An integrated approach to neuroscience care: An innovative model to support the new integrated care system
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 This is needed for neuroscience care as the traditional delivery of neuroscience care is inefficient, outdated and expensive, and can involve complex referral pathways and long waiting times.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.
Authors
- Fergus Rugg‐Gunn
- Stephen D. Prior (ORCID: https://orcid.org/0000-0002-4993-4942)
- Timothy Yates (ORCID: https://orcid.org/0000-0003-0615-5073)
- Gerry Christofi
- Rachel Okin
- Arvind Chandratheva (ORCID: https://orcid.org/0000-0003-4967-3508)
- Gary Hotton
- Dhiren Shivji
- Cory Walters (ORCID: https://orcid.org/0000-0003-1957-8542)
- Sabiha Tasnim (ORCID: https://orcid.org/0000-0002-5878-5360)
- Panayiota Petrochilos (ORCID: https://orcid.org/0000-0002-3880-8799)
- Valerie L. Stevenson (ORCID: https://orcid.org/0000-0002-4782-7975)
- Ryan Baulk
- Diego Kaski (ORCID: https://orcid.org/0000-0002-0591-646X)
- Patricia V. Turner (ORCID: https://orcid.org/0000-0003-1547-0139)
- Charlie Lane
- Freya Powell
- Sanjeev Rajakulendran (ORCID: https://orcid.org/0000-0001-9286-7696)
- Christopher W. Turner (ORCID: https://orcid.org/0000-0001-7244-6974)
- Adrian Capp
- Jonathan Kennedy (ORCID: https://orcid.org/0000-0002-5676-6764)
- Rebecca Liu (ORCID: https://orcid.org/0000-0002-3946-4035)
- Ali Alim‐Marvasti (ORCID: https://orcid.org/0000-0002-7811-0344)
- Michelle Balaratnam
- Robert Simister (ORCID: https://orcid.org/0000-0003-0578-6711)
- Chelan Weaver
- Salman Haider
- Roberto Macarimban
- Katherine Bluston
- Oluwaseun Odejide
- Gulsen Gungor
- Edmund Nkrumah
- Lisa Penniall
- Anthony Antoniou
- S. T. Hussain
- Katie Sidle
- Bal Athwal
- Neal Jeffries
- Anna Ingram
- David Egan (ORCID: https://orcid.org/0000-0003-3456-2522)
- Jeremy Sandford
- George Glod
- Donal Markey
- Helen Plum
- Rakhee Prema
- Malini Drysdale
- Lily Mackay
- Bianca IIii
Institutions
- University College London Hospitals NHS Foundation Trust (GB)
- Royal Free London NHS Foundation Trust (GB)
- Central and North West London NHS Foundation Trust (GB)
- Whittington Hospital (GB)
- Barnet Hospital (GB)
- Whittington Health NHS Trust (GB)
- North Middlesex University Hospital NHS Trust (GB)
- National Hospital for Neurology and Neurosurgery (GB)
- University College London (GB)
Publication Details
- Journal
- Clinical Medicine
- Published
- 2024-08-23
- DOI
- https://doi.org/10.1016/j.clinme.2024.100234
- Citations
- 1
- Primary Topic
- Neurology and Historical Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.25