Interoperability and Risk Management Across Integrated Care Systems

Risk management in adult social care relies on timely, accurate information. As care delivery becomes more integrated, interoperability plays a central role in how risks are identified, managed and reviewed.

This aligns closely with risk management and compliance and IT and systems resilience, where fragmented systems can undermine safety and assurance.

The operational reality of risk in integrated care

People receiving care often move between services, settings and providers.

Without interoperable systems, risk information may be delayed, duplicated or lost, increasing the likelihood of harm.

Operational examples of interoperable risk management

Interoperability enables risk assessments, incident logs and safeguarding alerts to be shared across relevant systems.

For example, changes in behaviour or health status can trigger alerts across care teams, supporting early intervention.

Another example includes linking risk reviews to care planning systems, ensuring mitigation strategies are consistently applied.

Commissioner expectations around system-wide safety

Commissioners expect providers to demonstrate how risks are managed across integrated pathways.

This includes evidence that information sharing supports, rather than compromises, safeguarding and quality.

Positive risk-taking and informed decision-making

Interoperability supports positive risk-taking by ensuring decisions are informed by comprehensive, up-to-date information.

This allows providers to balance independence and safety transparently.

Governance and escalation across systems

Effective risk management requires clear escalation routes.

Interoperable systems must support defined thresholds, alerts and accountability to prevent risks being overlooked.

Building resilient, safe integrated services

Providers that embed interoperability into risk management frameworks are better equipped to deliver safe, coordinated care.

This strengthens both frontline practice and commissioner confidence.


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Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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