Integrated Care

  • Eric WolstenholmeEmail author
  • Douglas McKelvie


Current thinking to improve hospital flows and provide benefits to people in both health and social care is to move towards integrating health and social care delivery by introducing a much wider range of linked services. This chapter describes a modelling approach to test out some aspects of integrated care. The model and its experiments are described which demonstrate the effects on flows and costs of ‘balancing’ care in this way. As before, it is shown that obvious solutions are not the best but that small changes in reducing flows from social care to hospitals can  have a significant impact on the problem of delayed hospital discharges.


  1. Ham, C. (2018). Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England.Google Scholar
  2. NHS Providers. (2018). STPs and accountable care background briefing.Google Scholar
  3. Pieters, A. J. H. M. (2013). Care and cure: Compete or collaborate? Improving inter-organizational designs in healthcare. In A case study in Dutch perinatal care. Tilburg: CentER, Center for Economic Research.Google Scholar
  4. Sterman, J. (2000). Business dynamics: Systems thinking and modelling for a complex world.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Symmetric ScenariosEdinburghUK
  2. 2.Symmetric ScenariosEdinburghUK

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