Multi-Professional Framework for Integrated Working

This webpage is designed to be a one-stop shop resource for individuals or teams, containing all the information you need to undertake the Development Matrix, or evaluation tool component of the Multi-Professional Framework and support the journey to understand where you are now and how to move to where you would like to be.   

Our aspiration in developing a matrix was to produce a tool that stakeholders – whether leaders, managers, practitioners and others – would find helpful.

It was designed to:

• Describe what is happening with ‘face validity’ for the key stakeholders;
• Facilitate a description of what is happening in a way that enables discussion between stakeholders;
• Illustrate what ‘good’ looks like, with steps to suggest and/or demonstrate development; and
• Enable stakeholders to discuss amongst and for themselves how they perceive their current circumstances and agree on the next steps to be taken, as this is how such tools work best.

Aim of the Framework

The aim of the Multi-Professional Framework is to support organisations to deliver joined up, outcome focused, evidence-based community services, through a place-based multi-professional working model of care.

Collaboration through place-based systems of care offers the best opportunity to meet the holistic needs of individuals and of the local population. This will challenge some of the traditional boundaries between professions and between services. 

Background

The Community Infrastructure ambition is to define the fundamental infrastructure required to deliver a place based 24/7 integrated, multi-professional community model. Recognising that there has been of lots of really positive work in this space, but that it’s often stood alone and hasn’t had traction, this programme provides the opportunity to build on, coordinate, and give profile to this work. Read more on the Community Infrastructure Programme.

The Multi-professional Framework is the key thread across all CI programme priorities and next steps. Supporting the focus on multi-professional working to deliver seamless, coordinated, effective, efficient, timely, integrated, Value-Based person-centred care and support closer to home.

The Multi-professional Framework for Integrated Working was developed in partnership with Professor Mark Llewellyn  and Professor Carolyn Wallace of the University of South Wales  to support this work. They helped to build an evidence-base around this work – through a scoping review of the literature  and an online consensus building exercise – ahead of collaborative action research with practitioners to co-design the Development Matrix.

Read the Multi-professional Working in the Community scoping review.

The Multi-Professional Framework includes:    

• A nationally agreed Framework for Multi-Professional working including nationally agreed Definition, Standards with underpinning Quality Statements.
• Testing to demonstrate proof of concept.
• A set of agreed outcome measures to demonstrate successful achievement of the framework. 

Developing a Multi-Professional Framework for Wales:

• Creates collaborative working across community professions.
• Focuses on consistency, reduces variation, builds on good practice.
•  Utilises data to demonstrate value and impact to focus attention and resource.

Multi-Professional Framework

The Multi-Professional Framework for integrated working paper outlines the nationally agreed definition, standards, and evaluation tool, for Multi-Professional model of integrated care & support – we would recommend reading this paper ( the full or shorter summary paper ) to give you the background and understanding of the evaluation tool : 

• View the Multi-Professional Framework for integrated working.
• Read the Multi-Professional Framework for integrated working – summary paper. 

The Development Matrix

The Development Matrix, or evaluation tool component of the Multi-Professional Framework aims to support collaborative multi professional working by providing a way to describe what is happening with ‘face validity’ in a way that also enables discussion between stakeholders. Illustrating what ‘good’ looks like, with steps to suggest and/or demonstrate development and agree on the next steps to be take.

It is important to recognise this is not a performance management tool – real value will only come if you are honest about where you /your service is.

It is not a race to achieve statement 5.

View the Development Matrix for Multi-Professional Working.

Now available: An interactive Excel download of the Development Matrix.

Useful resources

Short videos

The links below will take you to some short supporting videos each lasting only  around 3 – 4 minutes. They have been developed to support the use of the development matrix.

Visit the Development Matrix for Multi-Professional Working YouTube Channel

• Introduction 
• Matrix Introduction
• Domain 1 – BUY-IN
• Domain 2 – INTERNAL RELATIONSHIPS, COLLABORATION AND COHESION
• Domain 3 – EXTERNAL RELATIONSHIPS
• Domain 4 – INFORMATION SHARING AND GOVERNANCE
• Domain 5 – EQUITY AND EQUALITY
• Domain 6 – PERSON-CENTRED PRACTICE
• Domain 7 – RESOURCES – HUMAN AND FINANCIAL
• Domain 8 – EMBEDDING DATA IN PRACTICE
• Closing remarks
• Multi-Professional Framework in action. A transcript of the Multi-Professional Framework in action video is available here.  

Other helpful links

Scoping Review

A literature review was undertaken considering the role and key values, benefits and challenges of multi-professional working in the community. The review was structured to answer six core questions which address the definitions, existing workforce models, benefits, challenges, patient experiences and health economics of multi-professional working in the community.

Read the Multi-professional Working in the Community scoping review.

Group Concept Mapping

This online consensus building exercise helped to generate a common data set for community infrastructure.

Read the Group Concept Mapping Findings. 

Community Infrastructure toolkit

The Community Infrastructure (CI) Programme seeks to define the fundamental infrastructure required to deliver a place-based 24/7 integrated, multi-professional community model. Building on the principles outlined in the Primary Care model for Wales, it focusses on how Primary and Community Care services work collaboratively together, to provide seamless care, delivered at a local level. Multi-professional working is central to the Community Infrastructure programme and underpins the ambition of the Primary Care Model for Wales.

Access the Community Infrastructure Programme toolkit here.

Examples of Multi-professional working  

The Primary and Community Care Compendium of Roles and Models. A once for Wales website that hosts case studies of care models currently ‘live’ in Wales which showcase integrated multi-professional working to provide person centred care, closer to home. Each case study includes links to related resources, such as regulatory bodies and careers information.