About this event
Highlights from this event
Andrew Ridley, Programme Director of the Better Care Fund, talks about where they are in the process so far, and early findings and lessons.
Rob Kenyon, Chief Officer of Health Partnerships, talks about how health and social care organisations in Leeds are working together towards a whole-system approach.
About this event
Our integrated care summit is a key event for health and social care professionals who want to find out what immediate steps they can take to move the integrated care agenda forward in their area.
This year's summit
Improving patients’ seamless experience of care and enabling limited local resources to go further are two of the key advantages offered by integrated care.
This year's event provided knowledge on several key aspects important to the success of integrated care including:
- how to get the right skills mix for an integrated care workforce
- the commissioning and contracting innovations that can enable integrated care
- working with providers to support integrated care locally
- the evidence on the economic impacts of integrated care.
Breakfast workshops organised by summit sponsors, Integrating Care and tpp.
See the 'Workshops' tab for more details.
Session one: The quality and outcomes imperative for integrated care
Welcome and introduction
Professor Chris Ham, Chief Executive, The King's Fund
Project INTEGRATE – lessons from four European case studies
Prof Magdalene Rosenmöller, Senior Lecturer, IESE Business School, Barcelona and Co-ordinator, Project INTEGRATE
Project INTEGRATE is investigating how integrated care has been delivered to people with chronic conditions in different settings across Europe. Magdalene will provide insights into best practice which can be reflected across the participating countries and, in a second phase, internationally.
Panel discussion: lessons for the NHS
- How can we create the right environment to improve whole population health and wellbeing?
- How will national organisations support and engage with commissioners and providers to make integrated care a reality?
- How are we working together to enable care that is co-ordinated around the patient and not driven by the system?
- Which organisations are best placed to lead the drive for integrated care locally?
- Dr Martin McShane, Director for Long-Term Conditions, NHS England
- Chris Hopson, Chief Executive, Foundation Trust Network
- Juliet Bouverie, Director of Services & Influencing, Macmillan Cancer Services
- Andrew Ridley, Programme Director, Better Care Fund
Session two: Breakout sessions
A: Rethinking the integrated care workforce
Chaired by Candace Imison, Deputy Director, Policy, The King’s Fund
- How specialists working in the community are supporting better integration of care services
Ruth Robertson, Fellow, Health Policy, The King's Fund
- The respiratory specialist role in the integrated care team
Dr Mike Ward (Clinical lead), Consultant Physician, Sherwood Forest Hospitals, Co-chair IMPRESS, NHS Midlands Respiratory Lead
- Practice Development Co-ordinator (PDC): supporting primary care practitioners develop knowledge and skills in CVD care
Lynda Blue, Healthcare Innovation Programme Manager, British Heart Foundation
Morven Dunn, Practice Development Coordinator, British Heart Foundation
B: Better care fund
Chaired by Richard Humphries, Assistant Director, Policy, The King's Fund
- Introduction and update
Andrew Ridley, Programme Director, Better Care Fund
- An update from Greenwich
Annabel Burn, Chief Officer, NHS Greenwich CCG
Wendy McDermott, Specialist Integration Lead, Greenwich Co-ordinated Care
- An update from Wiltshire
James Roach, Integration Director, Wiltshire CCG and Wiltshire Council
Sir John Oldham OBE, GP and Chair of the Independent Commission on Whole Person Care
Professor Paul Corrigan, Independent Healthcare Consultant and Visiting Professor of Public Policy, University of North London
C: How providers are supporting integrated care locally
Chaired by Chris Naylor, Senior Fellow, Policy, The King’s Fund
- Symphony Project, person-centred, co-ordinated care in South Somerset
Jeremy Martin, Director, Symphony Project, Yeovil District Hospital NHS Foundation Trust
Andrew Street, Professor of Health Economics and Director of the Health Policy team in the Centre for Health Economics and Director of the Economics of Social and Health Care Research Unit (ESHCRU)
- Generating economic impact and common welfare by clinical wisdom, targeted prevention and data analysis – the case of Kinzigtal in Germany
Helmut Hildebrandt, CEO of OptiMedis AG & Gesundes Kinzigtal GmbH
- Leeds integrated care initiative: shared care records and good information governance
Rob Kenyon, Chief Officer, Health Partnerships
D: Making integrated services a reality
Chaired by Nicola Walsh, Assistant Director, Leadership, The King's Fund
- Making integrated services the norm not the exception: a case study of housing and health
Ruth Cooke, Chief Executive Officer, Midland Heart
- Realising the potential of the voluntary sector in supporting patient-centred co-ordinated care
Natasha Thomas, Chief Officer, Hale Project, Bradford
- The development of integrated care services in the Eixample Esquerre Region of Barcelona
Dr Albert Alonso, Senior Researcher, Innovation Directorate, Hospital Clinic Barcelona
Session three: Keynote address
Richard Murray, Director, Policy, The King's Fund
Norman Lamb MP, Minister of State for Care Services
Session four: The economic impact of integrated care
What is the evidence on the economic impacts of integrated care?
Ellen Nolte, Hub Coordinator, European Observatory on Health Systems and Policies, London School of Economics and Political Science and London School of Hygiene and Tropical Medicine
Panel discussion: how important is the evidence of economic impact?
- Professor John Appleby, Chief Economist, The King’s Fund
- Anita Charlesworth, Chief Economist, The Health Foundation
- Helmut Hildebrandt, CEO of OptiMedis AG & Gesundes Kinzigtal GmbH
- Andrew Street, Professor of Health Economics and Director of the Health Policy team in the Centre for Health Economics and Director of the Economics of Social and Health Care Research Unit (ESHCRU)
Session five: Building a system of care
Dr Nicola Walsh, Assistant Director, Leadership Development, The King's Fund
Accountable care organisations in the United States and England, a review of what works
Dr Rachael Addicott, Senior Research Fellow, The King's Fund
- Vicki Harter, Clinical Product Manager, Caradigm
- Stephen M. Shortell, Blue Cross of California Distinguished Professor, Health Policy and Management, Professor of Organization Behavior and Dean Emeritus, UC Berkeley
- Dr Hugh Reeve GP, Clinical Chair, Cumbria Clinical Commissioning Group
- Belinda Weir, Associate, Leadership Development, The King's Fund
Summary and closing comments
Ten things every provider needs to know about integration
Organised by Integrating Care
This interactive panel session presented ten thought-provoking recommendations to the floor, providing clear and compelling perspectives on what providers need to understand and to do to respond to the challenges and opportunities presented by integrated care.
Led by a panel of internationally and nationally recognised sector experts from the Integrating Care collaborative, the session addressed the key question of aligning different provider systems across community, mental health, social care and acute settings, leaving participants with a deepened understanding of the requisite steps providers can take to deliver the true potential of integrated care.
Session chair: Sir Neil McKay, founding member of the national Integrating Care collaborative
- Professor Paul Corrigan, Independent Healthcare Consultant and Visiting Professor of Public Policy, University of North London
- Dr Nicholas Hicks, founder member of the COBIC programme and Chief Executive of Cobic Ltd
- Professor Angela Coulter, Senior Research Scientist at the Department of Public Health, University of Oxford, and Visiting Fellow, The King's Fund
- Steve Shrubb, Chief Executive, West London Mental Health Trust
- Claire Perry OBE, Visiting Senior Fellow, The King's Fund
Innovative use of the integrated care record: understanding mortality and detecting frailty - a case study from Bradford
Organised by tpp
- Dr Michael McCooe, Improvement Academy Fellow, Yorkshire & Humber AHSN
- Elizabeth Teale, Clinical Senior Lecturer and Consultant in Elderly Care Medicine, Bradford Teaching Hospitals NHS FT
Norman Lamb MP
Minister of State for Care Services
Sir Neil McKay
Founding Member, Integrating Care Collaborative
Professor Paul Corrigan CBE
Paul has been visiting professor of public policy at the University of North London since 1995. He is a former special advisor to No. 10 and whilst in government led the development of Foundation Trust. He has subsequently become a highly respected commentator on health care across the UK. For the first 12 years of his working life he taught at Warwick University and the Polytechnic of North London.
In 1985 he left academic life and worked in local government for 12 years - mainly in London but also as a member of staff in the local government unit of the Labour party.
Paul then started to work for himself as a local government consultant, working on issues of modernisation and, in 1999, worked for the Office for Public Management. From 2001, he worked for the Labour government as Special Advisor on Health, leading the development of Foundation Trust Hospitals and pioneering the 'choice' agenda.
Paul is currently engaged across the NHS playing a leading role in a number of reform and transformation programmes. He is also one of the UK's leading opinion formers on health care and regularly contributes to the national debate in this space.
Paul gained his first degree in social policy from the London School of Economics in 1969, his PhD at Durham in 1974
Dr Nicholas Hicks
Founder Member, COBIC programme and Chief Executive, COBIC Ltd.
Professor Angela Coulter
Senior Research Scientist at the Department of Public Health, University of Oxford, and Visiting Fellow, The King's Fund
Chief Executive, West London Mental Health Trust
Claire Perry OBE
Visiting Senior Fellow, The King's Fund
Professor Chris Ham
Chief Executive, The King's Fund
Professor Magdalene Rosenmöller
Senior Lecturer, IESE Business School, Barcelona and Co-ordinator, Project INTEGRATE
Dr Martin McShane
Director for Long-Term Conditions, NHS England
Martin was appointed his new role within the Medical Directorate of NHS England in 2012. He qualified as a doctor in 1981 and trained in general and vascular surgery before electing to enter General Practice. From 1990 until 2004 he was a GP partner in a training practice.
He has previously chaired a primary care group and professional executive committee and was Chief Executive of North Eastern Derbyshire Primary Care Trust from 2004-2006. From 2006-2012 he was Deputy Chief Executive and Director of Strategic Planning and Health Outcomes for NHS Lincolnshire as well as a member of the National Patient Safety Forum and Vice Chair of East Midlands Specialised Commissioning Group.
Director of Services & Influencing, Macmillan Cancer Services
Juliet is Macmillan's Director of Services and Influencing. She holds overall accountability for the development and delivery of Macmillan's services strategy and for effective influencing of governments and health and social care decision makers across the UK. The purpose of Macmillan's services and influencing work is to drive improvements in outcomes and patient experience so that more people living with and affected by cancer can say that Macmillan's Nine Outcomes are true for them.
Juliet has held several other roles in Macmillan, including Director of Corporate Development for 4 years responsible for functions including Corporate Strategy, Research and HR, and Head of Planning & Policy for eight years. Prior to her 20-year career in the voluntary sector, Juliet worked in parliamentary affairs. Following her own cancer experience, Juliet chaired the Patient Experience Board for University College London Hospital (UCLH) for 3 years until May 2014. She is a former Trustee of the Long-Term Conditions Alliance and National Voices.
Juliet has a degree in Modern Languages from the University of Oxford.
Programme Director, Better Care Fund
Andrew is on secondment as Programme Director for the Better Care Fund, leading a team drawn from NHS England, the Department of Health, the Department for Communities and Local Government and the Local Government Association. The role focuses on helping local areas further develop their plans for integrating care.
Andrew’s substantive role is as Managing Director of NEL CSU, the CSU helps commissioners improve services, outcomes and value for their communities.
Prior to this, he held a variety of senior positions in NHS Tower Hamlets, and worked at Guy's and St Thomas' NHS Foundation Trust and at the Terrence Higgins Trust. He undertook a Harkness Fellowship at New York City Department of Health in 1996 and 1997, examining the system of managed care in US health care providers. He completed his MBA in 2002.
Chief Executive, Foundation Trust Network
Chris joined the Foundation Trust Network in September 2012 as Chief Executive following a career spanning the public, private and voluntary sectors.
Between 2005 and 2012, Chris worked at HM Revenue and Customs (HMRC), initially as board level communications and marketing director and then strategy and capability director. In his last role, as HMRC's customer contact director, he led 12,500 staff across 300 locations, in one of the UK's largest customer service businesses. Before joining HMRC, Chris was board level corporate affairs director at Granada Media, subsequently ITV plc. Previous to that, he was the first political adviser at the Department of Culture, Media and Sport, and chief executive of the Social Democratic Party (SDP). Between 2005 and 2011, Chris was chair of the Foyer Federation, one of the UK's leading national youth charities.
Chris is a graduate of the cross Whitehall High Potential Development Scheme, designed to identify and develop the next generation of top civil service leaders, and he holds an MBA from Cranfield Business School.
Fellow, Health Policy, The King's Fund
Dr Mike Ward
Consultant Physician, Sherwood Forest Hospitals, Co-chair IMPRESS, NHS Midlands Respiratory Lead
Mike is a founding member of the British Thoracic Society (BTS) Integrated Care Working Party. He was respiratory consultant at Sherwood Forest Hospitals for many years and recently retired this year. He was also co-chair of IMPRESS, a joint initiative between the BTS and the Primary Care Respiratory Society.
Dr Ward has been, at different times, medical director of both an acute trust and a community trust. He has experience in improving patient care by integration of respiratory services across organisations.
Sir John Oldham OBE
GP and Chair, The Independent Commission on Whole Person Care
Sir John is regarded as one of the world's leading experts in large system change, having practical experience of training teams to do this in a number of countries. His passion is, with others, to help make health care safer, more reliable and efficient. Sir John has most recently been involved with the UK Department of Health and NHS England as National Clinical Lead for Quality and Productivity and now chairs the Independent Commission on Whole Person Care.
Senior Fellow, Policy, The King's Fund
Director, Symphony Project, Yeovil District Hospital NHS Foundation Trust
Professor of Health Economics and Director of the Health Policy team in the Centre for Health Economics and Director of the Economics of Social and Health Care Research Unit (ESHCRU)
Andrew is a Professor of Health Economics and Director of the Health Policy team in the Centre for Health Economics and Director of the Economics of Social and Health Care Research Unit (ESHCRU), a joint collaboration with the Personal Social Services Research Unit (PSSRU) at the London School of Economics and the University of Kent.
He is an editor of the Journal of Health Economics, and currently serves as a board member on the NIHR Health Services and Delivery Research programme Commissioning Board Researcher-led (since 2009) and the Norwegian HSR Board (since 2011), and as chair of the Welsh Health Economics Support Service Advisory Group. He is an external affiliate to the Department of Business and Economics at the University of Southern Denmark.
Andrew's research covers measurement of health system productivity, evaluation of activity based funding mechanisms, analysis of organisational efficiency, and critical appraisal of health policy. He has been working with Somerset’s Symphony project on the development of integrated health and social care in the area.
CEO of OptiMedis AG & Gesundes Kinzigtal GmbH
Helmut Hildebrandt is CEO of OptiMedis AG, located in Hamburg/Germany. OptiMedis AG is a management and investment company that co-operates with doctors, hospitals, health insurance funds and pharmaceutical and medical industry to provide entire regions with integrated health care solutions. It analyzes health care data and performs independent, data-based real-life care research and makes the results available for the integrated provision of health care services.
Helmut Hildebrandt is also CEO of Gesundes Kinzigtal GmbH, a management company for integrated health care in Haslach/Germany. It manages and coordinates medical care in a pre-defined area for over 31,000 people insured by the public health insurance companies AOK and LKK Baden-Württemberg.
Besides Helmut Hildebrandt is co-chair of the Heinrich Boell Foundation, a policy thinktank close to the Green Party in Germany. He is also board member of the German Managed Care Association (BMC) and the International Foundation for Integrated Care. Helmut Hildebrandt studied pharmacy and public health and has been working for WHO and as Adviser for Healthy Cities and Health Promoting Hospitals.
Chief Officer, Health Partnerships, Leeds City Council
As Chief Officer for Health Partnerships at Leeds City Council, Rob was responsible for establishing the Health and Wellbeing Board and Integrated Commissioning Executive which set the overarching strategy and commissioning intentions for the city. He led the city’s Joint Health and Wellbeing Strategy and the push to develop the Leeds £. He is lead officer for the Executive Member for Health and Wellbeing and advises other cabinet members with health portfolios.
A former pilot, sales manager, therapist, academic researcher and clinical director, Rob has held a number of leadership roles within the NHS and local government. These include regional and national development roles with the Home Office, National Treatment Agency, the Royal College of General Practitioners, the Department of Health and LGA. He has published on treatment effectiveness, skills acquisition, clinical supervision and systems change. Rob has spent the majority of his working life in the Public Sector and has a passion for fairness, sustainability, innovation and change. He recently led Leeds’ successful bid to be recognised as a Pioneer for integrated health and social care, coordinated the development of the Better Care Fund. He is a member of the Nuffield Trust’s Health Leaders Panel and has recently been declared one of the most influential people in Health and Social Care by the LGA and HSJ.
Rob is a founding member of the Leeds Innovation Health Hub which is responsible for building on the ‘Health and Wealth’ strengths of the Leeds Eco-system to make Leeds the international city for health innovation. He is also a Director and trustee of one of the city’s largest charities: Leeds Re’New.
Director, Integrated Care Programme, The King’s Fund
Director of Business Development, Midland Heart
Leadership Associate, The King's Fund
Dr Rafael Ruiz
General Manager, CAPSE Primary Care Consortium, Barcelona
Dr Hugh Reeve GP
Clinical Chair, Cumbria Clinical Commissioning Group
Hugh Reeve is the Clinical Chair of NHS Cumbria CCG and a GP Partner at Nutwood Medical Practice in Grange-over-Sands. Until 2006 he was Medical Director and PEC Chair at Morecambe Bay Primary Care Trust. He started GP life combining academia and inner city general practice in Manchester for seven years. He then moved to Stockport where he was Medical Director in the Health Authority for two years, after which he returned to general practice. He moved to the Lake District in 2001 – and has no regrets!
Hugh has had the opportunity to study different models of integrated care in North America, Scandinavia and Spain. Currently he is involved in leading system change within Cumbria where new approaches to payment, managing clinical information, and organisational models are high on the agenda. However, he believes that the key to success is building robust and trusting relationships.
Director, Policy, The King's Fund
Director, Health and Healthcare, RAND Europe
Dr Ellen Nolte has recently joined the European Observatory on Health Systems and Policies as coordinator of its the two London offices at the LSE and the LSHTM. She was previously Director of the Health and Healthcare Policy programme at RAND Europe, Cambridge, UK. Her expertise is in health systems research, international healthcare comparisons and performance assessment. She combines this expertise with experience in the systematic analysis of population health indicators across European countries, including the application of demographic and epidemiological approaches to understanding factors contributing to population health outcomes. She has published widely on health system performance assessment, European health policy and population health assessments both in the international peer-reviewed literature and the wider literature. She holds a PhD from London University and a Masters degree in public health (MPH) from the University of Bielefeld, Germany.
Chief Economist, The King's Fund
Chief Economist, The Health Foundation
Before joining the Health Foundation in May 2014, Anita was Chief Economist at the Nuffield Trust for four years where she led the Trust's work on health care financing and market mechanisms. Anita was Chief Analyst and Chief Scientific Advisor at the Department of Culture, Media and Sport from 2007 to 2010 and, prior to this, she was Director of Public Spending at the Treasury from 1998-2007, where she led the team working with Sir Derek Wanless on his reform of NHS funding in 2002.
Anita has a masters in Health Economics from York University and has worked as an Economic Advisor in the Department of Health and for SmithKline Beecham pharmaceuticals in the UK and USA. Anita is Vice-Chair of the Whittington Hospital NHS Trust and a Trustee of Tommy's, the baby charity.
Senior Research Fellow, The King's Fund
Clinical Product Manager, Caradigm
Stephen M. Shortell
Blue Cross of California Distinguished Professor, Health Policy and Management, Professor of Organization Behavior and Dean Emeritus, UC Berkeley
Healthcare Innovation Programme Manager, British Heart Foundation
Lynda has many years' nursing experience caring for patients in both primary and secondary care settings and managing teams of healthcare professionals. In her current role as British Heart Foundation (BHF) Healthcare Innovation Programme Manager Lynda is responsible for the programme management of BHF Health Innovation projects and developing an evidenced based portfolio of BHF projects and programmes to support healthcare professionals, managers and commissioners .
Her previous role at BHF was Regional Service Development Manager for Scotland and Northern Ireland, managing a team of Area Development Managers and Practice Development Coordinators. Prior to working at BHF Lynda designed, established and managed the Glasgow Heart Failure Nurse Service and played a major part in a randomised controlled trial of specialist nurse intervention in heart failure (Blue et al BMJ 2001). Lynda is a Nurse Fellow of the European Society of Cardiology. As a result of her expertise in heart failure Lynda has presented at many international conferences, has a number of publications and developed a UK wide accredited heart failure nurse training programme in conjunction with Glasgow Caledonian University and the BHF.
Chief Officer, Health Action Local Engagement
Natasha is Chief Officer at HALE (Health Action Local Engagement), a third sector organisation which has been the winner of two Kings Fund/ GlaxoSmithKline IMPACT awards. HALE deliver a range of community health services in West Yorkshire in line with their mission "to improve health where there is greatest need". Natasha also performs a strategic integrated care role as co-chair of the Bradford Health and Wellbeing Forum. This Forum represents and lobbies for the third sector, seeking greater involvement for the sector in care pathways in the local health and social care system.
Director of Integration, Wiltshire CCG and Council
James is Director of Integration for Wiltshire CCG and Council; he is spearheading the implementation of the Better Care Plan across Wiltshire which is a recognised area of good practice with Wiltshire being one of only 5 national exemplar sites. Where Wiltshire lead others follow. James has worked in the NHS for the last ten years undertaking a range of roles across provider and commissioning organisations more recently as Accountable Officer. He has a passion for service transformation and innovation.
Dr Albert Alonso
Senior Researcher, Innovation Directorate, Hospital Clinic Barcelona
Albert holds a PhD in Medicine and a post graduate degree on Management and Organisation of Information Systems. He has been a main contributor to the development integrated care services at Hospital Clinic and the area served by the hospital. At present, he is involved in Project Integrate that benchmarks existing approaches to integrated care models in Europe. Current vice-chair and secretary of the International Foundation for Integrated Care (IFIC) and member and active participant in the action group B3 on Integrated Care (EIP-AHA)
Chief Executive, Midland Heart
Ruth is CEO of Midland Heart, a large housing and care business working across the Midlands. A qualified accountant and corporate treasurer, Ruth was previously Finance Director at Midland Heart, and has also been Chief Finance Officer at Anchor Trust and Group Director of Resources at Arcadia Housing Group. She began her career at PricewaterhouseCoopers. Ruth is a Board member at Herefordshire Housing and chairs their Property and Assets Board. She is also a member of the Social Housing Pension Scheme Committee and a Board member at Marketing Birmingham. She was previously a Board member and Vice-Chair of My Home Finance.
Assistant Director, Policy, The King's Fund
Deputy Director, Policy, The King's Fund
Dr Michael McCooe
Improvement Academy Fellow, Yorkshire and Humber AHSN
Specialist Integration Lead, Greenwich Co-ordinated Care
Wendy is an experienced Occupational Therapist registered with the HCPC and a member of the College of Occupational Therapists (COT). Wendy has set up, managed and developed an award winning specialist Falls Team, led a multi-agency Falls steering group, developed secondary prevention initiatives with Greenwich leisure and supported Greenwich University with workforce development.
Wendy has been involved with multiagency care pathway development, working in partnership with London Ambulance Service and a range of primary care services for admission avoidance. Wendy has also been involved in service redesign for integrated working and has managed community health and social care teams.
Currently, Wendy is Integration lead supporting the pioneering work in Greenwich. She is testing a model working alongside General Practice which links mental and physical health, social care, voluntary sector services and wider council services including housing. Wendy is educated to post graduate degree level; achieving a Masters degree in Advanced Therapy Practice.
Clinical Senior Lecturer and Consultant in Elderly Care Medicine, Bradford Teaching Hospitals NHS Foundation Trust
Chief Officer, NHS Greenwich Clinical Commissioning Group
Annabel Burn has lived and worked in Greenwich for over 20 years. She started her career as an occupational therapist and retains a keen interested in enabling people to live fully independent lives. Previous roles include the Director of Quality and Performance of Greenwich Teaching PCT, responsible for improving quality to patients. She has a degree in Healthcare and Welfare and a Master’s degree in Philosophy and is interested in seeking new ways of bringing evidence based practice into commissioning decisions. She has led the development of the Community Based Care Strategy across south east London. She highly values the NHS and she and her family have relied on its excellent services on many occasions.
Practice Development Coordinator, British Heart Foundation
Session one: The quality and outcomes imperative for integrated care