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NHSEI integrated care publication - proposals for the development of ICSs in England

16 December 2020

Everyone will have seen and read the new integrated care publication from NHSEI by now, and that was a feature of our most recent webinar on integrated care systems (ICSs) which you can watch by following this link. We will also be doing a series of webinars on ICS development in January and February 2021.

Naturally everyone is focussed on the two proposals for the development of ICSs in England. They suggest new legislation be enacted to create either a statutory committee to formalise ICSs as a legal entity or that ICSs be established as a new statutory corporate body and clinical commissioning groups (CCG) functions should be re-purposed so they form part of the new statutory body’s functions. NHSEI want to hear people’s views on those proposals and it is important to note that key stakeholders have a key role to play whichever proposal goes forward in legislation. As to the benefits of each proposal then a statutory committee would fit into the existing legal framework, whereas a new statutory body would create change but move ICSs forward in a much clearer way from a legal perspective.

Equally, it is also important to understand that NHSEI still support the proposals for legislative change they put forward in September 2019. Those proposals will enable a fundamentally more flexible system with regard to procurement, competition, patient choice, tariff and the ability for different types of public body to work together. These proposed changes to legislation are important building blocks to meet the aspirations of the Long Term Plan from a legal perspective and it is worth revisiting them to understand how they will fit into the development of your ICS plans.

The link to the Integrated Care publication is here and we would recommend that people do provide their response to NHSEI by Friday 8 January.

If you would like to discuss these proposals and how they impact on the development of your ICS then please contact either Gerard Hanratty or Charlotte Harpin.

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