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The governance of integrated health and social care in England since 2010: great expectations not met once again?

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  • Exworthy, Mark
  • Powell, Martin
  • Glasby, Jon

Abstract

Integrating health and social care has long been a goal of policy-makers and practitioners. Yet, this aim has remained elusive, partly due to conflicting definitions and a weak evidence base. As part of a special edition exploring the use of the TAPIC (transparency, accountability, participation, integrity and capability) framework in different national contexts and inter-agency settings, this article examines the governance of integrated care in England since 2010, focusing on the extent to which thesefive governance attributes are applicable to integrated care in England. The plethora of English policy initiatives on integrated care (such as the ‘Better Care Fund’, personal health budgets, and ‘Sustainability and Transformation Plans’) mostly shows signs of continuity over time although the barriers to integrated care often persist. The article concludes that the contribution of integrated care to improved outcomes remains unclear and yet it remains a popular policy goal. Whilst some elements of the TAPIC framework fit less well than others to the case of integrated care, the case of integrated care can be better understood and explained through this lens.

Suggested Citation

  • Exworthy, Mark & Powell, Martin & Glasby, Jon, 2017. "The governance of integrated health and social care in England since 2010: great expectations not met once again?," Health Policy, Elsevier, vol. 121(11), pages 1124-1130.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:11:p:1124-1130
    DOI: 10.1016/j.healthpol.2017.07.009
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    References listed on IDEAS

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    1. Anne Mason & Maria Goddard & Helen Weatherly, 2014. "Financial Mechanisms for Integrating Funds for Health and Social Care: An Evidence Review," Working Papers 097cherp, Centre for Health Economics, University of York.
    2. Humphries, Richard, 2015. "Integrated health and social care in England – Progress and prospects," Health Policy, Elsevier, vol. 119(7), pages 856-859.
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    Cited by:

    1. Lips, S.R. & Molenaar, J.M. & Schuitmaker-Warnaar, T.J., 2020. "Transforming maternity care: obstetric partnerships as a policy instrument for integration," Health Policy, Elsevier, vol. 124(11), pages 1245-1253.
    2. Alonso, José M. & Andrews, Rhys, 2022. "Does vertical integration of health and social care organizations work? Evidence from Scotland," Social Science & Medicine, Elsevier, vol. 307(C).
    3. Kuili Zhang & Bing Ran, 2022. "Active Health Governance—A Conceptual Framework Based on a Narrative Literature Review," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    4. van Schalkwyk, May C.I. & Barlow, Pepita & Siles-Brügge, Gabriel & Jarman, Holly & Hervey, Tamara & McKee, Martin, 2021. "Brexit and trade policy: an analysis of the governance of UK trade policy and what it means for health and social justice," LSE Research Online Documents on Economics 110261, London School of Economics and Political Science, LSE Library.

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