients over a period of time. It also identifies missed opportunities for alternative pathways. Behavioural observations also provide insight into how decisions are made on the frontline and show the impact that different types of conversation between professionals and patients can have.

Benefits mapping and metrics process

Is activity focused in the right places?

Through mapping the benefits of change, we can show the impact of transformation activities at the health and care interface, whether related to the Better Care Fund (BCF), improved Better Care Fund (iBCF) or another initiative. Identifying and understanding the group of people accessing health and care services and the benefits of change is only the first part of the journey.

We work in partnership with an inclusive ambition across health and care at many different levels:

  • Intermediate care services which respond to individual needs, prevent hospital admission and support discharge
  • Locality, community and place models which proactively support people to live independently in their own homes
  • Personalised care including integrated care plans, personal health budgets and social prescribing

Personalised Care

The more engaged someone is with their own health and healthcare, the less treatment they need and the faster they recover from illness. Personalised care is an approach which recognises the benefits of taking increased responsibility for our own health and care. We work with clients to implement and design models related to:

  • Integrated care planning
  • Social prescribing
  • Integrated personalised commissioning
  • Personal health budgets

The iMPOWER Collaborative

The collaborative brings together a community of health and social care partners to develop and share insight at the interface of health and social care. Members benefit from:

  • Data insight through the iMPOWER iNDEX
  • Peer reviews in targeted areas
  • Sharing best practice and case studies
  • Learning and development sessions
  • Networking and learning sets
  • Opportunities to create new solutions
  • Technology updates

Insight from the Collaborative is also shared nationally in order to give members a voice in the sector.

Work with us

Relationships start with a conversation. Here’s how to get in touch.

We need to look at DTOC through a new lens

It’s rather a boring month when we look at the latest figures from NHS England on Delayed Transfers of Care…

August 10, 2018

DTOC & Interface Module

Tells the story (in 10 charts) of Delayed Transfers of Care from hospitals to local authority social care services

Latest DTOC stats – the second most impressive result this week

The ability of both the NHS and local authority departments of social care to process this rising demand has clearly improved.

July 13, 2018

Are cultural differences between health and social care affecting commissioning?

Implementation needs to be forward-facing, long term and transformational, focused on person-centred services and outcomes. Unfortunately, this is often not happening as effectively as it should – but why?

July 3, 2018

Three ways to get the most out of the Disabled Facilities Grant

The Disabled Facilities Grant (DFG) is a key preventative resource for local authorities. Foundations, the national body for home improvement…

June 27, 2018

This time it’s personal – making personalised care real

My colleagues and I recently met Jackie Kennedy and her labrador, Kingston, at a King’s Fund conference about the increasing…

June 22, 2018

Identifying and supporting carers is more than just the right thing to do

  This week, Carers Week is celebrating and recognising carers for the invaluable role they play, both in supporting children…

June 15, 2018

Latest DTOC stats, and the latest DTOC target – stranded patients

  The latest figures from NHS England show that after a three month period of stagnation, Delayed Transfers of Care…

June 15, 2018

H.I. – the key to A.I.

I’m always fascinated to see how we humans like to embrace shiny new things.  Historically, the UK has always been…

June 12, 2018

iMPOWER iNSIGHT newsletter

Sign up for the latest thinking on delivering sustainable change and better public services

No spam; unsubscribe easily at any time. Learn more in our Privacy Policy.

Close
Close