Skip to main content

Contracting for integrated health and social care: a critical review of four models

Billings, Jenny, De Weger, Esther (2015) Contracting for integrated health and social care: a critical review of four models. Journal of Integrated Care, 23 (3). pp. 153-175. ISSN 1476-9018. E-ISSN 2042-8685. (doi:10.1108/JICA-03-2015-0015) (KAR id:47839)

PDF Pre-print
Language: English
Download (458kB) Preview
[thumbnail of billings-2015-contracting-for-integration.pdf]
This file may not be suitable for users of assistive technology.
Request an accessible format
Official URL


In the current climate of service reorganisation and sensitivity surrounding cost, it is clear that commissioners and providers in the health and social care economy are striving to strengthen

For example, most of the funding is tied up in acute and long term social care, current NHS contracts are widely regarded as insufficient for the transformation agenda with block contracts stifling innovation, and Payment by Results does not incentivise the reduction in admissions or social care changes but in fact acts as a perverse incentive (Curry et al 2011). In addition, Advanced Assistive Technology should be embedded within integrated care but is often peripheral. As a consequence, commissioners must rapidly consider commissioning and contracting

England’s Five Year Forward View, with Multi-Specialty Community Providers (MCPs) and Primary and Acute Care Systems (PACS) eventually evolving to hold a delegated budget for the health and

should be underpinned by sound contracting mechanisms that have relational concepts embedded within them. However, there is currently scanty evidence on contracting approaches that would

have a good fit with the transformation agenda, particularly concerning how agencies can work towards joint outcomes. This paper presents the findings of an international literature review of contracting approaches, models and designs, with the aim of critically analysing their suitability to the integrated health and social care agenda. An important feature of this was to capitalise on learning from agencies and industries external to our health and social care systems and to identify in particular evidence of effectiveness and what could be usefully be transposed. The approach and search strategy of the literature review can be found as an appendix.

Item Type: Article
DOI/Identification number: 10.1108/JICA-03-2015-0015
Uncontrolled keywords: Health care, Commissioning of care services, Integrated health and social care, Social care, Contracting models
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Jennifer Billings
Date Deposited: 07 Apr 2015 09:08 UTC
Last Modified: 16 Feb 2021 13:23 UTC
Resource URI: (The current URI for this page, for reference purposes)
Billings, Jenny:
  • Depositors only (login required):


Downloads per month over past year