Integrating care in Southwark and Lambeth
Southwark and Lambeth Integrated Care (SLIC) has had a positive impact and has built a strong foundation for further integration of care.
Southwark and Lambeth Integrated Care (SLIC), a partnership of commissioners, providers and citizens, has had a positive impact on improving care for local people and has built a strong foundation for further integration of care.
The SLIC programme, which ran from 2012 until 31 March 2016, aimed to help people live healthier and happier lives. The progress it made is set out in a new evaluation report, ‘Integrating Care in Southwark and Lambeth: What we did and how we did it’.
The report sets out a number of key achievements over the four years of the partnership, including projects to join up electronic patient records, improve falls prevention and deliver holistic assessments. It also highlights lessons learned and challenges, and provides a ‘Framework for Success’ for future transformation programmes.
Headlines in the report include:
- during the four-year lifespan of SLIC, despite the over-65 population of Lambeth and Southwark growing by 5%, hospital admissions and bed days were stabilised, and there was a 61% reduction in residential and nursing home placements
- 100% of patient records are now available to GPs and the three hospital trusts as a result of the Local Care Record, leading to 75% fewer calls from GPs to hospitals chasing information
- 14,500 people have benefited from a holistic assessment, creating a care plan with their GP to address their needs
- 1,500 calls to the Telephone Advice and Liaison (TALK) service have resulted in 720 people avoiding admission to hospital
- 75% of people attending Strength and Balance classes reported increased confidence and quality of life, and no hospital admissions due to falls. The Falls Prevention project won the 2016 HSJ award for Value and Improvement in Community Health Service Redesign.
Of the 27 SLIC projects, which range from large-scale system change to low-cost, small-scale interventions, 24 have now been mainstreamed or chosen for continued testing.
Professor John Moxham, Clinical Director for King’s Health Partners and SLIC Board member, says:
This report demonstrates that by collaborating with our local partners and population, we can make a real difference to the lives of the people we serve. By setting out not just what we achieved, but how we went about it, we can learn from our own lessons, share them with others, and continue to improve the quality and value of care that we provide.
SLIC was made up of the three NHS Foundation Trusts in King’s Health Partners (Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley), local GP Federations, Southwark and Lambeth NHS Clinical Commissioning Groups, Southwark and Lambeth local authorities and local people. The four-year £39.7m programme was funded by the partners, including a £10.6m grant from Guy’s and St Thomas’ Charity. The evaluation report was based on work carried out in 2016 by researchers at King’s College London, alongside earlier pieces of external evaluation.
The programme has now evolved into the new Southwark and Lambeth Strategic Partnership, which is using the lessons set out in this report to inform its approach to continue improving care for local people.