The Better Care Fund has placed partnership working at the very heart of health and social care policy in England.
The reality of real money moving around the system has given the policy teeth, and given Health and Wellbeing Boards the tools to move beyond the talking shop phase of their existence.
We have been working on the integration agenda with service users, health and social care practitioners and leaders, and community and voluntary services since 2009. So our approach is based on years of experience and has benefitted hugely from the insight and skill of stakeholders in the field.
Our approach centres on the unique Tricord™ model. It describes all aspects of an organisation that need to be aligned for the whole to be healthy.: identity, strategy, systems and culture.
We co-create the solutions with stakeholders. We know how to engage them appropriately at different levels, including through large and small-scale, facilitated events.
All this enables you to construct your strategies and plans around the people you serve, co-designed by your greatest asset – your staff .
- Person-Centred Integration of Health and Social Care
- Services for Older People
- Intermediate Care
- Delayed Transfers of Care
- Planned and Unplanned Care
- Service Reviews
- Strategic Service Analysis
- Commissioning Strategy and Service Specification
- Public Health
More on Our Approach
The Tricordant Approach
Our approach has developed through gathering a body of transformation expertise in organisation design and development.
The Tricord describes the aspects of an organisation that need to be aligned and in balance for the whole to be healthy.
Person-Centred Health and Care Pathway
Integration of services is the Holy Grail for the NHS and Local Authorities where they have common service users and populations.
We believe passionately that the single most important organising principle for integration is the individual citizen. It is their experience of public services as integrated (or not) that really counts.
Our pathway model is the basic building block to analyse and redesign the health and care system. It builds on the experience of working with health and social care economies about their ‘wicked problems’. We have used our unique concept of Significant Events with service users and professionals to co-design a lean and simple person-centred pathway that captures the key points where professional support or intervention may be required.
The six stages start with the equilibrium of stable health, moving through to end of life care. Each of the stages is currently delivered in a wide variety of different settings. Resources in both health and social care are increasingly being targeted at stage 0, but rarely in a coordinated way. For each stage services need to be commissioned and delivered in a joined-up way.
The bigger picture is not just partnership between health and social care, but also with local authority housing, leisure and education services as well as the police, backed by the social capital in the voluntary and faith sectors.
The pathway enables service redesign at both micro and macro-levels; it is underpinned by evidence-based practice, an investment/benefits matrix to facilitate partnerships, systems mapping tools and impact modelling tools.
“I was unsure about the review before we started. But it was really stimulating and useful. You helped a range of clinical and managerial staff step back and understand our service with a fresh perspective. From this we now have a common vision and can work much better together to make it happen. This is good news for our patients and staff.”
Dr Tessa Malone, Consultant and Clinical Director, Contraceptive and Sexual Health Services, Stockport PCT
Analysis and Modelling
Investment and Benefits Matrix
CCGs in Essex
Essex County Council
NHS Suffolk and CCGs
Suffolk County Council
Homerton NHS Foundation Trust
St George’s Healthcare NHS Trust
Greater Manchester PCTs and Local Authorities
North Bristol NHS Trust
London Borough of Hackney