Experiences of integrated care and the integrated care ageing team

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Summary of report content

Healthwatch Islington was commissioned by Islington Clinical Commissioning Group (CCG) to carry out engagement and interviews with residents, relatives/carers and staff in local care homes. The aim of the research was to find out about users experiences of the Integrated Care Ageing Team (ICAT) service and how residents (and where appropriate relatives/carers) had been involved in their treatment, and in conversations about their end of life care. Healthwatch Islington (HWI) worked initially with the CCG and ICAT service to identify service users who were eligible to participate in this research. The aim was to visit and interview at a cross-section of care homes across the borough served by the two local hospitals (Whittington Health and University College Hospital). In all, twenty interviews were conducted that provided information on eleven service users’ experience of the ICAT service. Seven interviews were held with the service user, three with a relative of the service user, and ten interviews were conducted with a member of staff closely associated with the care of the service user. In one care home, the manager provided additional information on their experience of the ICAT service. It was noted that service users and relatives were not particularly aware of the ICAT service specifically. It may be that the CCG decide that they would like staff to re-iterate this more frequently to service users and relatives. Though from this piece of work it did not seem that this was important to residents and relatives. Similarly, from HWI’s wider work, patients and carers are more interested in how they are being treated than in which part of the NHS is treating them. Integration seems to be working with the service. Service users who could remember, and relatives, generally reported that the service had known who they were and that the service user’s story had not needed to be repeated. Nursing home staff also noted that the ICAT service had enabled them to provide a better service to the users. It was difficult for users, relatives and sometimes nursing home staff to attribute specific developments to treatment by the ICAT service in particular, though where it was possible, comments were generally positive.

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General details

Report title 
Experiences of integrated care and the integrated care ageing team
Local Healthwatch 
Healthwatch Islington
Date of publication 
Monday, 9 March, 2015
Date evidence capture began 
Monday, 9 March, 2015
Date evidence capture finished 
Monday, 9 March, 2015
Type of report 
Report
Key themes 
Discharge
Information providing
Quality of care
Quality of staffing
Healthwatch reference number 
Rep-6033

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
Primary research method used 
Observation
Structured interview
Survey
How was the information collected? 
Visit to provider

Details of health and care services included in the report

Secondary care services 
Acute services with overnight beds
Acute services without overnight beds / listed acute services with or without overnight beds
Social care services 
Nursing care home
Residential care home

Details of people who shared their views

Number of people who shared their views 
20
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.