Joining up care to help local people lead healthier and happier lives
Southwark and Lambeth Integrated Care (SLIC) was a partnership between the local health and social care organisations and people working together to radically change the way services are delivered – improving the lives of local people through truly integrated care.
Who: Southwark and Lambeth Integrated Care
Start date: 2012
End date: March 2016
Grant value: £10.6 million
SLIC was a partnership between local GPs, the three local NHS foundation hospital trusts (Guy’s and St Thomas’, South London and Maudsley, and King’s College Hospital NHS Foundation Trusts), Southwark and Lambeth clinical commissioning groups, the two boroughs’ local authorities, as well as the voluntary and community sector, and people of Southwark and Lambeth.
Since it was established in 2012, SLIC helped communities and professionals work together to ensure a joined up health experience for local people. Through partnership working, SLIC aimed to:
We helped stimulate the creation of SLIC with a £10.6 million grant over three years, and we are actively involved in the initiative. Core to SLIC is what we believe is needed to improve health and care – to challenge traditional thinking and encourage radical change in the way services are delivered so that care can be truly integrated and people are supported to take control of their own health and wellbeing.
SLIC focused on creating services that empower people to manage their lives well; see people as whole people, taking all of a person's medical, psychological and social needs into account; and are proactive and preventive so that services offer support in the right place and at the right time.
The first phase of work within SLIC starts - with the aim of ensuring that local older people get the right services, in the right place, at the right time.
The enhanced rapid response service is expanded and the new @home service is launched. These services help people to either avoid going into hospital, or to return home sooner, through enhanced levels of nursing, therapy or social care support.
The Older People’s Information Directory is launched – an online directory of clinical, social and voluntary sector support services for older people, carers and health and social care professionals in Southwark and Lambeth.
A system is launched to share essential information about patients across GPs, hospital specialists, nurses and other relevant professionals more effectively and help ensure patients receive the best and most joined up care possible.
The integration programme ends after four years, giving way to a new Strategic Partnership which will continue the integration journey.
To improve the quality and value of care across Lambeth and Southwark, SLIC worked towards achieving a healthcare system that works together as one integrated system with one budget.
The SLIC strategy was about new relationships and radical culture change. It required SLIC partners to work innovatively and in ways that would enable health and care staff to put people at the heart of care. Professionals were supported by SLIC to think creatively about a wide range of responses to a person’s needs. The approach required staff to operate across the local networks and care settings, rather than through orthodox hierarchies and within the traditional confines of buildings.
SLIC’s efforts to integrate care included:
The partnership helped to develop deep relationships across the NHS, local authorities and communities to break down silos and to radically redesign models of care, commissioning approaches and provider partnerships.
"Integrated care is simple in theory, but there is no easy fix. At times we have learnt from failure, which has helped us find better approaches to care. The Charity’s encouragement and fresh thinking has been vital to us and we are very fortunate in Southwark and Lambeth to have the support for our talented workforce and citizen leaders to work together to develop integrated care."
Merav Dover, Chief Officer, Southwark and Lambeth Integrated Care
In Lambeth and Southwark, despite having many of the UK’s most talented clinicians, professionals and leaders, the current health and care system makes it difficult for organisations and professionals to work together, and care is mostly focused on treatment rather than prevention.
The health and care system is also under great financial strain. If the system continues as it is, demand will outstrip supply and it will become financially unsustainable.
It is only by working together that the highest quality of care can be provided, at the same time as ensuring the best possible value for money.
Integrated care is about ensuring a joined-up experience for local people, through different health and care organisations working together. It means that health and care services take into account the person’s physical, mental health and social care needs, leading to a better, more coordinated, service. It also allows people to take more control over their own wellbeing, enabling self-care and people being involved in decision-making about their care.
SLIC was developed so that there can be a collective response to the challenges the health and care system faces, a joint approach that effectively integrates care is the best way to provide the highest quality care for the local population.
SLIC was a partnership between local general practices, the three local NHS Foundation hospital trusts (Guy’s and St Thomas’ NHS Foundation Trust, South London and Maudsley NHS Foundation Trust and King’s College Hospital NHS Foundation Trust), Southwark and Lambeth clinical commissioning groups, Southwark and Lambeth local authorities, and people in Southwark and Lambeth.
‘Integrating Care in Southwark and Lambeth: What we did and how we did it’, a report published at the end of the programme, outlines the achievements of SLIC, highlights successes and challenges, and shares lessons learned. The report reveals that, as a result of the programme, which run from 2012 until March 2016: