Abstract
Background:To date, few studies have examined the implementation of asset-based integrated care in the UK. This paper aims to address this gap in knowledge through examining the implementation of one model of asset-based integrated care, Local Area Coordination (LAC), within two localities in England.Methods:This paper draws upon data collected from two local authorities (site A and site B), which had both implemented LAC. Using a case study approach, qualitative data was collected from interviews with relevant stakeholders both internal and external to the local authorities. Data was analysed thematically.Results:The findings demonstrate the marked differences between the two sites’ approaches to LAC, especially in relation to: the implementation process; impact; and their collaboration with other agencies and communities.Discussion:The evidence presented in this paper demonstrates that the implementation of LAC, as with most complex service innovations, is dependent on the interplay of organisational and people-based components. In particular, successful implementation depends on maintaining a common vision of what an intervention will achieve and how it will work in practice, continual engagement with the political and organisational leaders of influence, positively addressing the anxieties of existing services and professions, and working with community groups.
Highlights
The importance of integrated care encompassing ‘clinical pathways’ between professionals and partnership working between health care and broader community agencies has long been recognised in holistic models [1, 2]
This paper aims to address this gap in knowledge through reflecting on the implementation of one model of asset-based integrated care, Local Area Coordination (LAC), within two localities in England
This study suggests that LAC can be an effective means to enabling asset-based integrated care
Summary
The importance of integrated care encompassing ‘clinical pathways’ between professionals and partnership working between health care and broader community agencies has long been recognised in holistic models [1, 2]. The Care Act 2014 requires local government to promote the integration of care and support services with health and wider partners, such as housing, where this will promote the wellbeing of adults and carers and contribute to the prevention or reduction of need for care services. Such flexibilities were explored through national innovation programmes including Integrated Care and Support Pioneers [9], Integrated Personal Commissioning [10], and the New Models of Care [11].
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