Integrated Care Organisation (ICO) project

Posted on August 3, 2009. Filed under: Integrated care, Press/News Releases |

Durham Dales PBC | accessed 3 August 2009

The Darzi Next Stage Review set out a vision for Primary and Community Care.  Buried in the middle of this document was a relatively short piece of guidance which proposed that the Department of Health would pilot Integrated Care Organisations in 2009.

Integrated Care Organisations are an attempt to pilot horizontal and vertical integration of organisations and it very much puts GPs at the centre of those organisations by basing the ICO on a group of practices’ list of patients.

The Department of Health pilots will be designed to see whether or not Integrated Care Organisations can work together to improve patient care. They will also look at how Integrated Care Organisations can be commissioned by their PCTs and which governance models work best for those organisations.

The Department of Health received over 100 worked up bids, 37 of which reached the final stage of the selection process.

In the North East, we had seven ICO bids in the final 37, from the Church View Medical Practice, Newcastle Hospitals NHS Foundation Trust, Northern Doctors Urgent Care Centre, Northumbria Healthcare NHS Foundation Trust looking at COPD, Northumbria Healthcare NHS Foundation Trust looking at the Complex Elderly, Stockton on Tees Teaching PCT and the only bid from County Durham and Darlington being the Durham Dales Cluster ICO bid.

The Durham Dales ICO is attempting to bring together all the general practices in the Durham Dales Cluster, Durham County Council (Social Services Provider), County Durham & Darlington Foundation Trust (Secondary Care Provider), Tees, Esk & Wear Valley (Mental Health Trust Provider), County Durham and Darlington Community Health Services hosted by NHS Darlington and North East Ambulance Services. All of those organisations are signed up to work together as part of this bid.

The outcomes we expect to deliver through this pilot will be as follows:

  1. prevention of disease
  2. reduced emergency admissions and A&E attendances
  3. improved access for patients
  4. reduction in health inequalities
  5. greater patient involvement
  6. more cost-effective services

The process was rigorous and we had to answer a number of clarification questions around the bid for the Department of Health. This was followed by a visit from the Department of Health on 3rd March and we had very strong public and clinician involvement at that meeting.

We have set up a number of workstreams to deliver each of the areas highlighted above. The Department of Health will require us to deliver a rigorous process of monitoring and the development of metrics to show what we have delivered and to show improvements in patient care.

This pilor should allow local clinicians to be very much more involved in the development of services in the Durham Dales Locality and the development of services in Bishop Auckland General Hospital. 

Durham Dales ICO Bid Document


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