1. 2015 Integrated Care Study Tour SPAIN GERMANY SCOTLAND

3. Barcelona, Catalonia, SPAIN

4. Gesundes Kinzigtal, Haslach, GERMANY

5. NHS Highland, Inverness, SCOTLAND

6. KEY LEARNINGS AND MESSAGES increasing burden of chronic disease requiring a different approach to service delivery global economic crisis has had a major impact on driving the redesign of services commissioning body oversight a key driver clinical leadership is paramount integration has many layers and levels (beyond health integration to social services) ''good things take time' - many programmes were 3-5 - 10yrs in the making

7. KEY LEARNINGS AND MESSAGES professional snobbery is universal in whatever language :), white coats everywhere!! major reorientation to care in the home - and away from the hospital, aged care settings IT systems integration is critical to the success rhetoric is patient centred – only just beginning this journey trend to increase the role of nurses in care delivery and coordination protected community nursing roles and titles a national uniform can be achieved!

8. WHO Global Strategy on people centred and integration health services