Integrating Care

Integrated care sits at the heart of our mission to improve health and wellbeing for our local population.

Healthcare is often delivered in a fragmented manner which is largely based on treatment not prevention and too often, patients find services complex to navigate. Our partner organisations provide most of the hospital, community and mental health services in Lambeth and Southwark as well as the mental health services in Lewisham and Croydon. 

The King's Health Partners Integrated Care Delivery Office helps deliver this vision, working collaboratively with a range of partners across south east London. The main focus of this work is on improving services for working age and older people with one or more long term condition across Southwark and Lambeth. This includes work to address admission and discharge, locality working, unified point of access, and measuring integrated care outcomes. The team works closely with Southwark and Lambeth Integrated Care (SLIC) and other local partners but is primarily focused on coordinating new and existing work across our four partner organisations.

How?

We intend to reduce hospital attendances and improve access to health care in local communities through:

  • implementing local services for the frail elderly which are better able to support their mental and physical needs and worked across London to develop a frailty scorecard
  • use our ‘Amber Alert’ programme to provide effective care for vulnerable patients
  • launch ‘King’s Health Partners Online’, enabling access to electronic health records to improve continuity of care and reduce error

We are committed to improving out-of-hospital care and community access to diagnostics, care and treatment by:

  • working in partnership with primary and social care and the voluntary sector to make it easier for patients to access and receive treatment and support
  • supporting people and communities to take control of their health and wellbeing, for example through positive self-management of weight, mental health, alcohol use, smoking and blood pressure
  • creating integrated physical and mental health and social care payment mechanisms, to bring budgets together where appropriate so services can support people where and when they need
  • working with the Health Innovation Network to spread learning across south London

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