If you continue without changing your settings, we’ll assume you’re happy to receive all cookies from the BMA website. Find out more about cookies
When you visit any web site, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalised web experience.
Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.
These cookies are required
These cookies allow us to know which pages are the most and least popular and see how visitors move around the site. All information we collect is anonymous unless you actively provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.
These cookies allow a website to remember choices you make (such as your user name, language or the region you're in) and tailor the website to provide enhanced features and content for you.
For example, they can be used to remember certain log-in details, changes you've made to text size, font and other parts of pages that you can customise. They may also be used to provide services you've asked for such as watching a video or commenting on a blog. These cookies may be used to ensure that all our services and communications are relevant to you. The information these cookies collect cannot track your browsing activity on other websites.
Without these cookies, a website cannot remember choices you've previously made or personalise your browsing experience meaning you would have to reset these for every visit. In addition, some functionality may not be available if this category is switched off.
Our websites sometimes integrate with other companies’ sites. For example, we integrate with social networking sites such as Twitter and Facebook, to make it easier for you to share what you have read. These sites place their own cookies on your browser as a result of us including their icons and ‘like’ or ‘share’ buttons on our sites.
We’re often told that greater integration between health and social care, and different parts of the health service, is hoped to achieve far-reaching health system goals such as improved quality and efficiency and is considered by many as the only viable future for the NHS.
Yet last year, more doctors than not told the BMA that they were either unsure or did not think that integration had the potential to produce desirable outcomes. Why? Well, for a start there is a general lack of consensus or even understanding of what integration is, and its aims and benefits. And the many systemic and relational barriers to achieving more integrated care that doctors experience on a day-to-day basis, for example ‘conflicting organisational priorities’, can’t help much either.
So what would be required to make the profession more confident that integration really could be the answer to many of the woes of the NHS? Our research also established that the two most important criteria for measuring the success of efforts to integrate services, from the perspective of individual doctors, were ‘improved clinical outcomes’ and ‘better patient experience’. ‘Cost savings’, it should be noted, did not even come close.
While a standalone topic in policy terms, in reality it is difficult and potentially unhelpful to separate integration from other drivers of service change, such as hospital reconfigurations and moving care into the community – and the mere mention of these policies usually sets hares running.
The next 18 or so months will see the NHS under mounting pressure. The financial settlement will become an even starker reality and consequently the need to address any unsustainable provider configurations will be all the more pressing. Clinical Commissioning Groups will be expected, somehow, to make it all work at the same time as finding their new commissioning feet.
The BMA's new guide - Integrating Services without Structural Change - deconstructs the 'what and how' of integration, offering a practical approach that doesn't require the problems of the entire local health economy to be solved first. For example, it describes common methods of integrating services 'virtually', such as multidisciplinary teams and joined-up care pathways, which can improve the way providers work together around the needs of patients.
But is any of it worth doing during this period of flux? Yes, because if we wait for things to calm down we could be waiting a while (or forever). Any activity that seeks to strengthen inter-professional and inter-organisational relationships and communication will serve the purpose of improving the quality and responsiveness of NHS services in the long-term.
And, whatever the commissioner and provider configurations of the day, it’s still the same doctors, nurses and other clinicians treating the same patients after all.
Sally Al-Zaidy, ï»¿BMA senior policy analyst
In need of assignment worries, do hire best assignment helpers at www.studentassignmenthelp.com/
Excellent blog! This post is really good. It helps you to get better ideas about assignment writin service. myassignmenthelp.com/.../
Do you want to become a better writer? Than you should gain some academic skills. Follow this link justbuyessay.com/.../how-to-cite-in-mla to get it.