Menu
Community care

Service Area: Community care

Search

Client Group

Setting

Enablers

Integration Authority

Element of Framework

Aberdeen City - Granite Care Consortium

View Document  

Example of Good Practice

Granite Care Consortium

Client Group(s)

All Older adults

Setting(s)

All City Urban

Enabler(s)

All Technology Improvement capacity Management information Information sharing Aligned plans Well developed relationships Clarity of vision Collaborative leadership

Integration Authority

All Aberdeen City

Elements of Framework

All Reablement Live independently at home or in a homely setting
Aberdeenshire - MDT working in locality based teams COVID-19

View Document  

Example of Good Practice

Aberdeenshire - MDT working in locality based teams COVID-19

Client Group(s)

All Older adults

Setting(s)

All Urban Remote and rural Corporate

Enabler(s)

All Information sharing Agile working Clinical and care governance Team ethos Well developed relationships Collaborative leadership

Integration Authority

All Aberdeenshire

Elements of Framework

All Seamless working with acute care Live independently at home or in a homely setting Fully integrated community teams
Aberdeenshire - Residential Care Home: New Opportunities

View Document  

Example of Good Practice

Residential Care Home: New Opportunities

Client Group(s)

All Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Aberdeenshire

Elements of Framework

All Reablement Enhanced care in care homes and supported accommodation Fully integrated community teams
Angus - Check TEC Out

View Document  

Example of Good Practice

Check TEC Out

Client Group(s)

All Younger adults Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Angus

Elements of Framework

All Live independently at home or in a homely setting
Angus - Monifieth Integrated Care

View Document  

Example of Good Practice

Monifieth Integrated Team

Client Group(s)

All Older adults

Setting(s)

All Corporate

Enabler(s)

All Improvement capacity Information sharing Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Angus

Elements of Framework

All Teams aligned to general practice Live independently at home or in a homely setting Fully integrated community teams
Argyll and Bute - Living Well

View Document  

Example of Good Practice

Living Well in Argyll and Bute

Client Group(s)

All Younger adults Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Argyll and Bute

Elements of Framework

All Reablement Connect with communities Manage own care Assets based approach
Clackmannanshire and Stirling - Commissioning consortium

View Document  

Example of Good Practice

Commissioning Consortium

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban Remote and rural Corporate

Enabler(s)

All Improvement capacity Culture and values Well developed lead professional roles Management information Information sharing Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Clackmannanshire and Stirling

Elements of Framework

All Connect with communities
Community care (Wigan Deal), England

View Document  

Example of Good Practice

Community care in Wigan, England

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All City

Enabler(s)

All

Integration Authority

All Other health and social care providers

Elements of Framework

All Connect with communities Manage own care Assets based approach
Digital hub support for care homes, England

View Document  

Example of Good Practice

Digital hub support for care homes in Tameside and Glossop, England

Client Group(s)

All Older adults

Setting(s)

All City Urban

Enabler(s)

All Technology Infrastructure Well developed lead professional roles Information sharing Collaborative leadership

Integration Authority

All Other health and social care providers

Elements of Framework

All First point of contact Seamless working with acute care Enhanced care in care homes and supported accommodation
Dumfries and Galloway - Good conversations

View Document  

Example of Good Practice

Good conversations

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Dumfries and Galloway

Elements of Framework

All Assets based approach
Dumfries and Galloway - Response to care and support at home during COVID-19

View Document  

Example of Good Practice

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Agile working Aligned plans Shared accountability Collaborative leadership

Integration Authority

All Dumfries and Galloway

Elements of Framework

All Reablement Live independently at home or in a homely setting
Dundee City - Integrated Care Home Team

View Document  

Example of Good Practice

Integrated Care Home Team

Client Group(s)

All Older adults

Setting(s)

All City

Enabler(s)

All

Integration Authority

All Dundee City

Elements of Framework

All Enhanced care in care homes and supported accommodation Fully integrated community teams
East Ayrshire - Right Support, Right Place, Right Time

View Document  

Example of Good Practice

Right Support, Right Place, Right Time

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All East Ayrshire

Elements of Framework

All Manage own care Assets based approach Live independently at home or in a homely setting
East Ayrshire - Thinking Differently Programme

View Document  

Example of Good Practice

Thinking Differently Programme

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban

Enabler(s)

All Culture and values Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All East Ayrshire

Elements of Framework

All Connect with communities Manage own care Assets based approach Live independently at home or in a homely setting
East Dunbartonshire - Caring Together

View Document  

Example of Good Practice

Caring Together

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All East Dunbartonshire

Elements of Framework

All Anticipatory care planning Enhanced care in care homes and supported accommodation Fully integrated community teams
East Lothian - Integrated Care Assessment Team (ICAT)

View Document  

Example of Good Practice

Integrated Care Assessment Team (ICAT)

Client Group(s)

All Older adults

Setting(s)

All Remote and rural

Enabler(s)

All Technology Infrastructure Culture and values Well developed lead professional roles Information sharing Agile working Aligned plans Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All East Lothian

Elements of Framework

All Reablement Seamless working with acute care Live independently at home or in a homely setting Short-term, targeted interventions to meet more complex needs Fully integrated community teams
East Renfrewshire - Building the integrated environment

View Document  

Example of Good Practice

Building the integrated environment

Client Group(s)

All

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All East Renfrewshire

Elements of Framework

All Connect with communities Teams aligned to general practice Live independently at home or in a homely setting
East Renfrewshire - Community Led Support - Talking Points

View Document  

Example of Good Practice

Community Led Support - Talking Points

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All East Renfrewshire

Elements of Framework

All Connect with communities Assets based approach Teams aligned to general practice Live independently at home or in a homely setting
Edinburgh City - Delayed discharge leadership

View Document  

Example of Good Practice

Delayed discharge leadership

Client Group(s)

All Older adults

Setting(s)

All City

Enabler(s)

All Culture and values Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Edinburgh City

Elements of Framework

All Seamless working with acute care
Edinburgh City - Improving falls in Edinburgh care homes

View Document  

Example of Good Practice

Improving falls in Edinburgh care homes

Client Group(s)

All Older adults

Setting(s)

All City

Enabler(s)

All

Integration Authority

All Edinburgh City

Elements of Framework

All Enhanced care in care homes and supported accommodation Fully integrated community teams
Edinburgh City - Three Conversations

View Document  

Example of Good Practice

Three Conversations

Client Group(s)

All Younger adults Older adults

Setting(s)

All City Urban

Enabler(s)

All Technology Infrastructure Improvement capacity Well developed lead professional roles Agile working Aligned plans Team ethos Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Edinburgh City

Elements of Framework

All Connect with communities Manage own care Assets based approach
Enhanced transitional care, Singapore

View Document  

Example of Good Practice

Enhanced transitional care in Singapore

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban

Enabler(s)

All Well developed lead professional roles Team ethos

Integration Authority

All Other health and social care providers

Elements of Framework

All Reablement Seamless working with acute care Short-term, targeted interventions to meet more complex needs Fully integrated community teams
Falkirk - Living Well

View Document  

Example of Good Practice

Living Well Falkirk

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All Technology Aligned plans Clarity of vision

Integration Authority

All Falkirk

Elements of Framework

All Connect with communities Manage own care Assets based approach Live independently at home or in a homely setting
Fife - Care at Home Collaborative

View Document  

Example of Good Practice

Care at Home Collaborative

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All Infrastructure Improvement capacity Culture and values Management information Information sharing Agile working Aligned plans Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Fife

Elements of Framework

All Reablement Live independently at home or in a homely setting
Fife - Partnership working with discharge hub and Fife Carers Centre

View Document  

Example of Good Practice

Partnership working with discharge hub and Fife Carers Centre

Client Group(s)

All Younger adults Older adults

Setting(s)

All City Corporate

Enabler(s)

All Well developed lead professional roles Information sharing Agile working Well developed relationships

Integration Authority

All Fife

Elements of Framework

All Connect with communities Manage own care
Highland - Enhancing community services

View Document  

Example of Good Practice

Enhancing community services, Inverness

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All Infrastructure Improvement capacity Culture and values Management information Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Highland

Elements of Framework

All Live independently at home or in a homely setting Fully integrated community teams
Integrated community care for older people, Canada

View Document  

Example of Good Practice

Integrated community care for older people in Toronto, Canada

Client Group(s)

All Older adults

Setting(s)

All City

Enabler(s)

All Infrastructure Clinical and care governance Well developed relationships Shared accountability

Integration Authority

All Other health and social care providers

Elements of Framework

All First point of contact Connect with communities Manage own care Seamless working with acute care Live independently at home or in a homely setting Short-term, targeted interventions to meet more complex needs Enhanced care in care homes and supported accommodation Fully integrated community teams
Midlothian - Home first approach

View Document  

Example of Good Practice

Home first approach

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Infrastructure Improvement capacity Culture and values Management information Information sharing Agile working Aligned plans Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All Midlothian

Elements of Framework

All First point of contact Connect with communities Seamless working with acute care Live independently at home or in a homely setting Fully integrated community teams
Moray - Community Wellbeing Development Team: Rich conversations

View Document  

Example of Good Practice

Rich conversations

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Remote and rural

Enabler(s)

All

Integration Authority

All Moray

Elements of Framework

All Connect with communities Manage own care Assets based approach
North Ayrshire - Schools Based Challenge Team

View Document  

Example of Good Practice

Schools Based Challenge Team

Client Group(s)

All Children and young people

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All North Ayrshire

Elements of Framework

All Connect with communities Fully integrated community teams
North Ayrshire - Trindlemoss Court and Warrix Avenue

View Document  

Example of Good Practice

Trindlemoss Court and Warrix Avenue

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban

Enabler(s)

All Technology Infrastructure Improvement capacity Culture and values Well developed lead professional roles Management information Information sharing Fit for purpose premises Aligned plans Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All North Ayrshire

Elements of Framework

All Connect with communities Manage own care Assets based approach Seamless working with acute care Live independently at home or in a homely setting Enhanced care in care homes and supported accommodation Fully integrated community teams
North Lanarkshire - Care Academy

View Document  

Example of Good Practice

Care Academy

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Corporate

Enabler(s)

All Improvement capacity Culture and values Management information Information sharing Aligned plans Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All North Lanarkshire

Elements of Framework

All First point of contact Connect with communities
North Lanarkshire - Integrated Rehabilitation Team

View Document  

Example of Good Practice

Integrated Rehabilitation Team

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban

Enabler(s)

All Technology Well developed lead professional roles Information sharing Agile working Well developed relationships Shared accountability

Integration Authority

All North Lanarkshire

Elements of Framework

All Reablement Assets based approach Seamless working with acute care Live independently at home or in a homely setting Short-term, targeted interventions to meet more complex needs Fully integrated community teams
North Lanarkshire - Primary Care Frailty MDTs: Facilitating a person-centred anticipatory care approach

View Document  

Example of Good Practice

Primary Care Frailty MDTs: Facilitating a person-centred anticipatory care approach

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All Technology Improvement capacity Information sharing Aligned plans Team ethos Well developed relationships Clarity of vision Collaborative leadership

Integration Authority

All North Lanarkshire

Elements of Framework

All Anticipatory care planning Connect with communities Assets based approach Teams aligned to general practice Seamless working with acute care Live independently at home or in a homely setting Fully integrated community teams
Orkney - Home First approach

View Document  

Example of Good Practice

Home First approach

Client Group(s)

All Younger adults Older adults

Setting(s)

All Remote and rural

Enabler(s)

All Technology Culture and values Information sharing Team ethos Well developed relationships Shared accountability Collaborative leadership

Integration Authority

All Orkney

Elements of Framework

All Reablement Live independently at home or in a homely setting Fully integrated community teams
Perth and Kinross - Local Care Home Oversight Group

View Document  

Example of Good Practice

Client Group(s)

All Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Culture and values Well developed lead professional roles Clinical and care governance Team ethos Well developed relationships

Integration Authority

All Perth and Kinross

Elements of Framework

All Enhanced care in care homes and supported accommodation Fully integrated community teams
Proactive telecare, Wales

View Document  

Example of Good Practice

Proactive telecare with Delta CONNECT in Wales

Client Group(s)

All Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Technology Infrastructure Information sharing Well developed relationships Collaborative leadership

Integration Authority

All Other health and social care providers

Elements of Framework

All Anticipatory care planning Connect with communities Seamless working with acute care Live independently at home or in a homely setting Short-term, targeted interventions to meet more complex needs
South Lanarkshire - Implementation of Near Me

View Document  

Example of Good Practice

Client Group(s)

All Younger adults Children and young people Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Technology Well developed lead professional roles Information sharing Agile working Aligned plans Clinical and care governance Team ethos Well developed relationships Shared accountability Collaborative leadership

Integration Authority

All South Lanarkshire

Elements of Framework

All Teams aligned to general practice Live independently at home or in a homely setting Fully integrated community teams
South Lanarkshire - Rapid telecare alarm rollout through COVID-19

View Document  

Example of Good Practice

Client Group(s)

All Younger adults Older adults

Setting(s)

All Urban Remote and rural

Enabler(s)

All Technology Well developed lead professional roles Information sharing Aligned plans Clinical and care governance Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Integration Authority

All South Lanarkshire

Elements of Framework

All Live independently at home or in a homely setting
South Lanarkshire - Shifting the balance of care and resource

View Document  

Example of Good Practice

Shifting the balance of care and resource

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All South Lanarkshire

Elements of Framework

All Seamless working with acute care Live independently at home or in a homely setting
South Lanarkshire - The Future of Care

View Document  

Example of Good Practice

The Future of Care

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All South Lanarkshire

Elements of Framework

All Enhanced care in care homes and supported accommodation
West Dunbartonshire - Focussed Intervention Team

View Document  

Example of Good Practice

Focussed Intervention Team

Client Group(s)

All Older adults

Setting(s)

All Urban

Enabler(s)

All

Integration Authority

All West Dunbartonshire

Elements of Framework

All Teams aligned to general practice Enhanced care in care homes and supported accommodation Fully integrated community teams
Western Isles - Barra and Vatersay Integrated Social Care Services

View Document  

Example of Good Practice

Barra and Vatersay Integrated Social Care Services

Client Group(s)

All Younger adults Older adults

Setting(s)

All Remote and rural

Enabler(s)

All Team ethos Well developed relationships Shared accountability Collaborative leadership

Integration Authority

All Western Isles

Elements of Framework

All Live independently at home or in a homely setting Enhanced care in care homes and supported accommodation