University of Birmingham: HSMC
May 2016 - focus on new models of care
Welcome to the latest edition of our Health Services Management Centre (HSMC) update in which we set out key highlights from our current programme of research, teaching and leadership development in relation to new models of care.

All parts of the UK and indeed health systems internationally are looking to develop more preventative, holistic models of care that support people to have a healthier life, reduce their use of expensive in-patient treatments, and address health inequalities.

HSMC is at the forefront of these debates and developments in the NHS currently, and is involved both in local evaluations of vanguards and on a national level in the Integrated Care and Support Pioneers programme evaluation. Our research is also exploring the future role of community hospitals within these new integrated health and care systems and considering the implications for practice of the 100,000 Genomes Project. In doing so we build on our track record of exploring how we can develop innovative models of vertical and horizontal integration which put people at their centre.
Major new research project funded by the Norwegian Research Council
HSMC is involved in a major new research project in Norway. One aspect of the research is to explore the role of Municipal Acute Units, which are designed to support patients diagnosed with conditions that can be managed with less advanced equipment and lower cost than in hospital. The project will also seek to gain carers’ perspectives on the provision of multiple health services to dementia patients, and new knowledge on appropriate palliative services for older people in a multicultural society.
International Conference on Integrated Care
Robin Miller, Senior Fellow and Director of Evaluation at HSMC, presented two papers at the International Conference on Integrated Care in Barcelona: on inter-professional development between general practice and adult social work teams, and on general practice led improvement to service redesign. An international special interest group on the principles and values of integrated care also launched at the conference, with Robin's involvement.
More news stories >
HSMC Viewpoints
There is strong evidence that links teams of relevant professionals coming together to achieve a shared goal with genuine improvements in patient care. In his latest viewpoint, Robin Miller looks at the common elements that must be in place for successful team working, and the realities of achieving these in practice.

Professor Paul Burstow reflects on evidence that social factors such as isolation and the quality of relationships are better predictors of health than medical factors. He considers how attitudes towards mental health problems have begun to shift in recent years, the need to improve access to better mental health services across the UK (especially services for children and young people) – and the critical contribution that good relationships make to our childhood development and throughout our lives.

A piece by the Vice-Dean of the Faculty of General Dental Practice UK, Paul Batchelor, highlights the curious absence of dentistry within integrated care systems.

And Sarah Morgan reports on the lessons learned in a Vanguard project and potential game changer for the NHS: a model for creating a sustainable local hospital without the need for merger or acquisition, the Foundation Group model.

Visit our Viewpoints >
Integrated Care & Support Pioneers Programme evaluation

In 2013 the National Collaboration for Integrated Care and Support Pioneers articulated a vision of a more integrated health and care system to policy makers and representative bodies.

One of the key initiatives that the Collaboration announced was the launch of the Integrated Care & Support Programme, in which a series of ‘local integration pioneers’ would explore innovative approaches to overcoming the common barriers to ensuring that patients experienced person-centred and co-ordinated care. Following two waves of recruitment there are 25 pioneers in total which incorporate a diverse range of local contexts, history of partnership working, and integrated care interventions.

Evaluating integrated care programmes is complicated due to the many factors that have to be considered in relation to attributing cause, understanding the counter-factual (i.e. what would have happened in any case) and the length of time that it takes for structural and process changes to make an impact on the ground. The Department of Health Policy Research Programme therefore commissioned a five year evaluation of the pioneer programme which will enable a longitudinal and in-depth study of the overall impact of these initiatives.

The research is being led by the Policy Innovation Research Unit at the London School of Hygiene & Tropical Medicine with HSMC leading one of the work streams.

More research >
Overhauling the NHS complaints system - reducing complexity to improve patient experience and safety: 14 June 2016
Senior Fellow and HSMC’s Director of Policy, Hilary Brown is chairing a symposium organised by the Public Policy Exchange in London. The event will provide healthcare professionals and patient representatives the opportunity to examine the current complaints system and discuss ways it can be improved in order to enhance both service delivery and the quality of care.
visit the website >
International Conference on Priorities in Health: 7-9 September 2016
This major international conference is being organised by HSMC in partnership with the University of Birmingham Health Economics Unit, and will feature keynote and parallel sessions from academic and practitioner experts from across the globe. The conference will offer research-based insights for policy makers, practitioners and academics into the challenges facing health systems having to make difficult decisions about what to fund (or not) in the wake of the world economic recession. Please note that you can now register for this conference, and early bird concessions apply until Friday, 3 June.
visit the website >
IFIC Summer School: 26 June-1 July
The International Summer School on Integrated Care, "Integrated Care in Theory and Practice" is organized by the Integrated Care Academy© and provides a one-week intensive training on theory and practice of integrated care. It is aimed at health and social care professionals, clinicians, researchers and managers who want to strengthen their understanding of integrated care. Course tutors include Robin Miller, Senior Fellow at HSMC.
visit the website >
Postgraduate MSc programmes
Our MSc programmes provide a challenging and inspiring study experience for those working in health and social care organisations. They equip participants with the knowledge, skills and confidence to develop both their careers and organisations. Our students, past and present, include senior managers, clinicians, and other health and social care practitioners and professionals. We are now accepting applications for courses commencing in September 2016.
visit the website >
The Elizabeth Garrett Anderson programme
This two year NHS Leadership Academy course is aimed at mid-tier clinicians and health managers. It leads to an MSc in Healthcare Leadership accredited and awarded jointly with the University of Manchester.
visit the website >
Recent Publications
HSMC edits the Journal of Integrated Care, the UK’s leading publication for evidence and commentary on integrated care policy, practice and research.

Exworthy, M. and Powell, M. (2016) 'Decentralizing healthcare.' In Örtenblad, A., Abrahamson-Löfström, C. and Sheaff, R. (eds) Management innovations for healthcare organizations: adopt, abandon, or adapt? London: Routledge. pp. 136-156

Jelphs, K., Dickinson, H., and Miller, R. (2016) Working in teams. Bristol: Policy Press.

Miller, R., Brown, H. and Mangan, C. (2016) Integrated care in action: a practical guide for health, social care and housing support. London: Jessica Kingsley

Willis, C., Saul, J., Bevan, H., Scheirer, MA., Best, A., Greenhalgh, T., Mannion, R. et al (2016) Sustaining organizational culture change in health systems? Journal of Health Organization and Management, 30(1): 2-30
View our recent publications >
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