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24 November 2017

A new future – transforming integrated care in the community

Kent Community Health NHS Foundation Trust is one of a number of organisations in the UK taking part in an exciting new European project.

Transforming Integrated Care in the Community (TICC) has secured more than €4.8 million of European funding.

It’s part of an €8 million cross-border partnership, involving 14 organisations from the UK, France, the Netherlands and Belgium (see below for partner details).

The project was approved and funded by the EU Interreg 2 Seas Programme 2014 to 2020 (co-funded by the European Regional Development Fund), which has supported the project over four years.

TICC will create systemic change in health and social care, providing services better suited to our ageing population by addressing holistic needs.

It will present a methodology to overcome blocking points in transferring socially innovative service models from one area to another.

This will be tested via the implementation of the Buurtzorg integrated care at home model, which consists of self-managing teams of 12 staff working at neighbourhood level handling every aspect of care and business.

This model significantly reduces the back office, simplifies IT and coaches rather than manages, providing better outcomes for people, lower costs, fewer unplanned hospital admissions and consistency of care.

TICC will enable other health and social care organisations to implement new ideas; increase staff productivity, recruitment and retention as well as improving patient satisfaction and decreasing costs, emergency admissions and staff absences. It aims to postpone the moment when residential or end-of-life care is needed.

Background to TICC:

The 2Seas area faces clinical, social and financial challenges in health and social care as the population ages and public funding decreases.

Recruitment and retention of the health and social care workforce in the 2Seas area is challenging and the situation will further deteriorate as the existing workforce ages. This has an impact on quality as perceived by patients.

A number of initiatives have been highlighted as innovative but rarely get transferred from one country to another. The causes of these blockages need to be identified and a method developed for overcoming the barriers to transferability.

The systems that have developed in the 2Seas region during the past 20 years have led to the fragmentation of care and a task driven, activity-based approach and remuneration.

TICC will enable countries in the 2Seas area to implement successful health and social care innovations quickly in a cost effective, sustainable way.

TICC will deliver:

  • Blueprint for successful transfer of social innovative service models in health and social care from one country to another benefitting all public/private services.
  • Three new countries adopting integrated neighbourhood based self-managing teams providing holistic person-centred care.
  • Changes to existing patient-data gathering systems to create better communication between nurses, care-workers and citizens.
  • Publications to stimulate entrepreneurs and leaders to create new organisations or transform existing organisations, making sure this is not solely an institutional response.

The Health and Europe Centre is the lead partner, working with:

  • Buurtzorg Concepts (NL)
  • Kent County Council (UK)
  • Kent Community Health NHS Foundation Trust (UK)
  • Medway Community Health (UK)
  • Soignons Humain (FR)
  • Public World (UK)
  • Zorgbedrijf Antwerpen (BE)
  • Emmaus Elderly Care (BE)
  • Eurasante (FR)
  • VIVAT homecare (FR)
  • Lille Catholic Hospital (FR)
  • HZ University (NL)
  • La Vie Active (FR)

There are also many observer partners: Université d’Artois; East of England Local Government Association; Provincie Antwerpen; Wit-Gele Kruis van Antwerpen; Familiehulp ; Landelijke Thuiszorg Zuiderkempen; Christelijke Mutualiteit; Heist-op-den-Berg; OCMW Heist-op-den-Berg; Vlaams minister van Wetzijn, Volksgezondheid en Gezin; Sociaal Huis Mechelen; Zorgnet-Icuro; NHS (England); Canterbury Christ Church University; Centre communal d’action sociale de Lomme; Conseil départemental du Nord.

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