Summary
Integrated Care Systems (ICSs) are actually running in ten areas of England to date, out of 44 Sustainability and Transformation Partnerships (STPs).
Reference
Pym, H. (2018). NHS reform: How many patients will benefit? London: BBC Health News, April 18th 2018.
This relates to:
Reference
Integrated care systems (ICSs). [Online]: NHS England, April 2018.
Some local dissent in Leicestershire:
Reference
Leicestershire County Council wants branding off NHS reform plans. [London / Leicester]: BBC Health News / BBC Leicester News, April 11th 2018.
Four Further ICSs
- Gloucestershire.
- West Yorkshire and Harrogate.
- Suffolk and North East Essex.
- North Cumbria.
Reference
12 million people to benefit from better joined up NHS and social care work. [Online]: NHS England, May 24th 2018.
The Integrated Commissioning for Better Outcomes Framework 2018
Updated information has been provided from the Local Government Association and NHS Clinical Commissioners on “commissioning for better outcomes”, to reflect the latest structural changes in the commissioning environment.
Reference
Integrated Commissioning for Better Outcomes: a commissioning framework 2018. London: NHS Clinical Commissioners (NHSCC) and Local Government Association, April 11th 2018.
Breaking Down Barriers
An NHS England pamphlet discusses how NHS organisations and local councils in England are creating partnerships and integrated care systems which meet the health needs of local populations.
Reference
Breaking down barriers to better health and care: the journey from fragmented services to local partnerships and integrated care systems designed to meet our needs today and tomorrow. London: NHS England, June 2018.
An Initial King’s Fund Assessment of ICSs: Moving From Integrated Care to Population Health Systems?
A King’s Fund report reviews progress made by integrated care systems during their first year, and notes signs of progress in terms of partner organisations working collaboratively.
Reference
Charles, A. Wenzel, L. [and] Kershaw, M. [et al] (2018). A year of integrated care systems: reviewing the journey so far. London: The King’s Fund, September 2018.
There is also an Executive Summary.
Leadership in Integrated Care Systems
The following report explores the leadership skills suitable for effective collaborative / partnership working, across organisational boundaries and system-wide in Integrated Care Systems (ICSs).
Full Text Link (Free registration with SCIE is required for access to this document).
Reference
Leadership in integrated care systems: report prepared for the NHS Leadership Academy. London: Social Care Institute for Excellence (SCIE), November 2018. Future of care report: No.9.
The SCIE Logic Model for Integrated Care
SCIE’s “Logic model for integrated care” summarises:
- Enablers of integration.
- Components of integrated care.
- Outcomes for service users, ICSs and the health and care system more widely.
- Long-term impacts and benefits.
Full Text Link (Free registration with SCIE is required for access to this document).
Reference
Logic Model for Integrated Care. [Online]: Social Care Institute for Excellence (SCIE), 2018.
Three Levels of ICSs
NHS England’s guide defines the levels of management in different styles of integrated care system, covering their core functions, rationale and how they are expected to work collaboratively (on the levels of Neighbourhoods, Places and Systems). Definitions of scale:
- Neighbourhoods level of Integrated Care Systems (ICSs): populations circa 30,000 to 50,000 people.
- Places level of Integrated Care Systems (ICSs): populations circa 250,000 to 500,000 people.
- Systems level of Integrated Care Systems (ICSs): populations Circa 1 million to 3 million people.
Reference
Designing integrated care systems (ICSs) in England: an overview on the arrangements needed to build strong health and care systems across the country. London [Online]: NHS England, June 2019.
Three More ICSs Announced in June 2019
These three will “ …follow in the footsteps of the 12 earliest integrated care systems announced in 2018, plus two devolved health systems in Greater Manchester and Surrey”:
- Buckinghamshire, Oxfordshire and Berkshire West ICS.
- North East and North Cumbria ICS.
- South East London ICS.
Reference
One in three people will benefit from faster and more convenient health and care. [Online]: NHS England, June 2019.
