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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

Work with us

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

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Reflections from ADASS Spring Seminar 2022

Reflections from ADASS Spring Seminar 2022

There are many changes facing adult social care but there are four that stand out the most.

CASE STUDY

Strengths-based working in a complex system to deliver financially sustainable stronger patient outcomes and improved operational outcomes.

Strengths-based working in a complex system to deliver…

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There is no ‘right’ model of intermediate care: Start with an honest assessment of your system

There is no ‘right’ model of intermediate care: Start…

Whilst centralised systems enable effective reporting and can build consistency, there are factors that need to be in place to make it work.

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Better Outcomes, Better Lives in Manchester

Better Outcomes, Better Lives in Manchester

Bernadette Enright from Manchester City Council discusses the impact of the social care improvement plan IMPOWER have been supporting in Manchester.

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Empowering staff should be a top priority for health system leaders

Empowering staff should be a top priority for health system…

Healthcare staff have shown resilience and flexibility during the most challenging of times. However, they need support from leaders to enable them to continue to deliver this work, and implement innovative strategies that will improve services.

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Impact forecast : The big five changes in health and social care

Impact forecast : The big five changes in health and social…

Health and social care leaders must incorporate these changes to implement an integrated and efficient system for the planning and delivery of services.

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Is now a moment for councils to make a step change in their honesty with people?

Is now a moment for councils to make a step change in their…

I reflect on two very interesting articles that have been published in the last 24 hours by ADASS and MJ

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Social determinants, rather than health issues, cause 1% of the population to need up to a third of ambulance call-outs.

Social determinants, rather than health issues, cause 1% of…

It seems social determinants rather than health issues drive accident & emergency visits and ambulance call-outs

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Adult social care reform white paper – it’s all about the delivery.

Adult social care reform white paper – it’s all…

The big difference is this adult social care reform white paper references 35 different pots of money.

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Shifting the social care dial: improved commissioning approaches

Shifting the social care dial: improved commissioning…

Councils must adopt more innovative approaches to commissioning

CASE STUDY

Delivering better outcomes, better lives in Manchester

Delivering better outcomes, better lives in Manchester

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WANTED: 10 local systems with ambitions for Intermediate Care

WANTED: 10 local systems with ambitions for Intermediate…

Are you a pioneering local system, ready to seize the opportunity around Intermediate Care?

IMPOWER INSIGHTS

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