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 neuroscien...
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| Language: | English |
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Elsevier
2024-11-01
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| Series: | Clinical Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1470211824054198 |
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| author | Michelle S Balaratnam Fergus J Rugg-Gunn Rachel Okin Freya Powell Stephen Prior Panayiota Petrochilos Dhiren Shivji Salman Haider Ali Alim-Marvasti Arvind Chandratheva Robert Simister Charlie Lane Roberto Macarimban Diego Kaski Bal Athwal Rebecca Liu Timothy Yates Sanjeev Rajakulendran Gerry Christofi Jeremy Sandford Alexis Ingram Katherine Bluston Caroline Weaver Oluwaseun Odejide George Glod Gulsen Gungor Edmund Nkrumah Donal Markey Gary Hotton Katie Sidle Jonathan Kennedy Lisa Penniall Helen Plum Anthony Antoniou Rakhee Prema Nadia Jeffries Carole Walters Valerie L Stevenson Malini Drysdale Sabiha Tasnim Shahrima Hussain Lily Mackay Ryan Baulk Bianca IIii David Egan Adrian Capp Patricia Turner Christopher Turner |
| author_facet | Michelle S Balaratnam Fergus J Rugg-Gunn Rachel Okin Freya Powell Stephen Prior Panayiota Petrochilos Dhiren Shivji Salman Haider Ali Alim-Marvasti Arvind Chandratheva Robert Simister Charlie Lane Roberto Macarimban Diego Kaski Bal Athwal Rebecca Liu Timothy Yates Sanjeev Rajakulendran Gerry Christofi Jeremy Sandford Alexis Ingram Katherine Bluston Caroline Weaver Oluwaseun Odejide George Glod Gulsen Gungor Edmund Nkrumah Donal Markey Gary Hotton Katie Sidle Jonathan Kennedy Lisa Penniall Helen Plum Anthony Antoniou Rakhee Prema Nadia Jeffries Carole Walters Valerie L Stevenson Malini Drysdale Sabiha Tasnim Shahrima Hussain Lily Mackay Ryan Baulk Bianca IIii David Egan Adrian Capp Patricia Turner Christopher Turner |
| author_sort | Michelle S Balaratnam |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-944fb01b2de04bde97ad9aca51325398 |
| institution | OA Journals |
| issn | 1470-2118 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Medicine |
| spelling | doaj-art-944fb01b2de04bde97ad9aca513253982025-08-20T02:06:57ZengElsevierClinical Medicine1470-21182024-11-0124610023410.1016/j.clinme.2024.100234An integrated approach to neuroscience care: An innovative model to support the new integrated care systemMichelle S Balaratnam0Fergus J Rugg-Gunn1Rachel Okin2Freya Powell3Stephen Prior4Panayiota Petrochilos5Dhiren Shivji6Salman Haider7Ali Alim-Marvasti8Arvind Chandratheva9Robert Simister10Charlie Lane11Roberto Macarimban12Diego Kaski13Bal Athwal14Rebecca Liu15Timothy Yates16Sanjeev Rajakulendran17Gerry Christofi18Jeremy Sandford19Alexis Ingram20Katherine Bluston21Caroline Weaver22Oluwaseun Odejide23George Glod24Gulsen Gungor25Edmund Nkrumah26Donal Markey27Gary Hotton28Katie Sidle29Jonathan Kennedy30Lisa Penniall31Helen Plum32Anthony Antoniou33Rakhee Prema34Nadia Jeffries35Carole Walters36Valerie L Stevenson37Malini Drysdale38Sabiha Tasnim39Shahrima Hussain40Lily Mackay41Ryan Baulk42Bianca IIii43David Egan44Adrian Capp45Patricia Turner46Christopher Turner47National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Corresponding author at: National Hospital for Neurology and Neurosurgery Queen Square, London WC1N 3BG, UK.National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKCamden Neurological and Stroke Service, Central and North West London NHS Foundation Trust, London, UKCommunity Neurological Conditions Management Team, Royal Free London NHS Foundation Trust, London, UKCamden Integrated Community Health Care (CICH), Central and North West London NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; St Pancras Neurological Rehabilitation Unit, Central and North West London NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNeurology Department, Royal Free Hospital, Royal Free London NHS Foundation Trust, London, UKNeurology Department, Royal Free Hospital, Royal Free London NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, North Middlesex Hospital, North Middlesex University Hospital NHS Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, North Middlesex Hospital, North Middlesex University Hospital NHS Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKPrimary Care, NHS North Central London ICB, London, UKPrimary Care, NHS North Central London ICB, London, UKPrimary Care, NHS North Central London ICB, London, UKNHS North Central London ICB, London, UKNHS North Central London ICB, London, UKNHS North Central London ICB, London, UKNHS North Central London ICB, London, UKNHS North Central London ICB, London, UKNHS North Central London ICB, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, North Middlesex Hospital, North Middlesex University Hospital NHS Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UK; Neurology Department, Whittington Hospital, Whittington Health NHS Trust, London, UKNeurology Department, Royal Free Hospital, Royal Free London NHS Foundation Trust, London, UKIslington Community Neurological Rehabilitation Team, Whittington Health NHS Trust, London, UKEnfield Adult Community Therapies, North Middlesex University Hospital NHS Trust, London, UKHaringey Integrated Community Therapy Team, Whittington Health NHS Trust, London, UKCommunity Neurological Conditions Management Team, Royal Free London NHS Foundation Trust, London, UKNeurological Rehabilitation Centre, Royal Free London NHS Foundation Trust, London, UKSt Pancras Neurological Rehabilitation Unit, Central and North West London NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKPrimary Care, NHS North Central London ICB, London, UK; Age UK, Barnet, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London, UKIntegrated 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.http://www.sciencedirect.com/science/article/pii/S1470211824054198NeuroscienceIntegrated CareIntegrated Care SystemIntegrated Care Board |
| spellingShingle | Michelle S Balaratnam Fergus J Rugg-Gunn Rachel Okin Freya Powell Stephen Prior Panayiota Petrochilos Dhiren Shivji Salman Haider Ali Alim-Marvasti Arvind Chandratheva Robert Simister Charlie Lane Roberto Macarimban Diego Kaski Bal Athwal Rebecca Liu Timothy Yates Sanjeev Rajakulendran Gerry Christofi Jeremy Sandford Alexis Ingram Katherine Bluston Caroline Weaver Oluwaseun Odejide George Glod Gulsen Gungor Edmund Nkrumah Donal Markey Gary Hotton Katie Sidle Jonathan Kennedy Lisa Penniall Helen Plum Anthony Antoniou Rakhee Prema Nadia Jeffries Carole Walters Valerie L Stevenson Malini Drysdale Sabiha Tasnim Shahrima Hussain Lily Mackay Ryan Baulk Bianca IIii David Egan Adrian Capp Patricia Turner Christopher Turner An integrated approach to neuroscience care: An innovative model to support the new integrated care system Clinical Medicine Neuroscience Integrated Care Integrated Care System Integrated Care Board |
| title | An integrated approach to neuroscience care: An innovative model to support the new integrated care system |
| title_full | An integrated approach to neuroscience care: An innovative model to support the new integrated care system |
| title_fullStr | An integrated approach to neuroscience care: An innovative model to support the new integrated care system |
| title_full_unstemmed | An integrated approach to neuroscience care: An innovative model to support the new integrated care system |
| title_short | An integrated approach to neuroscience care: An innovative model to support the new integrated care system |
| title_sort | integrated approach to neuroscience care an innovative model to support the new integrated care system |
| topic | Neuroscience Integrated Care Integrated Care System Integrated Care Board |
| url | http://www.sciencedirect.com/science/article/pii/S1470211824054198 |
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