Transforming Integrated Care in the Community (TICC)
Research type
Research Study
Full title
Transforming Integrated Care in the Community (TICC)
IRAS ID
247923
Contact name
Lee Tomlinson
Contact email
Sponsor organisation
Kent Community NHS Foundation Trust
Duration of Study in the UK
2 years, 6 months, 24 days
Research summary
Summary of Research
TICC will create systemic change in health & social care, providing services better suited to our ageing population, addressing holistic needs. It will present a methodology to overcome blocking points in transferring socially innovative service models from one area to another. This will be tested via the implementation of the Buurtzorg integrated care at home model (http://bit.ly/2bCQRLG: self-managing teams of 12 staff working at neighbourhood level handling every aspect of care & business, significantly reduced back office, simple IT & coaches rather than managers, providing better outcomes for people, lower costs/unplanned hospital admissions & consistent care) into new geographic & cultural contexts. TICC will enable other health/social care organisations to implement new ideas; increase staff productivity/recruitment/retention/patient satisfaction & decrease costs/emergency admissions/staff absence & will aim to postpone the moment when residential/end of life care is needed
Summary of Results
The Transforming Integrated Care in the Community (TICC) project looked at a local care model for community nursing which was based on a Netherlands model called Buurtzorg- which translates as Neighbourhood Care. The project aimed to increase patient satisfaction and self-management and decrease admission to hospital, whilst for care staff, an increase in job satisfaction and a decrease in staff sickness.
The UK TICC project was part of a wider study across the UK, France and Belgium. The study’s aim was to see how easily this model of community care could be transferred from one country to another. The project consisted of focus groups with care staff to hear the experiences of staff working within the TICC model. Questionnaires were carried out with patients to measure satisfaction, individual quality of life and length of care. Family members reported on their experience of care. Additional questionnaires were distributed to care staff to look at their confidence in their daily work and how long they stayed in their jobs.
Findings based on the TICC project showed that the model could have benefits for both care staff and patients. For patients, benefits showed a reduced length of care, increased quality of life and patient satisfaction. No change was seen in independence, social participation or burden on informal care givers. For care staff, findings showed that they had fewer days off sick and increased job satisfaction but the overall cost was higher. There was no change to staff retention.
To conclude, the findings of this study indicate that a person-centred approach contributes to an improvement in the provision of individualised and coordinated patient care.REC name
London - Westminster Research Ethics Committee
REC reference
18/LO/1458
Date of REC Opinion
30 Aug 2018
REC opinion
Further Information Favourable Opinion