Capturing the Experience of Integrated Care: A National Survey of Older Adults and Carers who access ICPOP Community Specialist Teams

Abstract Background A national survey was co-designed by the office of the NCAGL, Older Persons in collaboration with Your Voice Matters, older adults, ECC ICPOP, ICPOP CST Clinical and Operational Leads. The objectives were: The “Your Voice Matters” framework, the HSE’s national patient engagement and experience tool, was used as a basis for survey development. Methods A mixed-method survey was disseminated across all 30 ICPOP CSTs in Ireland between December 2024 and March 2025. Eligible participants included older adults and carers who attended an ICPOP CST between September 2024 and March 2025. A total of 412 responses were received: 266 from older adults, 96 from carers and 50 joint submissions from older adults and their carer. Data was analysed using SenseMaker® software, which enabled both structured thematic analysis and exploration of personal narratives. Data saturation was achieved, with no new themes emerging prior to survey closure. Results “My experience renewed my faith in the Irish Health System.” [Older adult] 99% of respondents reported an "overall positive or very positive" experience. Feedback highlighted the relational aspects of care are as vital as clinical interventions and contribute significantly to inclusive decision making, improved wellbeing, function, confidence and hopes for the future. “I never knew that a little bit of heaven was so close to my door.” [Older adult] The accessibility and timeliness of the service, especially home visits, were viewed as major strengths. Minor suggestions for improvement included advance notice for appointments, more flexible scheduling, enhanced follow-up and reviews post discharge. Conclusion To build on these insights, the next phase will involve collaborative workshops with older adults and ICPOP CST MDT members to co-design future service improvements.