Integrated care

Integrated care is seamless, coordinated and locally designed care that puts patients at the centre of service organisation, considers their needs in a holistic way, and develops high quality services that meet these needs in settings that are accessible and convenient for patients. 

What we are doing

The Future Hospital Commission report (2013) set out a number of recommendations for how to provide patients with the safe, high-quality, sustainable care that they deserve. Its 11 principles of patient care call for services to be designed with the patient in mind, bringing together elements from across health and social care to support patients wherever they are, in hospital or in the community. The Future Hospital Programme has been working to put these principles into practice since its inception in 2013.

Integration as a solution

Integrated care is one solution to the myriad challenges facing the NHS, enabling the health service to deal more effectively and efficiently with the pressures of an ageing population and increased demand from patients with complex long-term conditions and multi-morbidities. 

Integration should be tri-partite and bring together primary and secondary care, physical and mental health services, and health and social care. This is a formidable challenge but there is a wealth of good practice and experience for physicians to learn from and share. 

The Future Hospital Programme is supporting the development of integrated care services and facilitating the sharing of best practice through:

  • Four development site projects
  • A research project following the process of integration for diabetes services in Oxfordshire
  • A collection of Tell Us Your Story case studies on integrated care
  • A report on Integrated Care: taking specialist medical care beyond the hospital walls

Who's involved

Organisations

Lord Leonard and Lady Estelle Wolfson Foundation

The RCP is extremely grateful to the Lord Leonard and Lady Estelle Wolfson Foundation who have provided a grant for the research project: Integrated Diabetes Care in Oxfordshire

What we have produced

This collection of 'Tell us your story' case studies are examples of integrated care improvement projects – stories where unifying services has improved care for patients.

Integrated care is a key priority for the NHS and for the Royal College of Physicians' (RCP) Future Hospital Programme (FHP), as highlighted in the Future Hospital Commission report.

A collection of shared resources from the Future Hospital: Journey towards integration event that took place on 23 June 2017, which brought together a diverse group of clinicians