The Inner North West London Integrated Care Pilot has been the subject of significant attention for people wanting to encourage new models of integrated care. The pilot, which started in July 2011, received funding support from NHS London for initial set up, and then from NHS North West London for pilot running costs.
The programme aims to: improve outcomes for patients; create access to better, more integrated care outside hospital; reduce unnecessary hospital admissions; and enable effective working of professionals across provider boundaries.
The evaluation aimed to describe the implementation of the integrated care pilot and its early impact, with a view to assisting the pilot in its progression beyond its first year
Staff share information using an IT tool which allows for the identification of patients needing intensive case management, while multidisciplinary groups of local care providers meet on a regular basis to review and plan people’s care.
A team of researchers from Imperial College London and the Nuffield Trust was engaged to carry out an evaluation of the first year of operation of the new integrated care programme.
The evaluation aimed to describe the implementation of the integrated care pilot and its early impact, with a view to assisting the pilot in its progression beyond its first year, and to inform other integrated care initiatives in the UK and overseas.
The period of the evaluation was September 2011 to July 2012, when the pilot was in its early stages of development. The study was funded by the Imperial College Healthcare Charity and comprised four distinct streams of work, each generating a distinct research volume, on which this research summary is based:
- Strategic implementation and the policy context (Nuffield Trust)
- Quality of care and health outcomes (Imperial College London)
- Understanding patient and provider experience and communication (Imperial College London)
- Impact on service use and cost (Nuffield Trust).
Since the evaluation a second, larger pilot building on the model developed in Inner North West London has since been established in Outer North West London. Together both are looking at moving to a more ambitious ‘whole systems’ approach, based on risk stratification rather than disease pathways.
For further information about our work in this area, visit our project page about the Inner North West London Integrated Care Pilot, and our project to evaluate the Department of Health’s integrated care pilots launched in 2009.
Bardsley M, Smith J and Car J (2015) Evaluation of the first year of the Inner North West London Integrated Care Pilot. Research report. Nuffield Trust and Imperial College London.