National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK.
Clin Med (Lond). 2024 Nov;24(6):100234. doi: 10.1016/j.clinme.2024.100234. Epub 2024 Aug 21.
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 This is needed for neuroscience care as the traditional delivery of neuroscience care is inefficient, outdated and expensive, and can involve complex referral pathways and long waiting times.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.
整合护理系统将医疗和护理服务整合在一起，以便人们在适当的时间和地点获得所需的支持。其目标包括改善医疗保健的结果，解决获得服务的不平等问题，以及提高生产力和性价比。这对于神经科学护理是必要的，因为传统的神经科学护理效率低下、过时且昂贵，并且可能涉及复杂的转诊途径和长时间的等待。为了准备建立整合护理系统（ICS），2021 年，伦敦中北部的多个 NHS 信托机构之间开展了一项新颖的创新合作。我们开发了一种模式，即神经科学专家与专科医院以外的临床医生进行合作护理。该途径的关键是多学科会议，协作式工作可以实现联合临床审查、诊断和药物治疗。这种创新合作已经显著改善了服务的可及性，解决了因行政区差异而导致的不平等问题，并提高了我们的 ICS 中神经科学护理的提供和质量。这是一种可翻译的模式，可以适用于英国的其他地区。它满足了整合护理系统的许多目标，并且在不需要更多资源的情况下就可以看到这些好处。
