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The Milbank Quarterly, 77
Journal of Integrated Care, 13
JICA 25,3 Is all integration local? In the latest edition of the Journal of Integrated Care, North Devon’s Andrea Beacham observes that: It is clearly difficult for local commissioners and providers to attempt to join up services which have evolved independently within separate government departments and national bodies […]. In the absence of established guidance, many areas in England are forging their own paths, tackling the barriers that arise on the way and taking a variety of approaches with varying degrees of success. In one sense, this has probably always been true – across England, across different parts of the UK, and beyond. Reflecting back on his often-cited article on the “five laws of integration” (Leutz, 1999), Walter Leutz later concluded that “all integration is local” (Leutz, 2005, p. 9): This was not one of the original laws, but perhaps it should have been. On the one hand is the notion that each integration effort has to be implemented locally in a way that is consistent with the particulars of local systems and personnel. On the other is the idea that larger policies should facilitate rather than dictate the structure and pace of local action. However, this insight seems
Journal of Integrated Care – Emerald Publishing
Published: Jul 3, 2017
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