About this case study
The paper provides some clear insight into how a systems can be developed over time, especially if politics does not get in the way. However to compare this to the NHS system would be difficult, when the NHSi, NHSe, NHS digital, Commissioners, local authorities, acute and mental health providers, community services, federations, NHS property, primary care and independent contractors have different agendas and are performance managed as separate entities. Montefiore model was able to commission, control, direct, develop and enhance not just hospital services but also community, social services and primary care services, vertical and horizontal integration and make decisions on capital and estates. Something not available in the current NHS way of working. The model reads well and may even feel as if there is a better method out there and not withstanding the opportunity to learn from the model, but not wanting to sound pessimistic, not much of the structural performance regime is changing in NHS any soon.
"The Fund decided to complete a case study of Montefiore because of its high performance scores within the Pioneer accountable care organisation programme and its reputation for innovation and excellence in managing population health. The Fund relied on information provided by interviewees and did not itself validate assessments of Montefiore's performance."
This is propaganda in other words. The Kings Fund is losing its way.
You mean using soup kitchens and veg & fruit that has got a short use by date Mickey Mouse Medicine