Transforming Integrated Care in the Community

Transforming Integrated Care in the Community (TICC) secured more than €4.8 million of European funding in a €8 million cross-border partnership involving 14 organisations from the UK, France, the Netherlands and Belgium (see below for partner details). The project was approved and funded by the EU Interreg 2 Seas Programme 2014-2020 (co-funded by the European Regional Development Fund) which supported the project over four years.

The aim of the project was to create systemic change in health & social care, providing services better suited to our ageing population by addressing holistic needs. It presented a methodology to overcome blocking points in transferring socially innovative service models from one area to another. This was tested via the implementation of the Buurtzorg integrated care at home model which consists of self-managing teams of 12 staff working at neighbourhood level handling every aspect of care & business. This model significantly reduces the back office, simplifies IT & has coaches rather than managers, providing better outcomes for people, lower costs, fewer unplanned hospital admissions & consistency of care.  TICC sought to enable other health/social care organisations to implement new ideas; increase staff productivity, recruitment and retention as well as improving patient satisfaction & decreasing costs, emergency admissions and staff absences. It aimed to postpone the moment when residential or end of life care is needed.

Background to TICC:

The 2Seas area faces clinical, social & financial challenges in health and social care as the population ages & public funding decreases. Recruitment & retention of the health and social care workforce in the 2Seas area is challenging & the situation will further deteriorate as the existing workforce ages. This has an impact on quality as perceived by patients. A number of initiatives have been highlighted as innovative but rarely get transferred from one country to another. The causes of these blockages need to be identified & a method developed for overcoming the barriers to transferability. The systems that have developed in the 2Seas region over the last 20 years have led to the fragmentation of care & a task driven, activity-based approach & remuneration.

TICC wanted to enable countries in the 2Seas area (& later, beyond) to implement successful health & social care innovations quickly in a cost-effective, sustainable way.

The aims of TICC:

• Blueprint for successful transfer of social innovative service models in health & social care from one country to another benefitting all public/private services
• 3 new countries adopting integrated neighbourhood based self-managing teams providing holistic person-centred care.
• Changes to existing patient-data gathering systems to create better communication between nurses, care-workers & citizens
• Publications to stimulate entrepreneurs & leaders to create new organisations or transform existing organisations, ensuring this is not solely an institutional response.

Alongside Lead Partner, The Health and Europe Centre, the other partners involved in the project were:

Buurtzorg Concepts (NL)
Kent County Council (UK)
Kent Community Health NHS Foundation Trust (UK)
Medway Community Healthcare (UK)
Soignons Humain (FR)
Public World (UK)
Zorgbedrijf Antwerpen (BE)
Emmaus Elderly Care (BE)
Eurasante (FR)
VIVAT homecare (FR)
Lille Catholic Hospital (FR)
HZ University (NL)
La Vie Active (FR)

There were also many observer partners: Université d’Artois; East of England Local Government Association; Provincie Antwerpen; Wit-Gele Kruis van Antwerpen; Familiehulp ; Landelijke Thuiszorg Zuiderkempen; Christelijke Mutualiteit; Heist-op-den-Berg; OCMW Heist-op-den-Berg; Vlaams minister van Welzijn, Volksgezondheid en Gezin; Sociaal Huis Mechelen; Zorgnet-Icuro; NHS (England); Canterbury Christ Church University; Centre communal d’action sociale de Lomme; Conseil départemental du Nord.


TICC Final Conference

On the 14th October 2022 the TICC partners held a conference to share their experiences & learning from the project, as well as reflecting on placing humanity at the heart of services. You can view the recordings from the day here:



TICC Project Results

You can view the results of the TICC project here.