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The North West London Integrated Care Pilot: Innovative Strategies to Improve Care Coordination for Older Adults and People With Diabetes

Harris, Matthew DPhil, MBBS, MSc, MFPH; Greaves, Felix BM, BCh, MPH, MBA, MFPH; Patterson, Sue PhD, DIC, BSc(Hons), BSoc Sci; Jones, Jessica PhD, MS; Pappas, Yannis PhD, MA; Majeed, Azeem MD, FRCP; Car, Josip MD, PhD, DIC, MSc

Journal of Ambulatory Care Management: July/September 2012 - Volume 35 - Issue 3 - p 216–225
doi: 10.1097/JAC.0b013e31824d15c7
Primary Health Care in Europe

The North West London Integrated Care Pilot (ICP) was launched in June 2011 and brings together more than 100 general practices, 2 acute care trusts, 5 primary care trusts, 2 mental health care trusts, 3 community health trusts, 5 local authorities, and 2 voluntary sector organizations (Age UK and Diabetes UK) to improve the coordination of care for a pilot population of 550 000 people. Specifically, the ICP serves people older than 75 years and those with diabetes. Although still in the early stages of implementation, the ICP has already received national awards for its innovations in design and delivery. This article critically describes the ICP objectives, facilitating processes, and planned impact as well as the organizational and financial challenges that policy makers are facing in the implementation of the pilot program.

Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.

Correspondence: Matthew Harris, DPhil, MBBS, MSc, MFPH, Department of Primary Care and Public Health, Imperial College London, Reynolds Bldg, St Dunstan's Rd, Hammersmith, London W6 8RP, United Kingdom (

The evaluation of the Integrated Care Pilot was funded by the Imperial College Healthcare Charity. The Department of Primary Care and Public Health at Imperial College London is grateful for support from the NIHR Collaboration for Leadership in Applied Health Research & Care (CLAHRC) scheme, the NIHR Biomedical Research Centre scheme, and the Imperial Centre for Patient Safety and Service Quality.

The authors thank Scott Hamilton for his comments on an earlier draft of the manuscript.

Dr Car is part-time employed by Imperial College Healthcare Trust, which is one of the partner organizations in the Integrated Care Pilot.

No ethical approval is required for this article.

Professor Azeem Majeed is guarantor for the article.

All authors contributed to the writing of the article.

© 2012 Lippincott Williams & Wilkins, Inc.