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Integrated health and care systems in England : can they help prevent disease?

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Briggs, Adam D. M., Göpfert, Anya, Thorlby, Ruth, Allwood, Dominque and Alderwick, Hugh (2020) Integrated health and care systems in England : can they help prevent disease? Integrated Healthcare Journal, 2 . e000013. doi:10.1136/ihj-2019-000013 ISSN 2399-5351.

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Official URL: http://dx.doi.org/10.1136/ihj-2019-000013

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Abstract

Objectives: Over the past 12 months, there has been increasing policy rhetoric regarding the role of the NHS in preventing disease and improving population health. In particular, the NHS Long Term Plan sees integrated care systems (ICSs) and sustainability and transformation partnerships (STPs) as routes to improving disease prevention. Here, we place current NHS England integrated care plans in their historical context and review evidence on the relationship between integrated care and prevention. We ask how the NHS Long Term Plan may help prevent disease and explore the role of the 2019 ICS and STP plans in delivering this change.
Methods: We reviewed the evidence underlying the relationship between integrated care and disease prevention, and analysed 2016 STP plans for content relating to disease prevention and population health.
Results: The evidence of more integrated care leading to better disease prevention is weak. Although nearly all 2016 STP plans included a prevention or population health strategy, fewer than half specified how they will work with local government public health teams, and there was incomplete coverage across plans about how they would meet NHS England prevention priorities. Plans broadly focused on individual-level approaches to disease prevention, with few describing interventions addressing social determinants of health.
Conclusions: For ICSs and STPs to meaningfully prevent disease and improve population health, they need to look beyond their 2016 plans and fill the gaps in the Long Term Plan on social determinants.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Integrated Healthcare Journal
Publisher: BMJ Group
ISSN: 2399-5351
Official Date: 26 February 2020
Dates:
DateEvent
26 February 2020Published
26 February 2020Available
17 February 2020Accepted
Volume: 2
Article Number: e000013
DOI: 10.1136/ihj-2019-000013
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 4 March 2020
Date of first compliant Open Access: 5 March 2020
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