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This case study sets out the background to the development of integrated care, the setting up of a pilot team, the implementation of an integrated management structure, the establishment of Torbay Care Trust (which is a fully integrated NHS organisation responsible for commissioning and providing community health and social care services) and assesses the impact of the integrated system on the performance of the Torbay health and social care economy. \n"],"date_published_tesim":["2011"],"date_published_ssi":"2011","official_url_tesim":["http://www.kingsfund.org.uk/publications/integrating-health-and-social-care-torbay"],"pagination_tesim":["28p."],"place_of_publication_tesim":["London"],"creator_tesim":["Thistlethwaite, Peter","The King's Fund"],"date_tesim":["2011"],"date_ssi":"2011","publisher_tesim":["King's Fund"],"subject_tesim":["evaluation","health \u0026 social care","integrated care","chronic disease","older people","NHS"],"thumbnail_path_ss":"/downloads/nv9352859?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["nv9352859"],"file_set_ids_ssim":["nv9352859"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000098597"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714885144193531904,"timestamp":"2021-10-28T17:25:17.604Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:27:41Z","system_modified_dtsi":"2021-10-28T15:15:43Z","has_model_ssim":["PublishedWork"],"id":"000100884","accessControl_ssim":["7a26ac31-a7c7-4d64-bd6e-45264f58799b"],"hasRelatedMediaFragment_ssim":["qj72p7142"],"hasRelatedImage_ssim":["qj72p7142"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Integrated care :  what is it? : does it work? : what does it mean for the NHS? 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Improving the quality of care in general practice is the report of the inquiry; it represents the most extensive review of quality across general practice carried out in recent years. Its work was informed by specially commissioned research and analysis of routinely available data across a range of aspects of general practice including: core elements of day-to-day practice - for example, diagnosis, referral and prescribing; non-clinical aspects of quality – for example, access to care and patient engagement; and areas where the role is shared with others – for example, maternity and end-of-life care. The recent root -and-branch reforms of the NHS also have profound implications for the future of general practice, in particular the dual role it is being asked to play as both commissioner and provider of care that will mean GPs taking on responsibility for costs as well as outcomes of care. The timing of the inquiry’s report is therefore propitious. General practice is at centre stage and quality must be the watchword. In terms of the current quality of care, the inquiry concluded that the majority of care provided by general practice is good. However, there are wide variations in performance and gaps in the quality of care that suggest there is significant opportunity for improvement. Practices need a lot of support to encourage them to seek out and address variable performance, including: appropriate data and information; skills development; protected time; and appropriate rewards for excellence (as well as consequences for poor performance). Policy-makers, regulators, commissioners and professional bodies could all do more to create a better environment that supports general practice in its quest for quality."],"date_published_tesim":["2011"],"date_published_ssi":"2011","official_url_tesim":["http://www.kingsfund.org.uk/projects/gp-inquiry","http://www.kingsfund.org.uk/publications/improving-quality-care-general-practice"],"pagination_tesim":["169p"],"place_of_publication_tesim":["London"],"creator_tesim":["Goodwin, Nick","Poole, Teresa","Dixon, Anna","Raleigh, Veena"],"date_tesim":["2011"],"date_ssi":"2011","publisher_tesim":["King's Fund"],"subject_tesim":["statistical data","quality of patient care","quality improvement","general practice","variations","England"],"thumbnail_path_ss":"/downloads/4b29b5974?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["4b29b5974"],"file_set_ids_ssim":["4b29b5974"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000098485"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714885120417071104,"timestamp":"2021-10-28T17:24:54.929Z","score":1.0}],"facets":[{"name":"creator_sim","items":[{"value":"The King's Fund","hits":50,"label":"The King's Fund"},{"value":"Curry, Natasha","hits":6,"label":"Curry, Natasha"},{"value":"Dixon, Anna","hits":6,"label":"Dixon, Anna"},{"value":"Appleby, John","hits":5,"label":"Appleby, John"},{"value":"Goodwin, Nick","hits":4,"label":"Goodwin, Nick"},{"value":"Imison, Candace","hits":4,"label":"Imison, Candace"}],"label":"Author"},{"name":"subject_sim","items":[{"value":"NHS reforms","hits":18,"label":"NHS reforms"},{"value":"NHS","hits":16,"label":"NHS"},{"value":"leadership","hits":9,"label":"leadership"},{"value":"evaluation","hits":8,"label":"evaluation"},{"value":"health \u0026 social care","hits":8,"label":"health \u0026 social care"},{"value":"integrated care","hits":7,"label":"integrated care"}],"label":"Subject"},{"name":"resource_type_sim","items":[{"value":"Monograph","hits":2,"label":"Monograph"}],"label":"Resource type"},{"name":"date_range_sim","items":[{"value":"2011","hits":55,"label":"2011"}],"label":"Date Range"},{"name":"file_format_sim","items":[],"label":"File format"},{"name":"member_of_collections_ssim","items":[],"label":"Collection"},{"name":"generic_type_sim","items":[{"value":"Work","hits":55,"label":"Work"}],"label":"Generic Type Sim"}],"pages":{"current_page":2,"next_page":3,"prev_page":1,"total_pages":6,"limit_value":10,"offset_value":10,"total_count":55,"first_page?":false,"last_page?":false}}}