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Integrated and Person-Centred Health & Social Care: Concepts, Models, & Policy, Study notes of Health sciences

Information about a university module titled 'Integrated and Person-Centred Health and Social Care'. The module aims to help students understand the challenges facing health and social care services, the need for more integrated and personalised approaches to care delivery, and recent policy responses and new models of care. Topics covered include challenges and policy drivers, key concepts and theories, partnership working, needs assessment, and user engagement. Assessments include a group presentation and critical analysis of a model of integrated/personalised care.

What you will learn

  • What are the challenges facing health and social care services that require more integrated and personalised approaches?
  • What are the key concepts and theories of integration and personalisation in health and social care?

Typology: Study notes

2021/2022

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MODULE SPECIFICATION
KEY FACTS
Module name
Integrated and Person-Centred Health and Social Care
Module code
HRM007
School
Health Sciences
Department or equivalent
Division of Health Services Research and Management
UK credits
30
ECTS
15
Level
7
MODULE SUMMARY
Module outline and aims
The health and social care landscape is undergoing significant and rapid change.
Advances in health technologies, rising costs of care, increasing consumer demand,
ageing populations, the increasing prevalence of long-term conditions and other
pressures present significant and growing challenges. As a result, health and social
care services are often fragmented and hard to access, and are failing to keep pace
with people’s changing health and social care needs (Ham, 2012). It is increasingly
clear that minor or incremental changes to existing models of care are not sufficient
to address these challenges, and that much bolder approaches are needed.
Integrated care aims to improve quality and efficiency by providing more joined-up,
coordinated health and social care services. It also involves working in partnership
with other sectors, such as housing, education and the criminal justice system. At the
heart of integrated care is person-centred (or personalised) care, the principle that
care should be planned and organised around the needs and preferences of
individuals, carers and communities, so that people have choice and control over the
way their care is planned and delivered. It should engage service users and carers
as equal partners, and put into practice the principle of ‘no decision about me without
me’.
Integrated and person-centred care have been shown to improve health and other
outcomes for service users, and to reduce fragmentation and inefficiencies in service
delivery. It is also seen as a key mechanism for addressing staff shortages, financial
pressures and the growing demand for services. As a result, it is now a top priority
among policymakers in many countries, including England (NHS Long Term Plan,
2019). Key themes include shared decision making and giving people more control
over their own health and care; more effective collaboration between primary care,
community services, local councils and other partners; and ensuring people can
access services such as transport, leisure, education and housing.
Such an ambitious policy agenda clearly has significant implications for health and
social care organisations, and for those professionals directly involved in delivering
care. There are many excellent examples of integrated services delivering significant
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MODULE SPECIFICATION

KEY FACTS

Module name Integrated and Person-Centred Health and Social Care Module code HRM School Health Sciences Department or equivalent Division of Health Services Research and Management UK credits 30 ECTS 15 Level 7 MODULE SUMMARY Module outline and aims The health and social care landscape is undergoing significant and rapid change. Advances in health technologies, rising costs of care, increasing consumer demand, ageing populations, the increasing prevalence of long-term conditions and other pressures present significant and growing challenges. As a result, health and social care services are often fragmented and hard to access, and are failing to keep pace with people’s changing health and social care needs (Ham, 2012). It is increasingly clear that minor or incremental changes to existing models of care are not sufficient to address these challenges, and that much bolder approaches are needed. Integrated care aims to improve quality and efficiency by providing more joined-up, coordinated health and social care services. It also involves working in partnership with other sectors, such as housing, education and the criminal justice system. At the heart of integrated care is person-centred (or personalised) care, the principle that care should be planned and organised around the needs and preferences of individuals, carers and communities, so that people have choice and control over the way their care is planned and delivered. It should engage service users and carers as equal partners, and put into practice the principle of ‘no decision about me without me’. Integrated and person-centred care have been shown to improve health and other outcomes for service users, and to reduce fragmentation and inefficiencies in service delivery. It is also seen as a key mechanism for addressing staff shortages, financial pressures and the growing demand for services. As a result, it is now a top priority among policymakers in many countries, including England (NHS Long Term Plan, 2019). Key themes include shared decision making and giving people more control over their own health and care; more effective collaboration between primary care, community services, local councils and other partners; and ensuring people can access services such as transport, leisure, education and housing. Such an ambitious policy agenda clearly has significant implications for health and social care organisations, and for those professionals directly involved in delivering care. There are many excellent examples of integrated services delivering significant

improvements in care. However, progress has been slow and uneven, and much work is still needed to embed the culture and practice of integrated care across the health and social care system. Creating and sustaining genuine change requires organisations and professionals to work differently, however they vary widely in their preparedness for change, and in the skills, resources and leadership capacity available to them. This module aims to:

  • Help you understand the challenges facing health and social care services, the need for more integrated and personalised approaches to care delivery, and recent policy responses and new models of care;
  • Provide you with a comprehensive grounding in the key concepts, theories and models of integration and personalisation as applied to health and social care, and the values and evidence that underpin them;
  • Develop your theoretical and practical understanding of how integrated and personalised services are planned, implemented and commissioned, using real-world examples and case studies to illustrate areas of success in integration, as well as its challenges and limitations. Content outline Topics covered in the module are likely to include:
  • Challenges facing health and social care services (in the UK and internationally), and the need for greater integration and personalisation
  • Policy drivers and recent policy responses, including new models of care
  • Key concepts, including types and levels of integration (across primary and secondary care, health and social care, physical and mental health)
  • Models and theories of integration and personalisation, key innovations in service delivery and the values that underpin them, including critical perspectives on integration
  • The adequacy of the evidence base for integration and personalisation
  • Strategic partnerships and partnership working (inter-professional, inter- agency and inter-sector)
  • Needs assessment
  • The role of management, leadership and governance
  • The principles and practice of user, carer and public engagement and involvement
  • Cultural competence and its role in meeting diverse service user needs, reducing health inequalities and ensuring culturally appropriate services
  • The use of technology (such as Personal Health Records) and related processes to support integration and personalisation
  • Paying for and commissioning integrated care (including direct payments, personal budgets, and commissioning models)
  • Barriers to and limitations of integration and personalisation WHAT WILL I BE EXPECTED TO ACHIEVE?

will be a range of external visiting lecturers and guest speakers, including practitioners and service users, bringing a variety of perspectives. Taught sessions are supplemented by guided and self-directed study which enable you to gain a deeper understanding of the material covered in the module, to pursue topics which are of particular interest to you in greater depth, to apply your learning from the module to your professional role and context, and to reflect on your learning and its application to your own personal and professional development needs. Teaching and learning are facilitated by Moodle , the University’s online Virtual Learning Environment. Teaching pattern: Teaching component Teaching type Contact hours (scheduled) Self-directed study hours (independent) Placement hours Total student learning hours Lectures Lecture 30 230 0 260 Seminars Seminar 10 30 0 40 Totals: 40 260 0 300 WHAT TYPES OF ASSESSMENT AND FEEDBACK CAN I EXPECT? Assessments You will be assessed through:

  • A 5 ,000-word case study report that identifies, critically analyses and evaluates a specific, real-world integrated/personalised care initiative, chosen by you, applying concepts, frameworks and theories covered in the module (80%).
  • A 20 - minute group presentation in which you will work with peers to identify and analyse a particular model of integrated/personalised care, critically assess the evidence for its effectiveness, and present the results (20%). Formative assessment: The module leader and lecturers will be available to provide formative feedback, advice and support for both assessments prior to submission. For the case study report, you will be supported in identifying an appropriate topic and focus for the report, and individual feedback on an outline will be provided. For both assessments there will also be opportunities for guided class discussions and question-and-answer sessions. Assessment pattern: Assessment component Assessment type Weighting Minimum qualifying mark Pass/Fail? Case study report Report 80% 50% No Group presentation Oral assessment and 20% 50% No

presentation Assessment criteria Assessment Criteria are descriptions of the skills, knowledge or attributes you need to demonstrate in order to complete an assessment successfully and Grade-Related Criteria are descriptions of the skills, knowledge or attributes you need to demonstrate to achieve a certain grade or mark in an assessment. Assessment Criteria and Grade- Related Criteria for this module's assessments will be made available to you at the beginning of the module in the assessment guidelines available on Moodle. The module leader will also discuss these during the face-to- face sessions. Feedback on assessment Following each assessment marks and feedback will be provided in line with the Assessment Regulations and Policy, normally within three weeks of the submission deadline (four weeks for end-of-module assessments). Markers will be available to answer queries about the marks and feedback if these are not clear. A selection of all assessments will be internally moderated and sent to the external examiner. All initial marks will be therefore provisional, pending external examiner approval and ratification by the Assessment Board. Assessment Regulations The Pass mark for the module is 50%. Minimum qualifying marks for specific assessments are listed in the table above. The weighting of the different components can also be found above. The Programme Specification contains information on what happens if you fail an assessment component or the module, but in the first instance you should contact the module leader. INDICATIVE READING LIST Glasby, J. & Dickinson, H. (2014) Partnership Working in Health and Social Care: What is Integrated Care and How Can We Deliver it? 2 nd^ Edition. Bristol: Policy Press. Glasby, J. & Littlechild, R. (2016) Direct Payments and Personal Budgets: Putting Personalisation into Practice. 3 rd^ Edition. Bristol: Policy Press. Gray, A. & Birrell, D. (2013) Transforming Adult Social Care: Contemporary Policy and Practice. Bristol: Policy Press. Ham, C. et al (2012) Transforming The Delivery of Health and Social Care: The case for fundamental change. London: King’s Fund. At: http://www.kingsfund.org.uk/publications/transforming-delivery-health-and-social-care Health Foundation (2016) Person-centred care made simple: What everyone should know about person-centred care. At: https://www.health.org.uk/publications/person- centred-care-made-simple. House of Commons Library (2017) Health and Social Care Integration (Commons