Transforming Integrated Care in the Community
Priority AxisTechnological and Social Innovation
Lead partnerThe Health and Europe Centre
Project budget8 022 824 €
ERDF amount4 813 694 €
The 2Seas area faces clinical, social & financial challenges in health and social care as the population ages & public funding decreases. Recruitment & retention of the health and social care workforce in the 2Seas area is challenging & the situation will further deteriorate as the existing workforce ages. This has an impact on quality as perceived by patients. A number of initiatives have been highlighted as innovative but rarely get transferred from one country to another. The causes of these blockages need to be identified & a method developed for overcoming the barriers to transferability. The systems that have developed in the 2Seas region over the last 20 years have led to the fragmentation of care & a task driven, activity based approach & remuneration.
TICC will enable countries in the 2Seas area (& later, beyond) to implement successful health & social care innovations
quickly in a cost effective, sustainable way.
TICC will create systemic change in health & social care, providing services better suited to our ageing population addressing holistic needs. It will present a methodology to overcome blocking points in transferring socially innovative service models from 1 area to another. This will be tested via the implementation of the Buurtzorg integrated care at home model (http://bit.ly/2bCQRLG: self-managing teams of 12 staff working at neighbourhood level handling every aspect of care & business, significantly reduced back office, simple IT & coaches rather than managers, providing better outcomes for people, lower costs/unplanned hospital admissions & consistent care) into new geographic & cultural contexts. TICC will enable other health/social care organisations to implement new ideas; increase staff productivity/recruitment/retention/patient satisfaction & decrease costs/emergency admissions/staff absence & will aim to postpone the moment when residential/end of life care is needed.
Blueprint for successful transfer of social innovative service models in health & social care from 1 country to another benefitting all public/private services 3 new countries adopting integrated neighbourhood care (BE, FR & UK) – neighbourhood based self-managing teams providing holistic person-centred care.
Changes to existing patient-data gathering systems using the Omaha logic for better communication between nurses, care
workers & citizens Publications to stimulate entrepreneurs & leaders to create new organisations or transform existing organisations,
ensuring this is not solely an institutional response.
- Patients: improved services – possibility to introduce new practices quickly & effectively
- Health & social care providers: able to be more reactive in care provision, increased staff retention from higher job satisfaction
- Public purse: costs of providing care decrease
Cross border approach
PP2 has developed a radical & highly successful model for providing home care nursing which has generated much interest in the 2Seas area. However front-line care providers are blocked by constraints within existing state health structures & have not yet been able to duplicate the model elsewhere in Europe. TICC PPs bring expertise to identify barriers blocking innovation transfer & will design a methodology to ensure successful innovative practices in health & social care can be easily implemented across borders. The 2Seas programme gives the opportunity for a regional European test before a wider roll-out the health & care systems in the 4 countries are all very different & cover the majority of models used across Europe & PPs cover public private & 3rd sector. As such our collaboration will ensure transferability across the whole EU. By working in partnership across 4 countries the TICC implementation will highlight barriers individual partners may not encounter in isolation
TICC got off to a really positive start in 2017/18, with all partners engaging with enthusiasm. All partners are eager to learn from PP2/15 (Buurtzorg) and find ways to make their approach successful in their own countries, and across the 2Seas area. Six two-day meetings involving all partners took place between October 2017 and November 2018. Experience and good practice from PP2/15, and all partners, was shared. These visits have inspired everyone involved, and are directly contributing to the successful implementation of the first teams on the ground.
TICC seeks to take the Buurtzorg model of self-managing teams, which has been a considerable success in the Netherlands (noted as a valuable model by the European Commission) and test it in different cultural contexts (France, Belgium and the UK) where it has yet to "take off". The project will establish teams, but also investigate barriers to its successful implementation in other countries, and establish solutions to those barriers wherever possible.
Delivery partners are well on the way to establishing their first teams using the Buurtzorg model - some have done so during 2018, and others are poised to do this in early 2019. Alongside this work, partners have prepared the ground for collecting information on the barriers to implementing Buurtzorg's model in the UK, France and Belgium (with a view to resolving as many as possible), and this exercise will have a greater focus during 2019. Evaluation partners are fully engaged and present in all aspects of the project's work, to ensure all the right information is logged and gathered to evaluate TICC.