The Nuffield Trust report: Integration in action: four international case studiessuggests that many practical issues will need to be addressed if health and care organisations are to improve integration and deliver better care for patients. The report is based on a detailed study of four separate organisations in Europe and the United States that have made good progress integrating health and (in one case) social care services, despite a sometimes challenging policy climate.
In the course of studying their progress Nuffield Trust researchers identified six ‘integrative processes’ that drove integration. These were: clinical, organisational, informational, financial, administrative and normative. In this video Dr Rebecca Rosen, Senior Fellow at the Nuffield Trust and lead researcher on the project, explains how these processes work in practice.