Balaratnam, MS;
Rugg-Gunn, FJ;
Okin, R;
Powell, F;
Prior, S;
Petrochilos, P;
Shivji, D;
... Turner, C; + view all
(2024)
An integrated approach to neuroscience care: An innovative model to support the new integrated care system.
Clinical Medicine
, 24
(6)
, Article 100234. 10.1016/j.clinme.2024.100234.
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Abstract
Integrated care systems join up health and care services, so that people have the support they need, in the right place, at the right time. The aims include improving outcomes in healthcare, tackling inequalities in access and enhancing productivity and value for money. This is needed for neuroscience care as the traditional delivery of neuroscience care is inefficient, outdated and expensive, and can involve complex referral pathways and long waiting times. In preparation for the formation of the integrated care system (ICS), a novel innovative collaboration across multiple NHS trusts developed across North Central London in 2021. We developed a model where neuroscience specialists engage in collaborative care with clinicians outside the specialist hospital setting. Pivotal to the pathway is a multidisciplinary meeting, and collaborative working enables joint clinical reviews, diagnostics and medication initiation. This innovative collaboration has already significantly improved access, addressed inequalities due to borough variation and enhanced the delivery and quality of neuroscience care in our ICS. It is a translatable model that can be adapted to suit other regions in the UK. It fulfils many of the objectives of the integrated care system and these benefits are seen without the need for significantly more resource.
| Type: | Article |
|---|---|
| Title: | An integrated approach to neuroscience care: An innovative model to support the new integrated care system |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.clinme.2024.100234 |
| Publisher version: | http://dx.doi.org/10.1016/j.clinme.2024.100234 |
| Language: | English |
| Additional information: | © 2024 The Authors. Published by Elsevier Ltd on behalf of Royal College of Physicians under a Creative Commons license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Keywords: | Neuroscience, Integrated Care, Integrated Care System, Integrated Care Board |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10200322 |
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