Integration & coordination → Flexibility at the clinical interface

Here is a list of activities other HAH services have used to optimise their flexibility at the clinical interface.

  • A blended service is provided whereby different services can provide what is needed by the patient without hard boundaries around particular roles; honorary contracts with NHS may facilitate this.

  • Regardless of ‘formal’ arrangements for integration and co-ordination, HAH enables its staff to get on to work for the patient with colleagues who are co-dependent

  • Other providers trust the HAH to make assessments and will act on their recommendations.

  • An element of flexible workforce is employed (by the HAH service or others) or staff are flexibly deployed from other areas (e.g. inpatient unit)

  • A secondment into a different setting (e.g. a healthcare worker into social care) may facilitate integration by the “learning of another language”.