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Health Policy. 2017 Nov;121(11):1124-1130. doi: 10.1016/j.healthpol.2017.07.009. Epub 2017 Aug 2.

The governance of integrated health and social care in England since 2010: great expectations not met once again?

Author information

1
Health Policy and Management, School of Social Policy, University of Birmingham, Birmingham, B15 2TT, UK. Electronic address: M.Exworthy@bham.ac.uk.
2
Health and Social Policy, School of Social Policy, University of Birmingham, Birmingham, B15 2TT, UK. Electronic address: m.powell@bham.ac.uk.
3
Health and Social Care, School of Social Policy, University of Birmingham, Birmingham, B15 2TT, UK. Electronic address: j.glasby@bham.ac.uk.

Abstract

Integrating health and social care has long been a goal of policy-makers and practitioners. Yet, this aim has remained elusive, partly due to conflicting definitions and a weak evidence base. As part of a special edition exploring the use of the TAPIC (transparency, accountability, participation, integrity and capability) framework in different national contexts and inter-agency settings, this article examines the governance of integrated care in England since 2010, focusing on the extent to which thesefive governance attributes are applicable to integrated care in England. The plethora of English policy initiatives on integrated care (such as the 'Better Care Fund', personal health budgets, and 'Sustainability and Transformation Plans') mostly shows signs of continuity over time although the barriers to integrated care often persist. The article concludes that the contribution of integrated care to improved outcomes remains unclear and yet it remains a popular policy goal. Whilst some elements of the TAPIC framework fit less well than others to the case of integrated care, the case of integrated care can be better understood and explained through this lens.

KEYWORDS:

England; Governance; Integrated care; health; health and social care; policy

PMID:
28811098
DOI:
10.1016/j.healthpol.2017.07.009
[Indexed for MEDLINE]
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