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International Centre for Integrated Care

In 2017, the University of the West of Scotland (UWS) established the International Centre for Integrated Care as a global centre of excellence in leading people-centred integrated care, and as the home of IFIC in Scotland.

In 2020, IFIC and UWS refreshed their partnership and, with the Health and Social Care Alliance Scotland (the ALLIANCE), agreed a new Memorandum of Understanding.

The three strategic partners bring their collective expertise to a shared mission:

Co-creating a healthier future with individuals and communities by developing courageous and compassionate leaders and practitioners with the knowledge, skills and confidence to design, deliver and evaluate people-centred integrated care.

They collaborate with a wide range of professionals who bring policy, academic, implementation and operational expertise to our Reference Network. More information on our Strategic and Collaborating partners can be found here.

The collaboration supports five priority areas:

  • Leadership and education to shape practice
    UWS launched their Leading People-Centred Integrated Care Masters in 2018. Hear from students how the programme adds value in their workplace and the blended learning approach fits around their working life by watching this video
  • Building capability through knowledge exchange and translation
    Our Integrated Care Matters Webinars share evidence, personal insights, practical tips and offer peer support on people-centred integrated care in practice. The recordings, presentations and topic resources can be accessed here. 

      On behalf of IFIC, our partners are proud to lead and coordinate seven international communities of practice on
xxxspecific aspects of integrated care. To join these and other IFIC Special Interest Groups
here.

     We warmly welcome visitors who wish to understand our health and social care system. Please get in touch with Marie
xx Curran at
IFICScotland@integratedcarefoundation.org if you wish to arrange  a short study visit or knowledge exchange
xx with our partners.

  • Engaging in action research and evaluation
    Our publications section on our services with links to reports and publications.
  • Influencing policy and system change
    Scotland’s integrated care journey offers rich learning for other systems. Our key documents section  – has links to information on the key enablers for integrating health and social care in Scotland and different perspectives on progress and challenges.
  • Empowering people and communities
    We value the voice of people who use services, carers, communities and Third sector organisations and strive to involve them in all of our work, in collaboration with the ALLIANCE

Vision

A global centre of excellence delivering world class education, action research, system coaching and knowledge translation for leading integrated people centred care.

Mission

Co-creating a healthier future with people and communities by:

  • developing courageous and compassionate leaders and practitioners with the right knowledge, skills and confidence to design and deliver integrated people centred care
  • translating international evidence to inform policy and to transform practice through interdisciplinary education
  • evidencing the impact of integrated care on the wellbeing and resilience of individuals, communities and systems

Values

  • We foster rights and respect for all
  • We build strong cross sector relationships
  • We create a collaborative learning culture and promote innovation
  • We empower and enable people to lead and effect change together
  • We support globally connected, courageous and compassionate practitioners, leaders, managers and communities
  • We nurture ambition and opportunity so that our people and communities achieve their potential

Strategic Partners:

The International Foundation for Integrated Care (IFIC), the Health and Social Care Alliance Scotland (the ALLIANCE) and the University of the West of Scotland (UWS) signed a Memorandum of Understanding (MoU) to collaborate on a shared mission.

Co-creating a healthier future with individuals and communities by developing courageous and compassionate leaders and practitioners with the knowledge, skills and confidence to design, deliver and evaluate people-centred integrated care.

The priority areas for the collaboration are:

  • Leadership and education to shape practice;
  • Building capability through knowledge exchange and translation;
  • Engaging in action research and evaluation;
  • Influencing policy and system change; and,
  • Empowering people and communities.

 

The national third sector intermediary for a range of health and social care organisations, the ALLIANCE has over 2,900 members: large, national support providers, small, local volunteer-led groups, and people who are disabled, living with long term conditions or providing unpaid care. Our vision is for a Scotland where people of all ages who are disabled or living with long term conditions, and unpaid carers, have a strong voice and enjoy their right to live well, as equal and active citizens, free from discrimination, with support and services that put them at the centre. Read more on their website!

 

UWS has 4 campuses across the west and southwest of Scotland and one campus in central London.The strong relationships between UWS and local health boards, local authorities, hospices, user and carer groups, voluntary sector partners, care homes and social care providers enables field research and knowledge translation into practice. UWS offers cross-sectoral education on integrated care that can be delivered as CPD or as formal higher education at both undergraduate and postgraduate levels, including a Masters on Leading People Centred Integrated Care. Read more on their website!

Hear from students about the value of the Leading People Centred Integrated Care Masters course in their workplace and how the blended learning fits around their working life here!

Collaborating partners: Representatives from the following organisations contribute to our Reference Network, bringing policy, academic or delivery expertise.

Our Theory of Change documents our three approaches:

  • We inform – create conditions for effective information sharing
  • We translate and facilitate – support individuals and groups to make use of evidence
  • We co-create – work with communities to test out ideas and create conditions for embedding change

Our ethos is collaboration and we are committed to working in partnership with other agencies involved in care and support and with service users and carers.

Read more on their website!

Health and Social Care Scotland is a national collaboration through which those who lead change within health and social care partnerships can come together to learn from each other, work collectively and support one another to deliver better health and wellbeing outcomes for the people of Scotland through Integration, Collaboration, and Transformation.

Read more on their website!

The Scholl Academic Centre is part of Hospice Isle of Man’s commitment their strategy ‘Much More Than A Building’. Researchers have been engaging with people within the community to find out what matters to them: what matters most is choice, in where they live, where they receive their care and where they die when the time comes.

Read more on their website! 

QNIS is a charitable organisation promoting excellence in community nursing to improve the health and well-being of the people of Scotland. Our purpose is to enable nurses who work in Scotland’s communities to be the very best they can be.

Read more on their website! 

Healthcare Improvement Scotland is an organisation with many parts and one purpose – better quality health and social care for everyone in Scotland.Community Engagement aim to improve how health and care services listen to people, value their views and involve people in developing services.  Find out more:  https://www.hisengage.scot

Read more on their website! 

The Improvement Hub (ihub) was established in April 2016 to support those delivering health and social care across Scotland to redesign and continuously improve services to ensure they meet the changing needs of people in Scotland.

Read more on their website! 

Launched on 1st April, 2020, Public Health Scotland brings together Health Protection Scotland, Information Services Division and NHS Health Scotland They are Scotland’s lead agency for improving and protecting the health and wellbeing of all of Scotland’s people to achieve the vision of a Scotland where everybody thrives.

Read more on their website!

The Care Inspectorate is a scrutiny body which supports improvement. That means we look at the quality of care in Scotland to ensure it meets high standards. Where we find that improvement is needed, we support services to make positive changes. Our vision is that everyone experiences safe, high-quality care that meets their needs, rights and choices.

Read more on their website! 

Scottish School of Primary Care is a virtual school comprising all Scottish academic departments with significant primary care research output. It exists to facilitate collaboration between senior academics in primary care and key stakeholders involved in the development and implementation of integrated health and social care service policy.

Read more on their website!

The voice of the independent social care sector in Scotland, representing the largest group of independent sector social care providers across Scotland, delivering residential care, nursing care, day care, care at home and housing support services. This includes private, not for profit and charitable organisations.

Read more on their website!

The Centre for Education and Social Policy conducts research on what matters in particular contexts and policy frameworks and on how to create a more equitable society. The Centre has expertise in forming partnerships between academics and professionals to address key issues in practice and inform and improve outcomes.

Read more on their website! 

NHS Education for Scotland (NES) is an education and training body and a special health board with responsibility for developing and delivering education and training for the healthcare workforce in Scotland. NES has a Scotland wide role in undergraduate, postgraduate and continuing professional development.

Read more on their website!

We play a pivotal role inspiring, enabling and combining world-leading industry and academic expertise with service, business and technical innovation to create person-centred digital health and care innovations to positively impact society.   We shift the balance of care from a traditional treatment model, through the development of digital health and care innovations that focus on prevention, early detection, post event care and independent assisted living.

Read more on their website!

Technology Enabled Care is defined as “where outcomes for individuals in home or community settings are improved through the application of technology as an integral part of quality, cost effective care and support” .Launched in late 2014, the Scotland-wide programme is designed to significantly increase citizen choice and control in health, well-being and care services. Read more about TEC here and about Digital Health and Care Scotland here!

Our core purpose is to help older people feel safe and secure at home and to live fulfilling and independent lives. We currently manage more than 5,000 homes throughout Scotland and provide a range of housing and tenure types to meet the different support needs of older people, allowing them to retain their independence within a local community and enjoy as much privacy or company as they wish.

Read more on their website!

NHS Forth Valley serves a population of more than 306,000 in a diverse geographical area which covers the heart of Scotland. It supports the integration of community services through two Health and Social Care Partnerships (HSCPs).

Read more on their website!

Inverclyde Health and Social Care Partnership (HSCP) is a new organisation that brings together community health services and social work services for Inverclyde. The HSCP will work to improve lives by focusing on the outcomes local people want to achieve, based on what is most important to them.

Read more on their website!

NHS Lanarkshire is the third largest health board in Scotland serving a population of 655,000 across rural and urban communities. With two Health and Social Care Partnerships the Board is committed to delivering high quality, innovative health and social care that is person-centred and supports everyone to live longer, healthier lives at home, or in a homely setting.

Read more on their website! 

NHS Dumfries and Galloway serves a population of over 148,000 but within a large geographical area in the southwest of Scotland. The Health Board aims to deliver excellent care that is person-centred, safe, effective, efficient and reliable, and works with local communities and partner organisations to reduce health inequalities.

Read more on their website! 

Integrated Care in Scotland

Policy: The 2011 report of the Christie Commission on the Future Delivery of Public Services in Scotland identified four priorities for reform: service integration at a local level, a greater shift towards prevention, improving outcomes for individuals and addressing health inequalities. The report mobilised cross-party support to integrate healthcare and social care. A perspective paper published in 2016 describes steps taken in creating an enabling environment for integration, including extensive engagement on an ambitious yet simple vision: to ensure better health and well-being outcomes for people at home and in local communities through care and support designed around the individual. This vision builds on the learning from Reshaping Care for Older People, as described in the Canadian Healthcare Quarterly and in the Change Fund Reflecting on Progress report available here.
Legislation: The Public Bodies (Joint Working) (Scotland) Act 2014 can be accessed here. From April 2015, 31 new integration authorities, often described as Health and Social Care Partnerships (HSCPs), became responsible for planning and commissioning services to meet the needs of their local population. They are governed through Iintegrated Joint Boards who oversee an annual budget of over £9.4 billion to invest in health and social care resources and to make progress against the nine National Health and Wellbeing Outcomes. There is no change to the regulatory framework for professional practice, or established professional accountabilities that are currently in place within the NHS and local government.
Implementation: Audit Scotland’s report describes the progress and challenges in implementing this complex transformational change across the country. Views on progress from different sectors were gathered by the Health and Social Care Alliance in a collection of personal perspectives.

A report by the Ministerial Strategic Group for Health and Community Care describes what needs to be done to enable more progress: Collaborative leadership and building relationships; Integrated finances and financial planning; Effective strategic planning for improvement; Governance and accountability arrangements; Ability and willingness to share information; and Meaningful and sustained engagement. More information about local progress and examples of good practice are available here.

Engagement: Health and Social Care Scotland represents a new social movement that aims to think beyond traditional approaches, creating a culture that supports innovation and reflects the purpose, values, outcomes and ambitions required to meet the needs of Scotland’s population. It relies on collaboration, strong partnership and the spirit of working with communities, and working together to develop positive relationships across systems to enable change to happen and help create a more sustainable compassionate and caring Scotland. Watch the animation of Health and Social Care Scotland’s Statement of intent.
Care Standards: Since April 2018, national Health and Social Care Standards My Support My Life apply across all health and social care provision in Scotland including regulated care settings, social care, early learning and childcare, children’s services, social work, healthcare provision, and community justice.
Primary Care: The new GP contract refocused the role of the GPs as expert medical generalists and describes priorities for service transformation over a three year period. Redesign is informed by the ALLIANCE House of Care programme that promotes health literacy and support for self management, collaborative care planning, and embracing local assets and opportunities for social prescribing. Early learning from House of Care can be accessed here and information on social prescribing and community links workers here.
Self Management and Co-production: A suite of online resources explain the principles and practice of co-production. The ALLIANCE leads My Condition My Life a national campaign and fund to promote support for self management, and partnered in developing action plans on active and healthy ageing and living well with multiple conditions.

Supports for Health Literacy are available here. A series of reports by the Chief Medical Officer on Realistic medicine discuss how to change to a more personalised, collaborative practice and adopt shared decision making. The latest report is available here.

Finance: The Integrated Resource Framework provides a perspective of historical patterns of service to support strategic planning and change; and enables a better understanding of costs, activity and variation for different population groups.
Personal Outcomes: a national cross sector group working together to support developments in health and social care, as well as other human services, locally and nationally. The Network is seeking to develop a wider and more consistent understanding of personal outcomes across diverse service settings. Tools and reports can be accessed here.
Data and Analysis: The Local Intelligence Support Team (LIST) team provides on-site expert analytical support to source, link and interpret data and provide local decision makers with meaningful and actionable intelligence to improve outcomes for service users and patients. The Source Tableau Platform is an interactive visualisation tool to understand linked data on local activities, decision making, and planning and performance management. A Data Sharing Agreement specifies who will use the data, who can get access for what purpose, and the process for authorisation and restrictions. More information can be found here.
Leadership: You as a Collaborative Leader programme was designed for primary care and social care professionals, and middle or senior managers in statutory, third or independent social care organisations who are working to shape, develop and deliver integrated care. This report by the Kings Fund explores how the chief officers of the integration authorities have developed their role in the Scottish health and social care system.
Improvement: Healthcare Improvement Scotland established their Improvement Hub (ihub) in April 2016 to support those delivering health and social care to redesign and continuously improve services to ensure they meet the changing needs of people in Scotland.

Read more about the range of ihub improvement programmes here.

Public Health Scotland: Launched on 1st April, 2020, Public Health Scotland brings together Health Protection Scotland, Information Services Division and NHS Health Scotland as Scotland’s lead agency for improving and protecting the health and wellbeing of all of Scotland’s people to achieve the vision of a Scotland where everybody thrives. Read more! 
Workforce: This report sets out commitments and planned investment in general practice, primary care, community nursing and wider community workforce over the next 3-5 years to develop multidisciplinary capacity across Scotland in the face of an ageing workforce and anticipated levels of staff turnover.
National Performance Framework: The framework describes the national outcomes and indicators that track progress in achieving the Scottish Government’s purpose and values. They reflect the values and aspirations of people in Scotland, are aligned with the UN Sustainable Development Goals, and will help to track progress in reducing inequality.
Carers: Caring Together, The Carers and Young Carers Strategy, has been followed by a Carers Charter, education for professionals on carers as equal partners in care, and by legislation to provide new rights to carers in a number of areas.

Selected Publications from the International Centre for Integrated Care

Advantage – European Joint Action on Frailty

 

 

  • Hendry, A. (2018). Healthcare for Elderly People – Current Trends and Models of Healthcare. Management in Health21(4).

 

 

 

  • Systematic review of intermediate care, good practice and cost effectiveness reports on models of care for frailty in Europe – available at advantageja.eu

 

Anne Hendry

Director, IFIC Scotland;
Honorary academic posts with UWS and University of Glasgow;
Global Health Champion, NHS Lanarkshire;
Deputy honorary secretary, British Geriatrics Society;
ALLIANCE Academy board member.

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Mandy Andrew

IFIC Senior Associate;
Associate Director, the Health and Social Care Alliance Scotland

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Marie Curran

IFIC Scotland Coordinator – communication, webinars and SIGs

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Helen Rainey

UWS Lecturer / Programme Leader (MSc: Leading People-Centred Integrated Care)

Rikke Iversholt

Director, Iriss
IFIC Scotland Knowledge Partner

Anne Mills,

CEO Hospice Isle of Man and Scholl Academic Centre.
Lead for Palliative and end of life care SIG and Co-lead for Compassionate Communities SIG.

Alpana Mair

Head of Effective Prescribing and Therapeutics, Scottish Government
Lead for Appropriate Polypharmacy & Adherence SIG.

Alison Bunce

Compassionate Inverclyde Programme Lead
Co-lead for Compassionate Communities SIG

Janette Barrie

UWS Research Assistant
Co-lead for Ageing and Frailty SIG

Sara Redmond

Assistant Director, Self Management and Co-Production Hub,
the Health and Social Care Alliance Scotland
Lead for Self Management and Co-production SIG.

Intermediate Care

Aims to facilitate collaboration across disciplines and across countries to enhance our understanding, adoption and evaluation of Intermediate Care as a key component of people centred integrated care.

Appropriate Polypharmacy and Adherence

Aims to facilitate collaboration across disciplines and across countries to enhance our understanding, adoption and evaluation of Polypharmacy.

Palliative and End of Life Care

Aims to facilitate collaboration across disciplines and across countries to enhance our understanding, adoption and evaluation of palliative and end of life care as a key component of people centred integrated care.

Self management and Co-production

Aims to facilitate collaboration across sectors and between Countries to enhance our understanding, adoption and evaluation of Self management and Co-production.

Ageing and Frailty

Ageing and Frailty SIG aims to facilitate collaboration across disciplines and across Countries to enhance our understanding, adoption and evaluation of preventing and managing frailty as a key component of people centred integrated care.

Small Island Systems 

Small Island Systems SIG aims to facilitate collaboration, knowledge exchange and peer support / coaching on planning, commissioning, delivering and evaluating people centred integrated care in small island systems.

Compassionate Communities

Compassionate Communities SIG aims to facilitate collaboration across disciplines and across countries to enhance our understanding, adoption and evaluation of compassionate communities as a key component of people centred integrated care.

Upcoming Webinar

Click on the tab below to access the Integrated Care Matters Series recordings, slides and list of topic resources.

Current Webinar Series

Past Webinar Series

Healthy Ageing in Scotland Virtual Round Table Aug 28th  2020

The session was organised with IFIC’s international special interest group on Ageing and Frailty established as a legacy of AdvantageJA, the first European Joint Action on the prevention and management of Frailty.  The AdvantageJA report and final conference  feature Scotland as one of only a few European countries that have shifted the balance of care.

Catherine McGuigan’s presentation can be found here  and the recording can be found here.

Please see the full report from the Session here.

Compassionate Communities Action Learning Programme

Our new Action Learning Programme is for leaders, practitioners or managers from any sector or community organisation with an interest in embracing a Compassionate Communities approach. It draws on rich learning from Compassionate Inverclyde and aims to support other communities to improve lives and opportunities by living our values of kindness, dignity and compassion.

The co-design workshop (just before lockdown!) brought together 40 people from health, social care, community and Third sector organisations across Scotland, Isle of Man and London. Participants shared experiences of volunteering and community led initiatives in their regions and developed ideas for action. The workshop presentations and report can be found here.

along with a blog from Alison Bunce who co-leads our Compassionate Communities Special Interest Group.

As further face to face sessions are not possible at the moment, we will facilitate virtual knowledge exchange and peer support for programme participants over the coming months. To follow the progress of the Action Learning community sign up to the Compassionate Communities Special Interest Group here.

Small Islands Special Interest Group Forum

In February, our virtual islands forum brought together 63 people from 13 countries. Many thanks to our presenters and participants from Arran, Western Isles, Shetland, Orkney, Isle of Man, Guernsey and Malta and to Colin Turbett for reflections on Principles and Possibilities of rural Social Work in Scotland.

A link to the presentations can be found here and a link to the forum recording can be found here.

Related resources on rural social work practice are available from Iriss by the following links:

Rural Social work in Scotland

Community Social Work in Scotland

Final Conference of Advantage Joint Action: 27th November, Brussels

IC4IC partners contributed to the final conference for AdvantageJA.

View Pete Knight’s presentation 

View Anne Hendry’s presentation 

VIDEO: Integrated model of care and support to prevent and manage Frailty

Find out more on the AdvantageJA website www.advantageja.eu

Small Islands Learning Exchange (SmILE) – September 25th -27th 2019

SmILE 1, was hosted by the Department of Health and Social Care and Hospice Isle of Man, and supported by IFIC Scotland. The broad themes of the three day learning exchange were: Integrated Pathways, Older and Better Island Communities, and Community Wellbeing and Resilience. Partners from Malta, Seychelles, Guernsey, Isle of Man and Scotland shared examples of innovation and considered how integrated approaches can build resilience, strengthen health systems and support islands to make progress on transformational change.

Read the full report for more information!

Special Interest Group Study Day – April 4th 2019

Palliative and End of Life Care and Compassionate Communities

The study day taking place in the San Telmo Museum, San Sebastian is hosted by the University of Deusto and Fundación Doble Sonrisa, following on from the ICIC19 conference in San Sebastian April 1-3. The event is coordinated by IFIC Scotland on behalf of the Scholl Academic Centre, Isle of Man and with the support of SIG moderators from the Newhealth Foundation and Ardgowan Hospice. This study day offers members of IFICs Palliative and End of Life Care SIG an opportunity to share their knowledge and experience of Compassionate Communities approaches in different systems

View Presentations

Special Interest Group Study Day – March 29th 2019

Intermediate Care and Polypharmacy

This study day offers members of IFICs Intermediate Care and Polypharmacy SIGs an opportunity to share their knowledge and experience in planning, designing and delivering Intermediate Care and polypharmacy services in different systems.   The study day is scheduled as a preconference knowledge exchange event for delegates travelling to the ICIC19 conference in San Sebastian April 1-3. Onward travel to San Sebastian is possible by direct train from Sants central station in Barcelona or by direct flight from El Prat main Barcelona airport. This study day offers members of IFICs Intermediate Care and Polypharmacy SIGs an opportunity to share their knowledge and experience in planning, designing and delivering Intermediate Care and polypharmacy services in different systems.

View Intermediate Care Presentations

View Polypharmacy Presentations

Messages from supporters and collaborators from around the Globe on the launch of the International Centre for Integrated Care on Friday, 19 May 2017

For more information contact IFIC Scotland: IFICScotland@integratedcarefoundation.org

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