Partnership working and outcomes: Do health and social care partnerships deliver for users and carers?

Institute for Research and Innovation in Social Services (IRISS), Glasgow, UK.
Health & Social Care in the Community (Impact Factor: 1.15). 05/2013; 21(6). DOI: 10.1111/hsc.12050
Source: PubMed

ABSTRACT Working in partnership, both across social care and health and with service users, has been a persistent theme of the health and social care modernisation agenda in the United Kingdom. Despite a relatively underdeveloped evidence base, the development of health and social care partnerships has continued to feature in recent policy and legislative initiatives in the United Kingdom. At the same time there has been a major shift in focus towards the outcomes that support services deliver. A central question remaining is whether the policy initiatives driving the development of health and social care partnerships are delivering improved outcomes, particularly the outcomes valued by people who use services. This article outlines research designed to explore this issue across 15 health and social care partnerships in England and Scotland, building from previous research by the Social Policy Research Unit based at the University of York. It sought to assess the extent to which health and social care partnerships deliver the outcomes that people who use services value, and to determine the features of partnership working associated with the delivery of these outcomes. A robust outcomes framework was defined, which provided the basis for interviews with those receiving support from partnerships. Working with three user-researcher organisations, interviews were completed with 230 individuals in 2006. On the basis of this, some service users were able to identify features of partnership that particularly contributed to improved outcomes. These included continuity of staff and sufficient staff and a range of resources, including the availability of long-term and preventative services. Given the definitional and methodological complexity surrounding partnership working, and the challenges of attribution, the study faced some limitations in its ability to make wider inferences about partnership and outcomes. A theory of change should be employed in future studies of this type.

Download full-text


Available from: Emma Miller, Sep 28, 2015
268 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Abstract  An emphasis on the outcomes of health and social care services has become increasingly apparent within public policy in the United Kingdom. Alongside this, working in partnership has been a key theme, despite a relatively underdeveloped evidence base. Of central importance, however, must be whether directives toward partnership working are delivering improved outcomes, and in particular, the outcomes that are valued by service users. The authors describe a project that sought to identify the outcomes important to people with intellectual disabilities, and where possible, whether partnerships delivered these outcomes. The research was primarily based on interviews with service users and carers, and involved people with intellectual disabilities as both researchers and research subjects. The project categorized key outcomes in two categories (quality of life and process) and identified ways in which health and social care partnerships can deliver the outcomes service users want. If agencies are to deliver good outcomes to users, as increasingly emphasized in policy, this focus should accurately reflect the outcomes that users themselves define as important.
    Journal of Policy and Practice in Intellectual Disabilities 08/2008; 5(3):150 - 158. DOI:10.1111/j.1741-1130.2008.00167.x · 0.97 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Purpose – This review aims to focus on the role of evidence in informing policy and practice in health and social care integration. Design/methodology/approach – Following discussion of the importance of defining the terms that are being used, the review addresses UK policy and practice developments in respect of integrated health and social care over the last two decades. It explores the extent to which these accord with the available evidence on effective strategies. Findings – The review demonstrates that the focus in delivering integrated care should be on the local systems and cultures that can deliver positive outcomes for individuals. Structural change will not guarantee integrated care and diverts from the detail of local implementation that needs to be achieved. Current developments in both Scotland and England have some promise of delivering enduring progress. Originality/value – The review provides a synthesis of key bodies of evidence and allows comparison between different polities within the UK.
    Journal of Integrated Care 03/2012; 20(2):77-88. DOI:10.1108/14769011211220481
Show more