London Journal of Primary Care 2013;5:51

# 2013 Royal College of General Practitioners

Published 7 April 2013

Editorial

Educating for integrated care Paul Thomas Clinical Lead, Ealing Clinical Commissioning Consortium and NHS Ealing, UK

This month, LJPC continues the theme of integrated care. Five papers review the experience of participants in the West London Integrated Care Pilot (ICP) – described by Steeden in LJPC November 2012. Paice and Hasan describe the conclusions of a conference of educators who agreed that everyone involved in integrated care needs to be skilled at interprofessional, team-based, experiential learning – learning by taking part in collaborative improvement projects. Thomas and Paice describe how patients, users and carers have been involved at a management level in the ICP, and a similar level of engagement at the local level is now needed. Roberts et al. reviewed the data of ICP successes and the reflections of a range of stakeholders about the best next steps – including better integration with local initiatives and training ICP leaders as facilitators of interorganisational collaboration. Sachar describes the experience of a psychiatrist who contributed to discussions of patients with diabetes – 81% of all patients discusses had a mental health problem. Devendra presents lessons

arising from three patients with diabetes discussed at an ICP case conference. Read London Landscape for LJPC’s response to the Francis Report – general practice in the future must have better overview of quality in all parts of the system. Here also is Carelli’s good-humoured review of an exhibition on Aesthetics and Papanikitas’ review of a valuable new book on clinical ethics. And here too is the very sad news of the death of Helen Lester – longstanding advocate of broad-visioned primary care and a good friend of LJPC. Helen, you inspired many of us with your charm and your intelligence and your never-ending enthusiasm for quality primary care; you have made a real difference and we will miss you. This is the last instalment of LJPC Volume 5.1. Future issues will have a lot more on integrated care. Authors are now preparing papers on shared care for long-term conditions, partnerships with other sectors to improve health, and international case studies. Watch this space.

Educating for integrated care.

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