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Realizing policy aspirations of voluntary sector involvement in integrated care provision : insights from the English National Health Service
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Croft, Charlotte and Currie, Graeme (2020) Realizing policy aspirations of voluntary sector involvement in integrated care provision : insights from the English National Health Service. Health Policy, 124 (5). pp. 549-555. doi:10.1016/j.healthpol.2020.03.008 ISSN 0168-8510.
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Official URL: http://dx.doi.org/10.1016/j.healthpol.2020.03.008
Abstract
Integrating voluntary sector organizations (VSOs) into complex health and social care provision is a priority in global healthcare policy. However, realization of these policy aspirations in practice is limited, as VSOs struggle to collaborate with health and social care professionals, or influence the wider healthcare system, undermining their potential involvement in care provision. This paper aims to increase understandings of how the policy implementation gap could be addressed, by asking: how do new workforce roles support VSO involvement in delivering integrated care? Drawing on 40 interviews with VSO workers, healthcare commissioners, and healthcare professionals, conducted over 18 months in the English NHS, we outline how workforce capacity development through the introduction of coordinating roles, coupled with increasing regulatory control of VSO involvement, resulted in enhanced VSO integration in service provision. However, we also warn against the potential for exploitation of VSOs whereby they become replacements for health and social care provision, rather than a complementary service within an integrated team, resulting in patient harm. Our findings have important implications for policy makers, practitioners, VSO leaders and healthcare commissioners. We conclude that policy realization is dependent on the development of coordinating roles, coupled with levels of regulation which protect against exploitation without becoming normatively restrictive, thereby losing the important flexibility of VSOs.
Item Type: | Journal Article | ||||||||
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Subjects: | H Social Sciences > HG Finance H Social Sciences > HN Social history and conditions. Social problems. Social reform R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Social Sciences > Warwick Business School | ||||||||
Library of Congress Subject Headings (LCSH): | Voluntarism, Medical care, Medical policy | ||||||||
Journal or Publication Title: | Health Policy | ||||||||
Publisher: | Elsevier Ireland Ltd. | ||||||||
ISSN: | 0168-8510 | ||||||||
Official Date: | May 2020 | ||||||||
Dates: |
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Volume: | 124 | ||||||||
Number: | 5 | ||||||||
Page Range: | pp. 549-555 | ||||||||
DOI: | 10.1016/j.healthpol.2020.03.008 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 31 March 2020 | ||||||||
Date of first compliant Open Access: | 28 March 2021 | ||||||||
RIOXX Funder/Project Grant: |
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