Implementing Asset-Based Integrated Care: A Tale of Two Localities

Figures & Tables

Local Area Coordination Core Princples and Local Area Coordinator role.

Local Area Coordination – Core Principles [33]

The right to citizenship, responsibilities and opportunities
The importance of valued relationships and personal networks
The importance of access to relevant, timely and accessible information to inform decision making
Recognising and nurturing individual, family and community gifts and assets
Recognising the natural expertise and leadership of people labelled as vulnerable and their families
The right to plan, choose and control supports and resources
The value and complementary nature of formal services as a back up to natural supports and practical solutions

Role of a Local Area Coordinator [34]

Local Area Coordinators are expected to help people:

Seek practical, non-service solutions to issues and problems wherever possible
Access, navigate, coordinate and control services and support if these are required
Build and maintain valued, mutually supportive relationships
Understand and nurture their gifts, skills, experiences and needs
Access accurate, relevant and timely information
Build a positive vision and plan for the future
Be part of, and actively contribute to, community life
Be heard (LACs encourage self-advocacy, advocate alongside people, or advocate for people if there are no other options)

Site characteristics.

	SITE A	SITE B
POPULATION	167,025 (ONS, 2016)	206,674 (CENSUS, 2011)
Organisational context	LAC provided within the local authority LAC introduced as one part of transformation programme Joint involvement with CCG Clear phased development plan	LAC provided within the local authority LAC introduced as part of a Health and Wellbeing Strategy LAC dovetailed with existing services Unclear development plan
Number of localities	Introduced in a limited number of localities and expanded steadily to whole of local authority area	Piloted in five localities (out of seventeen in total)
Number of coordinators	14	5
Funding	Adult Social Care, Better Care Fund and public health	NHS Vanguard. No longer term funding identified