2015 Integrated Care Study Tour

SPAIN GERMANY SCOTLAND

Barcelona, Catalonia, SPAIN

Gesundes Kinzigtal, Haslach, GERMANY

NHS Highland, Inverness, SCOTLAND

KEY LEARNINGS AND MESSAGES• increasing burden of chronic disease requiring a

different approach to service delivery • global economic crisis has had a major impact on

driving the redesign of services• commissioning body oversight a key driver• clinical leadership is paramount• integration has many layers and levels (beyond

health integration to social services)• ''good things take time' - many programmes were 3-5

- 10yrs in the making

KEY LEARNINGS AND MESSAGES

• professional snobbery is universal in whatever language :) , white coats everywhere!!

• major reorientation to care in the home - and away from the hospital, aged care settings

• IT systems integration is critical to the success • rhetoric is patient centred – only just beginning this journey • trend to increase the role of nurses in care delivery and

coordination • protected community nursing roles and titles • a national uniform can be achieved!

WHO Global Strategy on people centred and integration health services