I've found your articles on your detailed experience in this area incredibly helpful. It's really useful to have examples like hospital and GP address records being on different systems. Never occurred to me, but yes, I can see exactly how that would have happened, and what a pain it would be to fix such an apparently small thing after the build. Thanks very much.
I think design approaches to integrating services are happening in the NHS - but they are happening at primary care level, in neighbourhoods, in collaboration with local government that provides adult care services, so that the person sees a single service wrapped around them, instead of being bounced between things. These are aimed at more intense users, for both prevention downstream in acute care, and for better outcomes for the person concerned. Some info here - https://www.cnwl.nhs.uk/news/camdens-first-integrated-neighbourhood-team-here
I think one of the issues though is that it actually induced demand - as people now get access in the round rather than in solos that might miss something
I've found your articles on your detailed experience in this area incredibly helpful. It's really useful to have examples like hospital and GP address records being on different systems. Never occurred to me, but yes, I can see exactly how that would have happened, and what a pain it would be to fix such an apparently small thing after the build. Thanks very much.
I think design approaches to integrating services are happening in the NHS - but they are happening at primary care level, in neighbourhoods, in collaboration with local government that provides adult care services, so that the person sees a single service wrapped around them, instead of being bounced between things. These are aimed at more intense users, for both prevention downstream in acute care, and for better outcomes for the person concerned. Some info here - https://www.cnwl.nhs.uk/news/camdens-first-integrated-neighbourhood-team-here
I think one of the issues though is that it actually induced demand - as people now get access in the round rather than in solos that might miss something
I love a lot of this. You raise really great points. And some of the footnotes are very funny.