This research study set out to understand how to progress interoperability in health and care. It combined a literature review with interviews and workshops. The workshops helped to test a methodology around how to build and strengthen relationships to help improve interoperability. Drawing on the experience of two ICSs – Cambridgeshire and Peterborough ICS and Humber and North Yorkshire Health and Care Partnership – case studies are used to share how practical solutions can address the challenges ICSs face.

Overview of the report:

• “Digital technologies can enable better collaboration and joined-up services between health and care partners in integrated care systems (ICSs) and provider collaboratives.
• We explored what is needed for interoperability to progress in an ICS setting using existing literature and a combination of interviews and workshops with staff in the health and care system and national bodies. Through our workshops we trialled a method for creating a shared space to build trust and relationships while tackling tricky topics.
• Interoperability has three equally important aspects that are vital for success: good co-working relationships between staff; technology that makes co-working as easy as possible; and an enabling environment (in which funding, capacity, skills, education and governance are aligned).
• Relationships need to be continually developed and strengthened across organisations and professions for interoperability to progress.
• There need to be improvements in how technology functions, in particular the use of, and adherence to, data and digital standards and addressing the fragmentation of technologies.
• Leaders need to work collectively to minimise power dynamics; staff need to be supported to lead change projects; and communications are an important tool to reinforce a collaborative working culture.”

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