Embedding collective leadership to foster collaborative inter-professional working in the care of older people (ECLECTIC): Study protocol.

Sabrina Anjara ,Sarah Cosgrave,Éidín Ní Shé,Hellen Whitty,Catherine Mcguigan,Anne Claffey,Noeleen Bourke,Patrice Reilly,Sarah Donnelly,Louise Lawlor,Niamh Mcmahon,Deirdre Lang,Paul Maloney,Diarmuid O’shea ,Éilish Mcauliffe ,Gráinne O’donoghue ,John Brennan ,Marie O’shea ,Siobhán Quinn ,Deirdre O’donnell

doi:10.12688/hrbopenres.13004.1

Abstract

Background: The National Integrated Care Programme for Older People (NICPOP), formerly NCPOP aims to support older people to live well in their homes by developing primary and secondary care services for older people, especially those with complex needs. The programme develops integrated intermediate care which traverses both hospital and community settings through multidisciplinary and interagency teams. This team-based approach to the integration of health services is a novel innovation in Irish health service delivery and will require, over time, a shift in cultures of care to allow for the development of competencies for inter-professional collaboration across the care continuum. The ECLECTIC project will develop an implementation framework for achieving, maintaining and monitoring competencies for interprofessional collaboration among multi-disciplinary teams charged with delivering care for older people across the continuum from acute to community settings. Design: The ECLECTIC research design has been developed in collaboration with the NICPOP. In phase one of the project, a co-design team will collaborate to define and shape competencies for interprofessional collaboration. Phase two will involve the delivery of a collective leadership intervention over a 10-month period with multidisciplinary professionals working with older people across two geographical regions (Mullingar/Midlands and Beaumont/Dublin North). Each group will comprise of members of two multidisciplinary teams charged with coordinating and delivering care to older people across the continuum of acute to community care. Observations of collaborative inter-professional working will take place before, during, and after intervention. In phase three of the study, analysis of the interview and observation data will be presented to the co-design team in order to develop an implementation framework for future teams. Discussion: The co-design process will develop core competencies and performance indicators for collaborative interprofessional working. The resulting implementation framework will be implemented nationally as part of the NICPOP.

Highlights

Over the 30 years the number of people in Ireland aged 65 and older is projected to increase by 60–64% and the numbers aged 85 and older by 89–94% (Ní Shé et al, 2018b)
The National Integrated Care Programme for Older Persons (NICPOP) aligns the programmes of work of the National Clinical Programme for Older People (NCPOP) and the Integrated Care Programme for Older People (ICPOP) under the leadership of Dr Siobhán Kennelly (National Clinical Advisor and Group Lead – HSE). It is a joint initiative between the Clinical Strategy and Programmes Division of the Health Service Executive (HSE) and the Royal College of Physicians of Ireland (RCPI) (Executive)
The term, “integrated care team” (ICT), in the context of ECLECTIC refers to the team of health and social care professionals who are involved in the care of older people across the hospital and community spectrum

Summary

Introduction

Over the 30 years the number of people in Ireland aged 65 and older is projected to increase by 60–64% and the numbers aged 85 and older by 89–94% (Ní Shé et al, 2018b). The National Integrated Care Programme for Older Persons (NICPOP) aligns the programmes of work of the National Clinical Programme for Older People (NCPOP) and the Integrated Care Programme for Older People (ICPOP) under the leadership of Dr Siobhán Kennelly (National Clinical Advisor and Group Lead – HSE) It is a joint initiative between the Clinical Strategy and Programmes Division of the Health Service Executive (HSE) and the Royal College of Physicians of Ireland (RCPI) (Executive). The Inter-Professional Interest Group, a sub-committee of the NICPOP, was established to inform the strategic development of improved collaborative interprofessional working across the boundaries of acute to community health and social care with respect to older people. The resulting implementation framework will be implemented nationally as part of the NICPOP

Objectives

Methods

Conclusion