Interoperability in Multi-Agency Working and Integrated Care Systems

Adult social care increasingly operates within complex multi-agency environments, including Integrated Care Systems, local authorities and health partners. Interoperability is fundamental to making these arrangements work in practice.

This expectation aligns with multi-agency working and working with commissioners, where information flow directly affects coordination and outcomes.

The operational reality of multi-agency care

People receiving care often interact with multiple services simultaneously.

Without interoperable systems, information must be duplicated, manually shared or interpreted out of context, increasing risk and inefficiency.

Operational examples of integrated working

Interoperability supports multi-agency working through shared access to care summaries, joint risk assessments and aligned care plans.

For example, updates made by a social care provider can inform health partners in near real time, reducing delays in response.

Another example includes shared discharge information that supports continuity between hospital and community services.

Commissioner and system partner expectations

Commissioners increasingly expect providers to demonstrate readiness to operate within integrated systems.

This includes the ability to share information securely, participate in joint reviews and respond to system-wide priorities.

Governance across organisational boundaries

Multi-agency interoperability requires clear governance arrangements.

Providers must define responsibilities, data-sharing agreements and escalation routes to ensure accountability remains clear.

Safeguarding and risk across systems

Interoperable systems support safeguarding by ensuring concerns are visible across agencies.

This reduces reliance on informal communication and strengthens collective responsibility for protection.

Building sustainable integrated working

Effective multi-agency care depends on systems that support collaboration rather than hinder it.

Providers that invest in interoperability are better positioned to operate confidently within Integrated Care Systems and evolving commissioning models.


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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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