About the programme

Jargon buster

This jargon buster provides an explanation of some of the words and phrases used in Integrated Care.

  • Access and navigation - The process of improving access to and navigation around health and social care services.
  • Alignment - Bringing services and their processes together across health and social care to deliver integrated pathways.
  • Assistive Technology (AT) (telehealth & telecare) - An umbrella term that describes a range of technology that assist individuals to maximise their independence and reduce reliance on others. This includes aids/ equipment that monitor activities of daily living, like using gas appliances, call alarms, smoke alarms and medical condition management including the taking of and transmition of medical readings.
  • Care Co-ordination Team - The combined 'front door' and 'back door' assessment teams based in Nottingham University Hospitals (NUH) preventing unnecessary hospital admissions and facilitating timely hospital discharge.
  • Care Delivery Co-ordinators - A new non-clinical role based within the Care Delivery Groups. CDCs are responsible for the co-ordination of information to support assessment of citizens referred into the Care Delivery Group. CDCs may receive referrals directly from CDG clinicians to other members of the CDG neighbourhood team (Matrons, Community Nursing, Community Rehabilitation). They will support multi-disciplinary team meetings held at GP practices.
  • Care delivery group - A number of GP practices working together in a group defined by the eight geographical areas of Nottingham City Council's Area Team boundaries. There will be a CDG neighbourhood team comprising initially of community matrons, Community nursing and community rehabilitation that works alongside the GP practices within the CDG. There will be a named social worker within each CDG.
  • Case management - Responding to the health and social care needs of citizens through a proactive and on-going approach of gathering information and working in multi-disciplinary teams to ensure that tailored care and support is provided according to the individual needs of the citizen.
  • Champions - Representatives from health and social care who understand the drivers for and benefits of integration and actively promote Integrated Care within their teams and across partnerships.
  • Choose to admit - A priority workstream of the Frail Older People Programme which aims to ensure that working practices mena that only those who need acute medical care are admitted to hospital and that the appropriate referrals are made to community health and social care services for those who do not require admission.
  • Clinical commissioning group - Established as statutory NHS organisations in 1 April 2013, responsible for planning and buying (commissioning) the majority of hospital and community-based health services for patients within their local communities, taking over the majority of responsibilities previously held by primary care trusts.
  • Commissioners - Organisations or individuals which buy (commission) services through contracting with and performance management of providers.
  • Community Hub - A team that receives referrals from the hospital via the single point of access (Nottingham Health and Care Point) and contacts the relevant community services to respond.
  • Community Programme - A partnership project based around the transformation of community-based services.
  • Comprehensive geriatric assessment - The standardised process by which the on-going holistic needs of older citizens are assessed.
  • Connecting Care - Communications tool (newsletter) informing staff and stakeholders of the progress being made on the Integrated Adult Care Programme (health and social care) in Nottingham City.
  • Consultation - The process of formal discussion which aims to inform and also give the opportunity for queries / questions about proposed changes to services or working practices.
  • Co-ordinated care - Joined up health and social care service commissioning and provision.
  • Crisis co-ordinator - The job title for an individual who works in the Crisis Response team as the point of referral and co-ordination for urgent care (accessed through single point of access - Nottingham Health and Care Point).
  • Enablement - Short term assessment, support and rehabilitation for people in their own homes. Including self care support and signposting to non-statutory services.
  • Independence pathway - A new model of assessment and reablement/ rehabilitation within Integrated health and social care for Nottingham City. There are four pathways: Urgent care, Community Beds, Reablement and Self Care.
  • Joint service centre - Joint service centres are a vehicle for improving and developing frontline primary and community care facilities; providing patients with modern integrated health services in high quality, fit for purpose primary care premises. there are four JSCs in Nottingham City: Mary Potter (LIFT), Clifton Cornerstone, Bulwell Riverside (LIFT) and St Ann's Valley Centre.
  • Local authority - A local branch of the Government responsible for implementing the laws of Whitehall within the boundaries of the local area (eg. Nottingham City Council).
  • Local Improvement Finance Trust building - NHS LIFT is a vehicle for improving and developing frontline primary and community care facilities; providing patients with modern integrated health services in high quality, fit for purpose primary care premises. There are two LIFT buildings in Nottingham City: Mary Potter and Bulwell Riverside.
  • Multi-disciplinary teams - A team or group consisting of representatives from several different professional backgrounds who all have different areas of expertise.
  • Neighbourhood Team - Health and rehabilitation clinical team employed by CityCare This includes Community Matrons, Community Nursing and Community Rehabilitation.
  • NHS Cluster Development Lead - The person responsible for engaging with and developing the City's four GP 'Clusters' - groups of like-minded GPs who have similar aspirations for the patient populations.
  • Options appraisal - A process in which to identify advantages and disadvantages of various options.
  • Primary care - Healthcare provided outside of a hospital setting eg. general practice and community health.
  • Providers - Organisations/departments responsible for delivering and agreed standard of service through contracting arrangements with commissioners.
  • Reablement - Reablement encourages service users to develop the confidence and skills to carry out activities themselves (through engaging in rehabilitation) and continue to live within the community. It tends to be provided to people who have just been discharged from hospital or are otherwise entering the care system following a significant change in their needs/independence or a crisis.
  • Rehabilitation - The process of being directed / recommended to a service for treatment or support.
  • Risk stratification - Citizens with long term conditions are placed into different levels of risk-based on their likelihood of experiencing an escalation in their level of need/ deterioration in their condition.
  • Secondary care - Healthcare provided by hospitals (acute medical care).
  • Self-care - Looking after yourself in a healthy way and managing symptoms to avoid exacerbation for those with ongoing long-term conditions.
  • Social care - The provision of social work, personal care, protection or social support services to children or adults in need or at risk, or adults with needs arising from illness, disability, old age or poverty and their families and carers.
  • Stakeholders - Anybody who has an interest or is impacted by an organisational change i.e. patients, GPs, staff, members of the public.
  • SystmOne, Care First & EMIS - Electronic citizen record systems giving access to citizens’ health or social care personal information.
  • Third sector - Patient, public and voluntary sector provided services - often charitable or voluntary organisations.
  • Transfer to Assess - A priority and workstream of the Frail Older People Programme which aims to ensure that citizens are transferred out of hospital once they are medically safe to be discharged before their needs for on-going health and social care support are assessed.
  • Triage - A process for assessing the needs of individuals based on severity or urgency of need.
  • Urgent care - Any health care provision that is not planned or routine but arises from unpredicted changes in health and wellbeing.
  • Workforce engagement - An informal approach to encourage employees to be involved in change processes and working together to achieve organisational objectives.