Journal article

Comparison of the impact of two national health and social care integration programmes on emergency hospital admissions

Marcello Morciano, Katherine Checkland, Mary Alison Durand, Matt Sutton, Nicholas Mays

BMC Health Services Research | BioMed Central | Published : 2021

Abstract

BACKGROUND: Policy-makers expect that integration of health and social care will improve user and carer experience and reduce avoidable hospital use. [We] evaluate the impact on emergency hospital admissions of two large nationally-initiated service integration programmes in England: the Pioneer (November 2013 to March 2018) and Vanguard (January 2015 to March 2018) programmes. The latter had far greater financial and expert support from central agencies. METHODS: Of the 206 Clinical Commissioning Groups (CCGs) in England, 51(25%) were involved in the Pioneer programme only, 22(11%) were involved in the Vanguard programme only and 13(6%) were involved in both programmes. We used quasi-experi..

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Grants

Awarded by National Institute for Health Research (NIHR) Policy Research Programme through the 'National evaluation of the Vanguard New Care Models Programme'


Awarded by NIHR Policy Innovation Research Unit


Awarded by Research for Social Care within Research for Patient Benefit (RfPB) Programme


Funding Acknowledgements

This research is funded by the National Institute for Health Research (NIHR) Policy Research Programme, conducted through the `National evaluation of the Vanguard New Care Models Programme', PR-R16-0516-22001 (MM, KC and MS), the NIHR Policy Innovation Research Unit through the `Evaluation of the Integrated Care and Support Pioneers Programme in the context of new funding arrangements for integrated care in England', PR-R10-051425001 (MAD, NM) and the Research for Social Care within Research for Patient Benefit (RfPB) Programme through the `Supporting the spread of effective integration models for older people living in care homes: A mixed method approach' project, NIHR201872 (MM,KC). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.