Anne Eden, Chief Executive, Buckinghamshire Healthcare NHS Trust, explores the role that hospitals can play in delivering integrated care. Using examples of her team's work in Buckinghamshire, including their integrated stroke programme, she highlights the benefits to patients and the value of developing an integrated care pathway.

1. A high value healthcare system:
How hospitals can support integrated care and
a better experience for patients
Anne Eden
Chief Executive
May 2013

2. Our standards and promises

3. Buckinghamshire Healthcare
24/7
adult
community
healthcare
teams
7

4. Integrated, whole person care is about people
not places

5. Hospitals are not places
• But concentrated collections of people with specialist skills and
professional expertise

6. Localise where possible, centralise where
necessary and network where appropriate

7. People have to change
• To develop services to
support integrated care and
optimise the value added
by hospitals to the whole
system, people have to
change

8. Integrated whole person care can only be
delivered by a whole system
• Teams working together to
derive solutions have
developed multi-agency
groups at practice level
• Community teams do not
work in isolation – they are
only as good as the
partnerships they work in

9. What will happen if we don’t integrate care?
“If we leave things as they are,
our DGHs will be like
warehouses of older people –
lined up on the wards because
we failed to do something better
for them”
Andy Burnham, January 2013

10. Key messages
• Hospitals have a critical role to play in a high value healthcare
system
• We must share a common purpose to optimise value
• A key challenge is the funding – within health and across
borders into the local authority and voluntary sector
• We have to allow technology to deliver information that flows
around the patient
• Integrated care needs to mean urgent care
• If we wait – the first victims will be safety and quality
• The real limit is our imagination
• Not delivering will be a failure of leadership