Health Management and Policy Alert

Integrated care systems boundaries review: decision summary

Department of Health and Social Care -
Earlier this year, ministers asked NHS England to: set out options for boundary alignment in ICSs in specific geographies where upper-tier local authorities currently have to work across more than one ICS footprint; and assess the impact of changes to deliver alignment in each case. This work has now concluded, with advice provided to the Secretary of State for Health and Social Care. This paper sets out the final decision that has been taken for the areas in scope of the review.

• Report
• Department of Health and Social Care - publications

Understanding integration: how to listen to and learn from people and communities

The King's Fund -
Lived experience is a powerful tool to improve existing services and identify new and better ways to meet people's needs. This practical guide aims to help systems to co-ordinate services around what matters to people and communities.

• Guidance
• Question bank
• The King's Fund - publications

Reform for people: a joint vision for integrating care

National Voices -
National Voices, Age UK, the Richmond Group of Charities, and The King’s Fund have joined together, with input from a range of health sector partners, to produce a shared vision of what new reforms through the NHS Bill could achieve. This joint vision aims to lay out a shared ambition of what integrated care and improved ways of working could mean for people and communities and in doing so motivate the workforce during a transition period.

• Statement
• National Voices - publications

Health and Care Bill

UK Parliament -
The Health and Care Bill builds on the proposals for legislative change set out by NHS England in its Long Term Plan, while aiming to incorporate lessons learnt from the pandemic that will benefit both staff and patients. The Bill will ensure each part of England has an Integrated Care Board and an Integrated Care Partnership responsible for bringing together local NHS and local government, such as social care, mental health services and public health advice, to deliver joined up care for its local population.

• Bill
• UK Parliament - related documents and information
• The King's Fund response

Health and care bill: memorandum from the Department of Health and Social Care to the Delegated Powers and Regulatory Reform Committee

Department of Health and Social Care - 

The memorandum identifies the provisions of the bill that confer powers to make delegated legislation, directions, guidance or schemes and explains in each case why the power has been taken and the nature of, and reasons for, the procedure selected. The memorandum reflects the bill as introduced to the House of Commons on 6 July 2021.

• Memorandum
• More detail

The proposed NHS reforms: what do we think so far?

NHS Confederation - 

This briefing, set out in six slides, gives an overview of key changes ahead for the NHS and what integrated care system leaders support and remain concerned about.

• Briefing
• More detail

 

Integrated Care Systems: design framework

NHS England and NHS Improvement -
These documents set out the headlines for how NHS leaders and organisations will be asked to operate with their partners in Integrated Care Systems from April 2022 and guidance in respect of what the employment commitment is, its application in practice and how it affects people.

• Guidance

Providers deliver: collaborating for better care

NHS Providers - 

This report sets out examples of a wide range of collaborations taking place across the country to show the complexity of arrangements.

• Report
• Press release

The relationship between the adult social care sector and ICSs: time for action?

Good Governance Institute (GGI) - 

This paper brings together GGI's thinking around some of the key pieces of policy pertaining to the adult social care sector, as well as the learning from a series of interviews and a roundtable that GGI convened with ICS (integrated care systems) independent chairs, policy-makers and adult social care providers. Where relevant, we also present example of good practice from across the country.

• Paper
• More detail

The essential guide to provider collaboratives

Good Governance Institute - 

As part of system working, it is expected that most NHS trusts and NHS foundation trusts will belong to one or more provider collaboratives. These are governed arrangements designed to release very specific benefits as part of the NHS integrated care systems (ICS) arrangements. This guide aims to: clarify what is meant by provider collaborative; explain the benefits of provider collaboratives; provide a ‘how to’ guide on how to set up/ join a provider collaborative; and highlight common pitfalls and success factors.

• Guide
• More detail