Skip to main content

Developing a joint outcomes contracting model for integrated health and social care for older people

Billings, Jenny, Davis, Alison (2016) Developing a joint outcomes contracting model for integrated health and social care for older people. Journal of Integrated Care, 24 (5/6). pp. 282-299. ISSN 1476-9018. E-ISSN 2042-8685. (doi:10.1108/JICA-09-2016-0031) (KAR id:58520)

PDF Author's Accepted Manuscript
Language: English

Creative Commons Licence
This work is licensed under a Creative Commons Attribution 4.0 International License.
Download (535kB) Preview
Official URL



Current debates surrounding the NHS contract in England are suggesting that it is in need of change to support an integrated health and social care transformation agenda that meets the needs of an ageing chronically ill population. This paper describes a three phase project in England that sought to develop and validate a whole systems contracting model for integrated health and social care focusing on older people with long term conditions, and based on joint outcomes.


The final contracting model consists of four overarching and interrelated core elements: (i) outcomes; (ii) partnership, collaboration and leadership; (iii) financial: incentives and risk; and (iv) legal criteria. Each core element has a series of more detailed contracting criteria, followed by further specifications attached to each criteria.

Practical implications

The paper concludes with reflections on the way forward for local development and implementation.

There is currently much discussion for the need to realign contracting for integrated care that has a better fit for the transformation agenda, but until now, there have been no attempts to develop a whole systems approach that focuses on joint outcomes. This research bridges the gap but recognises

Item Type: Article
DOI/Identification number: 10.1108/JICA-09-2016-0031
Uncontrolled keywords: older people, integrated care, contract model, joint outcomes
Subjects: H Social Sciences > HM Sociology
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Jennifer Billings
Date Deposited: 24 Nov 2016 12:24 UTC
Last Modified: 06 Feb 2020 04:15 UTC
Resource URI: (The current URI for this page, for reference purposes)
Billings, Jenny:
  • Depositors only (login required):


Downloads per month over past year