title: Integrated Working for Enhanced Health Care in English Nursing Homes.
abstract: The increasingly complex nature of care home residents' health status means that this population requires significant multidisciplinary team input from health services. To address this, a multisector and multiprofessional enhanced healthcare programme was implemented in nursing homes across Gateshead Council in Northern England.
  
  
  
  To explore the views and experiences of practitioners, social care officers, and carers involved in the enhanced health care in care home programme, in order to develop understanding of the service delivery model and associated workforce needs for the provision of health care to older residents.
  
  
  
  A qualitative constructivist methodology was adopted. The study had two stages. Stage 1 explored the experiences of the programme enhanced healthcare workforce through group, dyad, and individual interviews with 45 participants. Stage 2 involved two workshops with 28 participants to develop Stage 1 findings (data were collected during February-March 2016). Thematic and content analysis were applied.
  
  
  
  The enhanced healthcare programme provides a whole system approach to the delivery of proactive and responsive care for nursing home residents. The service model enables information exchange across organizational and professional boundaries that support effective decision making and problem solving.
  
  
  
  Understanding of the processes and outcomes of a model of integrated health care between public and independent sector care home services for older people.
authors.affiliation: Professor of Nursing, Northumbria University, Newcastle upon Tyne, UK.
authors.forename: Glenda
authors.initials: G
authors.lastname: Cook
authors.affiliation: Enterprise Fellow, Northumbria University, Newcastle upon Tyne, UK.
authors.forename: Anne
authors.initials: A
authors.lastname: McNall
authors.affiliation: Lecturer, Northumbria University, Newcastle upon Tyne, UK.
authors.forename: Juliana
authors.initials: J
authors.lastname: Thompson
authors.affiliation: Senior Research Assistant, Northumbria University, Newcastle upon Tyne, UK.
authors.forename: Philip
authors.initials: P
authors.lastname: Hodgson
authors.affiliation: Nurse Consultant older persons care, Gateshead Health NHS Foundation Trust, Gateshead, UK.
authors.forename: Lynne
authors.initials: L
authors.lastname: Shaw
authors.affiliation: Clinical Director of Transformation, Newcastle Gateshead CCG, Newcastle upon Tyne, UK.
authors.forename: Daniel
authors.initials: D
authors.lastname: Cowie
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004739:England; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D020380:Needs Assessment; D009735:Nursing Homes / Q000458:organization & administration*; D015397:Program Evaluation; D036301:Qualitative Research; D055815:Young Adult
keywords: Enhanced health care; integrated working; nursing home