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.

Six insights from the interface between Health and Social Care

Anna Littlewood, Associate Over the last few years, I have worked for a large consulting firm,  and taken a senior…

December 18, 2018

A DTOC standstill – is a winter crisis looming?

The increase in the number of Delayed Transfers of Care (DTOC) has finally come to a halt – just in…

December 17, 2018

iMPOWER’s Heroes of Christmas: 5 December

Our alternative advent calendar celebrates the people or teams who have inspired us this year

December 5, 2018

Health and care integration – eating the elephant

It is well documented that demand for health and care services in the UK is continuing to rise year on…

November 28, 2018

Top 10 most productive councils in England: 2018

Which councils are spending their money most effectively and getting the best outcomes for citizens?

November 22, 2018

5 tips for getting the most from Technology Enabled Care

This blogpost was co-authored by Hannah Gordon and Josepha Reynolds. Technology Enabled Care (TEC) has long been touted as something…

November 9, 2018

DTOC rates are rising again – five questions you need to start asking

Delayed Transfers of Care (DTOC) rates rose by 2.38% overall between August and September – the fourth consecutive monthly rise,…

November 9, 2018

Another sticking plaster for DTOC?

According to the latest monthly figures from NHS England, Delayed Transfers of Care (DTOC) rates in August rose by 4.5%…

October 11, 2018

Integrated care: 5 things I learned last week

At an event I attended last week, the King’s Fund released their findings on the development of Integrated Care Systems…

September 26, 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