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Personalised Integrated Care model

Integrated Care is a way of coordinating health and social care services to make sure they are based closely around people’s needs. It is aimed particularly at those with complex and long-term health problems.

How our model works

Our Personalised Integrated Care programme brings together voluntary, health and care organisations in local areas to help older people who are living with long-term conditions and are at risk of recurring hospital admissions.

We work with the organisations to co-design and co-produce an innovative combination of medical and non-medical support that draws out the goals the older person identifies as most important to them.

Through the programme, Age UK staff and volunteers become members of primary care led multi-disciplinary teams, providing care and support in and through the local community.

Where our programme runs

Our programme initially launched in Cornwall in 2013, and in 2015 expanded to nine sites in total, each supporting 500 to 1000 older people over the course of one year.

The eight sites launched in 2015 are: 

  1. Portsmouth
  2. North Tyneside
  3. Ashford and Canterbury
  4. East Lancashire
  5. Blackburn with Darwen
  6. Redbridge, Barking and Havering
  7. Sheffield
  8. Guildford and Waverley
Partnerships

Due to our work on our Personalised Integrated Care programme, Age UK has been selected as a strategic partner to NHS England’s Integrated Personal Commissioning (IPC) programme.

We are currently participating in the IPC's personalised planning development group for care and support. Through this, we are providing strategic support, shared learning, tools and practical operational knowledge to support the implementation of the IPC programme in their nine demonstrator sites.

Elsewhere, Age UK and Kent Surrey Sussex Academic Health Science Network (KSS AHSN) have formed a strategic alliance to adapt the programme in these areas. 

Who funds it?

Alongside Age UK, the scaling up of our programme is being supported by: 

Big Lottery Fund

Further corporate and public funders are sought to continue the expansion of the Programme. Please contact our Philanthropy team for further details on philanthropy@ageuk.org.uk or 020 3033 1305.

Further information

Downloads

Our Information guides are short and easy to digest, giving a comprehensive overview of the relevant topic. Factsheets are longer with more detail, and are aimed at professionals.

You can download other guides in our series from publications

For more information: Call Age UK Advice: 0800 169 2081

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