Interprofessional Collaboration: From Policy to Practice in Health and Social Care

Book Cover......Page 1
Half-Title......Page 2
Title......Page 3
Copyright......Page 4
Contents......Page 5
List of illustrations......Page 8
List of tables......Page 9
Contributors......Page 10
Foreword......Page 12
Part I Policy and interprofessional issues......Page 14
THE APPROACH TO THE PRESENT PUBLICATION......Page 15
THE MEANING OF THE WORDS......Page 17
WHO ARE THE PROFESSIONALS?......Page 18
The drawbacks......Page 19
Interprofessional bridge point......Page 20
The positive aspects of interprofessional collaboration......Page 21
REFERENCES......Page 22
The background......Page 24
The Children Act 1989......Page 27
BookmarkTitle:......Page 28
The collaborative momentum......Page 30
Internal market outcomes: joint planning and interagency developments: 1990–97......Page 31
Hospital discharge......Page 32
Phase 3 Partnership working: 1997–2000......Page 35
Health Improvement Programmes (HImPs)......Page 37
Outcomes for joint working by 2000......Page 41
MODERNISATION......Page 42
Conclusion......Page 49
REFERENCES......Page 51
INTRODUCTION—CHALLENGES FOR HEALTH CARE IN THE TWENTY-FIRST CENTURY......Page 55
Some extrinsic influences......Page 57
AIMS OF INTERPROFESSIONAL COLLABORATION......Page 58
MANAGING COLLABORATION......Page 60
MANAGING EXPERTISE......Page 61
MANAGING THE MISSION......Page 62
EPILOGUE......Page 63
REFERENCES......Page 64
INTRODUCTION......Page 67
Case-mix......Page 68
Managed care......Page 69
New public management......Page 70
PULLING IN BOTH DIRECTIONS?......Page 71
Genericism and professionalism......Page 72
Professionalism versus genericism......Page 73
GOING ROUND IN CIRCLES?......Page 74
NOTES......Page 76
REFERENCES......Page 77
ETHICAL ISSUES......Page 79
Clinician and patient......Page 81
Clinician to clinician......Page 82
Clinician and profession......Page 84
Clinicians and managers......Page 85
Clinicians, managers and the public......Page 86
REFERENCES......Page 87
CONVENTIONAL COLLABORATION......Page 89
INFORMATION TECHNOLOGY......Page 90
NHSnet......Page 92
Organisational support......Page 93
Ethical considerations......Page 94
Cultural factors......Page 95
EXAMPLES OF E-COLLABORATION......Page 96
Asynchronous technologies......Page 97
EVIDENCE AND EVALUATION......Page 98
GLOSSARY......Page 99
REFERENCES......Page 101
THE PURPOSE OF MODELS......Page 103
Collaborative grading......Page 104
Models of interprofessional collaboration......Page 105
Models for interprofessional practice......Page 106
Models for teamwork......Page 108
AGENCIES, SECTORS AND ORGANISATIONS WORKING TOGETHER......Page 110
PUBLIC/PRIVATE PARTNERSHIPS......Page 111
A model for carers and services......Page 113
The jigsaw model......Page 114
A model for mergers......Page 115
MODELS FOR INTEGRATING HEALTH AND SOCIAL CARE PROVISION......Page 116
A model for effective service integration......Page 118
A model for needs assessment......Page 119
A model for user empowerment......Page 121
A model for change......Page 122
CONCLUSION......Page 123
REFERENCES......Page 125
Part II From policy to practice......Page 128
INTRODUCTION......Page 129
The research process......Page 130
Collaborative working......Page 131
Bed-filling policy......Page 132
The impact of bed-filling policy on collaborative working......Page 133
The Care Programme Approach (CPA)......Page 135
The key-worker role......Page 136
Protecting role boundaries......Page 137
CONCLUSIONS......Page 138
NOTE......Page 139
REFERENCES......Page 140
THE SIGNIFICANCE OF POLICY......Page 141
A LOCAL CASE STUDY......Page 144
NOTE......Page 151
REFERENCES......Page 152
SUMMARY......Page 153
HEALTH ALLIANCES AS A TEST BED FOR INNOVATION, EXPERIMENT AND THEORY-BUILDING......Page 154
MULTIPLE FRAMES OF THOUGHT IN THE DEVELOPMENT AND EVALUATION OF HEALTH ALLIANCES......Page 155
Six non-linear metaphors in the development and evaluation of health alliances......Page 156
BEYOND THE BOUNDARIES: AN INTERSTITIAL PERSPECTIVE ON HEALTH ALLIANCES......Page 158
Thirdspace as a guiding metaphor for health alliances?......Page 159
REFERENCES......Page 161
Types of family support......Page 165
Key features of family support services......Page 166
POLICY INFLUENCES ON COLLABORATIVE WORK IN FAMILY SUPPORT......Page 167
 Teamwork within the agency......Page 171
Interagency working......Page 172
Participating in partnerships......Page 174
CONCLUSION......Page 175
REFERENCES......Page 176
INTRODUCTION......Page 179
RECEIVING THE MESSAGE......Page 180
What needs to change?......Page 181
DESTABILISING THE INTERPROFESSIONAL PRACTICE SYSTEM......Page 183
The impact of change......Page 184
Promoting Interagency Training (PIAT)......Page 185
Ideological and domain consensus......Page 186
Driving implementation......Page 187
Implementation progress......Page 188
A new agenda?......Page 189
REFERENCES......Page 190
INTRODUCTION......Page 192
‘Building on sand’—the history of primary health-social services collaboration......Page 193
Primary care, PCG/Ts and the new partnership agenda......Page 194
Interprofessional collaboration on the PCGIT board......Page 195
Interprofessional collaboration between health and social care in the community......Page 198
DOES COLLABORATION BETWEEN PRIMARY HEALTH AND SOCIAL CARE DELIVER WHAT OLDER PEOPLE WANT?......Page 200
DISCUSSION AND CONCLUSIONS......Page 201
REFERENCES......Page 203
WHY USER-CONTROLLED SERVICES?......Page 205
 THE SHIFT TOWARDS USER-CONTROLLED SERVICES......Page 208
CHARACTERISTICS OF ‘USER-CONTROLLED’ SERVICES FOR DISABLED PEOPLE IN THE UK......Page 210
PARTNERSHIP, CONFLICT OR SOMETHING ELSE?......Page 213
CONCLUSION......Page 214
REFERENCES......Page 215
INTRODUCTION......Page 217
PROVIDING INTEGRATED SERVICES......Page 218
THE CARE PLANNING APPROACH......Page 219
Addressing user and carer issues......Page 220
The interprofessional team......Page 222
Training......Page 225
REFERENCES......Page 226
THE ORIGIN AND START OF THE PROJECT: A MULTIAGENCY CASEWORK SERVICE......Page 229
Changing to panels......Page 231
ROUGH SLEEPING AND SERVICES FOR ROUGH SLEEPERS: A SPECIAL CASE......Page 233
INVENTORY KNOWLEDGE: KNOWING WHICH ORGANISATIONS EXIST......Page 234
OPERATIONAL KNOWLEDGE: UNDERSTANDING HOW ORGANISATIONS WORK......Page 235
DIFFICULTIES WITH LANGUAGE......Page 236
CONFIDENTIALITY AND INFORMATION EXCHANGE......Page 237
JOINT ASSESSMENT......Page 238
CONCLUSION......Page 239
REFERENCES......Page 240
INTRODUCTION......Page 242
SECTION 1  CARERS—CRITICAL VOICES......Page 243
Control......Page 245
Confidentiality......Page 247
SECTION 3 FUTURE INTERPROFESSIONAL WORK WITH CARERS......Page 249
SECTION 4 FUTURE FORWARD USER PREDICTIONS ON COLLABORATION......Page 250
REFERENCES......Page 251
THE POLICY CONTEXT......Page 253
PURCHASING/PROVIDING......Page 255
 USER-LED SERVICE DEVELOPMENT......Page 258
CULTURE AND VALUES......Page 259
IMPACT ON VOLUNTEERS......Page 260
REGULATION AND QUALITY ASSURANCE......Page 261
REFERENCES......Page 263
Part III From policy to practice......Page 266
THE WORLD HEALTH ORGANIZATION......Page 267
Modifying reciprocal attitudes......Page 268
Establishing common values, knowledge and skills......Page 269
Team-building......Page 271
Solving problems......Page 272
Responding to communities......Page 273
Changing practice......Page 274
Changing the professions......Page 275
Integrating the approaches......Page 277
REFERENCES......Page 278
INTRODUCTION......Page 281
Barriers to implementation......Page 282
Possible theoretical approaches to IPE/C......Page 283
A College of Health Disciplines......Page 287
Functions......Page 289
Role......Page 291
Learning across boundaries......Page 292
Community collaboration and partnerships......Page 293
APPENDIX 1......Page 294
REFERENCES......Page 296
THE NORWEGIAN WELFARE STATE AND THE DEMAND FOR INTERPROFESSIONAL COOPERATION......Page 299
Demand for interprofessional cooperation......Page 300
Professional training and vocational studies in the melting pot......Page 301
Mutual subjects—sufficient to promote interprofessional education?......Page 303
RELATIONSHIPS BETWEEN INTERPROFESSIONAL EDUCATION AND INTERPROFESSIONAL COOPERATION IN PRACTICE......Page 305
CONCLUSIONS......Page 308
REFERENCES......Page 310
BACKGROUND......Page 312
Health care services......Page 313
Social services......Page 314
Elderly services......Page 315
Policy initiatives for elderly services......Page 316
INTERPROFESSIONAL EDUCATION......Page 319
The Chinese University of Hong Kong Centre for Gerontology and Geriatrics......Page 320
The Open University of Hong Kong......Page 321
The Hong Kong Institute of Gerontology......Page 322
SOME REFLECTIONS ON INTERPROFESSIONAL EDUCATION IN HONG KONG......Page 323
REFERENCES......Page 324
BACKGROUND......Page 326
EARLY ACADEMIC PROGRAMMES OF MULTIPROFESSIONAL EDUCATION (MPE) IN EUROPE......Page 327
EUROPEAN NETWORK FOR THE DEVELOPMENT OF MULTIPROFESSIONAL EDUCATION IN HEALTH SCIENCES......Page 330
THE NETWORK: COMMUNITY PARTNERSHIPS FOR HEALTH THROUGH INNOVATIVE EDUCATION, SERVICE AND RESEARCH......Page 331
TOWARDS UNITY FOR HEALTH......Page 332
THE LATIN AMERICAN EXPERIENCE......Page 333
REFERENCES......Page 334
Words and purpose......Page 336
Outcomes......Page 337
Some professional issues within an interprofessional context......Page 338
Professional regulation......Page 339
User views and perspectives......Page 341
Accountability and costs......Page 342
Boundaries......Page 343
The background......Page 344
A whole systems approach......Page 345
Integrated care pathways......Page 346
Care trusts......Page 347
INNOVATIVE WAYS FORWARD FOR INTERPROFESSIONAL COLLABORATION IN THE TWENTY-FIRST CENTURY......Page 348
NHS Beacons......Page 349
NATIONAL SERVICE FRAMEWORKS (NSF)......Page 350
Networking models for professional practice......Page 351
Intended outcomes......Page 352
SERVICE USERS......Page 353
FINALE......Page 355
REFERENCES......Page 356
Index......Page 358