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  • Respiratory

Integrated care systems & Multi-Disciplinary Team (MDT) working

In the past, traditional divisions between primary and secondary care, physical and mental healthcare, and the NHS and local council services have resulted in patients experiencing disjointed care.1 The NHS Long Term Plan confirmed that all parts of England will be served by an integrated care system from April 2021.1

Integrated care is about offering patients the support they need through a healthcare service that is holistic, coordinated and most importantly, patient centric. The COVID-19 pandemic has highlighted the importance of supporting patients through integrated care, particularly in the respiratory community.

In his presentation, Dr Deepak Subramanian presents the key policies that drove the shift towards integrated care and how the pilot integrated asthma project (ImpACT) successfully evolved into the commissioned respiratory integrated service (ImpACT+) in South Derbyshire and Erewash.


1. NHS England. What are integrated care systems? Available at: https://www.england.nhs.uk/integratedcare/what-is-integrated-care/ [Last accessed December 2021].

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Dr Deepak Subramanian

Dr Subramanian is the lead of the Department of Respiratory Medicine, the clinical lead for the asthma services and runs the difficult asthma clinic at the University Hospitals of Derby and Burton NHS Foundation Trust.

He conceived the idea for the integrated asthma project (ImpACT) which was piloted in Derby and now co-leads the commissioned respiratory integrated service (ImpACT+) in South Derbyshire and Erewash.