Benchmarking integrated care for people with long-term neurological conditions

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Abstract

This paper reports results from a national survey of primary care trusts (PCTs) that explored the strategic, organisational and practice context of services for people with long-term neurological conditions (LTNCs). It provides benchmarks for integrated service provision and discusses possible reasons for the variability in progress.

The survey found that the prevalence of models of good practice varied widely across and within PCT areas. Strategic support and commissioning arrangements were also variable. A little over half of responding PCTs had completed a joint strategic needs assessment (JSNA) that included a reference to LTNCs and a quarter of PCTs had no joint commissioning arrangements in place for LTNCs. The complex interplay between strategy, organisational structures and models of delivery, in a context of competing priorities, may account for this variation and patchy progress.
Original languageEnglish
Pages (from-to)152-163
Number of pages12
JournalJournal of Integrated Care
Volume20
Issue number3
Publication statusPublished - 2012

Keywords

  • integrated care
  • long-term neurological conditions
  • services
  • health care services
  • social services
  • National Service Framework
  • social care services

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