Benchmarking integrated care for people with long-term neurological conditions

Purpose - This paper aims to report results from a national survey of primary care trusts (PCTs) that explored the strategic, organisational and practice context of services for people with long-term neurological conditions (LTNCs). It seeks to provide benchmarks for integrated service provision and...

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Bibliographic Details
Published in:Journal of integrated care (Brighton, England) England), 2012-01, Vol.20 (3), p.152-163
Main Authors: Bernard, Sylvia, Aspinal, Fiona, Gridley, Kate, Parker, Gillian
Format: Article
Language:English
Subjects:
England
Health care
Integrated approach
Integrated services
Long term care
Medical research
Neurological disorders
Neurological functioning
Prevalence
Studies
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Summary:Purpose - This paper aims to report results from a national survey of primary care trusts (PCTs) that explored the strategic, organisational and practice context of services for people with long-term neurological conditions (LTNCs). It seeks to provide benchmarks for integrated service provision and to discuss possible reasons for the variability in progress.Design methodology approach - Earlier phases of the research identified three models of care that promoted continuity of care for people with LTNCs: community interdisciplinary neurological rehabilitation teams, nurse specialists and pro-active day opportunities. Based on this evidence, a benchmarking questionnaire was developed and a telephone survey of PCTs in England undertaken in 2009.Findings - The survey found that the prevalence of models of good practice varied widely across and within PCT areas. Strategic support and commissioning arrangements were also variable. A little over half of responding PCTs had completed a joint strategic needs assessment (JSNA) that included a reference to LTNCs and a quarter of PCTs had no joint commissioning arrangements in place for LTNCs. The complex interplay between strategy, organisational structures and models of delivery, in a context of competing priorities, may account for this variation and patchy progress.Originality value - Service provision for people with LTNCs is an under-researched area, despite having major implications for long-term care and support. The paper will be valuable to policy makers and commissioners in benchmarking organisational activity and models of good practice for integrated services.
ISSN:1476-9018
2042-8685
DOI:10.1108/14769011211237492