Case studies

The hospital avoidance response team – HART – service is delivered by members of the Lincolnshire Independent Living Partnership and takes referrals from secondary care discharge hubs, A&E in-reach teams, the ambulance service, primary care and community health providers. This example of a local initiative forms part of our managing transfers of care resource.

In late 2017 the Technology Enabled Care (TEC) team began working on a project to improve pathways and access to TEC for those who were being discharged from hospital. The aim was to significantly increase the take-up of lifelines and telecare within a vulnerable cohort that would most benefit from them and ensure that people had access to the councils in house Reablement Enhanced Response Service (ERS). This example of a local initiative forms part of our managing transfers of care resource.

Through the LGA Productivity Experts Programme, expert advice was sought around the methodology and development of approaches, processes and skills for contract audit of contracts, recovery of overpayments, contract management and financial procedures to test for potential savings.

Camden Council has rationalised the number of suppliers it contracts for payment services with the aim of moving towards a cashless system. Part of the project is for the distribution of social care payments such as the direct payment of adult and children’s social care electronically via prepaid cards. We now currently load £1million per month onto prepaid cards across more than 400 cards in circulation, and we are currently exploring how it can be rolled-out to additional schemes to supplement our cashless strategy. Our staff have reported the prepaid card system has resulted in a: “positive user experience”.

Kent County Council and Medway Council are coterminous with Kent and Medway Sustainability and Transformation Partnership (STP), which is developing into an integrated care system. The system has eight clinical commissioning groups (CCGs) which share an accountable officer and are working to establish a single strategic or system commissioner. This case study forms part of our integrated care systems (ICS) resource.

Plymouth Health and Wellbeing Board (HWB) takes a system leadership role, setting the ambition, shaping local priorities and signing off key strategic documents, including commissioning strategies. This case study forms part of our integrated care systems (ICS) resource.

Bath and North East Somerset is one of the three ‘places’ in the Bath and North East Somerset, Swindon and Wiltshire Sustainability and Transformation Partnership (STP), which is working to become an integrated care system. This case study forms part of our integrated care system (ICS) resource.

Leeds Health and Wellbeing Board (HWB) is at the centre of setting the strategic direction of the local health and care system, and all key local health and care strategic decisions go to the board. This case study forms part of our integrated care systems (ICS) resource.

In 2016, partners in St Helens realised they had to do something radically different to tackle growing costs and demand and make the best use of available resources. They undertook development sessions with the LGA and others, and decided to implement an ambitious and rapid programme of transformation. This case study forms part of our integrated care system (ICS) resource.

Buckinghamshire is a first-wave integrated care system (ICS) within Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Partnership. This case study forms part of our integrated care system (ICS) resource.