Tag Archives: Integrated care

Why don’t care coordination interventions work?

Trials of care coordination are often disappointing. Well, they quite often show improved quality of care and improved patient experience but they rarely seem to save money. Which is a pity because that’s often why they’re set up. Or at least the mantra is “Fragmented care is wasteful, so if we get it better coordinated, …read more

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Cambs CCG gives £800m contract to NHS bidder. Should we all be cheering?

There seems to be general relief that the huge £800m contract which Cambridgeshire and Peterborough CCG have given for integrated care of the elderly hasn’t gone to the private sector. Two of the three final bidders were commercial organisations, but the contract has gone to an alliance between the local teaching hospital, Addenbrooke’s, and the …read more

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Health Services Research, down under

Warm greetings from Wellington, New Zealand! Last week I had the pleasure of attending the 8th biannual Australian and New Zealand Health Services Research conference. I thought I’d share a few of my favourite highlights: (1) Indigenous and first nations health services research The conference kicked off with a pōwhiri from local hosts (Te Āti …read more

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The King’s Fund: Polypharmacy and Medicines Optimisation

Policy, medical training and clinical practice have failed to adapt to a significant increase in the number of patients taking multiple prescription drugs, according to a new report published by The King’s Fund. CCHSR’s Rupert Payne co-authored the report, and discusses its implications.

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The wrong sort of integration?

Integrated care doesn’t seem to be very good at reducing emergency admissions. The Evercare evaluation published in 2007 showed no significant reduction in admissions and our more recent evaluation of the English Integrated Care Pilots showed a significant increase in admissions among pilots focusing on intensive care management of frail elderly . Now the Nuffield …read more

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  • The Cambridge Centre for Health Services Research (CCHSR) is a thriving collaboration between the University of Cambridge and RAND Europe. We aim to inform health policy and practice by conducting research and evaluation studies of organisation and delivery of healthcare, including safety, effectiveness, efficiency and patient experience.