we argue that the major barrier (in addition to the others) is the unforeseen capacity of the middle management to face the urgent issues of the innovative models in integrated care. The complexity of the challenge requires to bring together cultures that were not yet accustomed to collaborate. See https://app.box.com/s/k2wlwu5s...

There are more resources than just funds. Is the primary issue that people are just too busy to innovate in delivery? There needs to be planning about how innovation can be built into everyday process. We need examples of this (is the West Lothian experience of decommissioning care homes and promoting independent living as part of the normal business of renewing care capacity a good example?) This would mean an enabler is how to take consideration of innovation into everyday planning for services.

thanks, Angelo and Stuart. I have integrated your comments about capacity building and embedding innovation in everyday practices

thanks, Angelo and Stuart. I have integrated your comments about capacity building and embedding innovation in everyday practices