An integrated approach to neuroscience care: An innovative model to support the new integrated care system

被引：0

作者：

Balaratnam, Michelle S. ^{[1
,16
]}

Rugg-Gunn, Fergus J. ^{[1
]}

Okin, Rachel ^{[2
]}

Powell, Freya ^{[3
]}

Prior, Stephen ^{[4
]}

Petrochilos, Panayiota ^{[1
]}

Shivji, Dhiren ^{[1
]}

Haider, Salman ^{[1
]}

Alim-Marvasti, Ali ^{[1
]}

Chandratheva, Arvind ^{[1
,5
]}

Simister, Robert ^{[1
]}

Lane, Charlie ^{[1
]}

Macarimban, Roberto ^{[1
]}

Kaski, Diego ^{[1
]}

Athwal, Bal ^{[6
]}

Liu, Rebecca ^{[6
]}

Yates, Timothy ^{[1
,7
]}

Rajakulendran, Sanjeev ^{[1
,7
]}

Christofi, Gerry ^{[1
]}

Sandford, Jeremy ^{[8
]}

Ingram, Alexis ^{[8
]}

Bluston, Katherine ^{[8
]}

Weaver, Caroline ^{[9
]}

Odejide, Oluwaseun ^{[9
]}

Glod, George ^{[9
]}

Gungor, Gulsen ^{[9
]}

Nkrumah, Edmund ^{[9
]}

Markey, Donal ^{[9
]}

Hotton, Gary ^{[1
,7
]}

Sidle, Katie ^{[1
,10
]}

Kennedy, Jonathan ^{[6
]}

Penniall, Lisa ^{[11
]}

Plum, Helen ^{[12
]}

Antoniou, Anthony ^{[13
]}

Prema, Rakhee ^{[3
]}

Jeffries, Nadia ^{[14
]}

Walters, Carole ^{[3
]}

Stevenson, Valerie ^{[1
]}

Drysdale, Malini ^{[1
]}

Tasnim, Sabiha ^{[1
]}

Hussain, Shahrima ^{[1
]}

Mackay, Lily ^{[1
]}

Baulk, Ryan ^{[1
]}

Iiii, Bianca ^{[8
,15
]}

Egan, David ^{[1
]}

Capp, Adrian ^{[1
]}

Turner, Patricia ^{[1
]}

Turner, Christopher ^{[1
]}

机构：

[1] Univ Coll London Hosp NHS Fdn Trust, Natl Hosp Neurol & Neurosurg, London, England

[2] Cent & North West London NHS Fdn Trust, Camden Neurol & Stroke Serv, London, England

[3] Royal Free London NHS Fdn Trust, Community Neurol Condit Management Team, London, England

[4] Cent & North West London NHS Fdn Trust, Camden Integrated Community Hlth Care CICH, London, England

[5] Cent & North West London NHS Fdn Trust, St Pancras Neurol Rehabil Unit, London, England

[6] Royal Free Hosp, Royal Free London NHS Fdn Trust, Neurol Dept, London, England

[7] North Middlesex Univ Hosp NHS Trust, North Middlesex Hosp, Neurol Dept, London, England

[8] NHS North Cent London ICB, Primary Care, London, England

[9] NHS North Cent London ICB, London, England

[10] Whittington Hlth NHS Trust, Whittington Hosp, Neurol Dept, London, England

[11] Whittington Hlth NHS Trust, Islington Community Neurol Rehabil Team, London, England

[12] North Middlesex Univ Hosp NHS Trust, Enfield Adult Community Therapies, London, England

[13] Whittington Hlth NHS Trust, Haringey Integrated Community Therapy Team, London, England

[14] Royal Free London NHS Fdn Trust, Neurol Rehabil Ctr, London, England

[15] Age UK Barnet, London, England

[16] Natl Hosp Neurol & Neurosurg, Queen Sq, London WC1N 3BG, England

来源：

CLINICAL MEDICINE | 2024年 / 24卷 / 06期

关键词：

Neuroscience; Integrated Care; Integrated Care System; Integrated Care Board;

D O I：

10.1016/j.clinme.2024.100234

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Integrated care systems join up health and care services, so that people have the support they need, in the right place, at the right time. The aims include improving outcomes in healthcare, tackling inequalities in access and enhancing productivity and value for money. This is needed for neuroscience care as the traditional delivery of neuroscience care is inefficient, outdated and expensive, and can involve complex referral pathways and long waiting times. In preparation for the formation of the integrated care system (ICS), a novel innovative collaboration across multiple NHS trusts developed across North Central London in 2021. We developed a model where neuroscience specialists engage in collaborative care with clinicians outside the specialist hospital setting. Pivotal to the pathway is a multidisciplinary meeting, and collaborative working enables joint clinical reviews, diagnostics and medication initiation. This innovative collaboration has already significantly improved access, addressed inequalities due to borough variation and enhanced the delivery and quality of neuroscience care in our ICS. It is a translatable model that can be adapted to suit other regions in the UK. It fulfils many of the objectives of the integrated care system and these benefits are seen without the need for significantly more resource.

引用

页数：6

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