Moving towards integrated working in health and social care in Scotland: from maze to matrix.
The development of integrated working across health and social care has featured strongly in recent policy directives in both England and Scotland. This is part of a wider agenda of partnership and collaboration, with a range of options from the creation of unified structures as in the care trusts in England to localised arrangements for joint working between individual professionals. This article presents a detailed matrix of drivers and barriers to integrated working which has been developed through a number of case studies of community care practice pursued as part of work undertaken for the Joint Future Group of the Scottish Executive. Drivers and barriers in three key areas are highlighted: national policy frameworks, the local planning context, and operational factors. It is anticipated that the matrix should provide a useful framework for the detailed scrutiny and operationalisation of integrated working.
Stewart
Alisa
A
Nuffield Centre for Community Care Studies, University of Glasgow, Gregory Building, Lilybank Gardens, Glasgow G12 8QQ, UK.
Petch
Alison
A
Curtice
Lisa
L
D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006291:Health Policy; D007400:Interprofessional Relations; D009935:Organizational Affiliation; D012606:Scotland; D012944:Social Support