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NHS England confirms 11 new integrated care systems


By Rachel Carter
8 December 2020

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NHS England (NHSE) has confirmed 11 more areas in England will become formally designated integrated care systems (ICSs) from 1 April 2021.

This brings the total number of ICSs to 29, leaving just 13 sustainability and transformation partnerships (STPs) out of an original 42.

The remaining 13 STPs are working to achieve designation, NHSE said, with the aim for ICSs to ‘cover essentially the whole of England’ by April 2021.

The 11 new ICSs include the remaining three parts of London – North West London, North Central London, and North East London – and four areas of the South West, serving a combined population of 14.5 million people.

Consultation on ICSs

Last month (26 November), NHSE announced it was consulting on proposals to strengthen ICSs, including revised recommendations to the Government for putting the organisations on a statutory footing.

In its board papers, NHSE said it believed ‘the opportunity is now’ to establish a ‘future-proofed legislative basis for ICSs’ and outlined two possible options for doing so.  

The first option is a ‘statutory committee model with an accountable officer that binds together current statutory organisations’.

The second is for a ‘statutory corporate NHS body model that additionallly brings CCG statutory functions into the ICS’. Under this model, ICSs would be established by ‘repurposing CCGs’ and would ‘take on’ CCGs’ commissioning functions alongside other duties, the papers said.

NHSE added that if either of the legislative proposals go ahead, ‘current CCG functions would subsequently be absorbed to become core ICS business’.

The 11 new integrated care systems

  1. Norfolk and Waveney
  2. Bath and North East Somerset, Swindon and Wiltshire
  3. Bristol, North Somerset and South Gloucestershire
  4. Cornwall and Isles of Scilly
  5. Somerset
  6. Birmingham and Solihull
  7. Derbyshire
  8. Hampshire and Isle of Wight
  9. North West London
  10. North Central London
  11. North East London

‘Another important step’

Danny Mortimer, NHS Confederation’s chief executive, said the 11 new ICSs represent ‘another important step’ towards achieving collaborative working.

He added: ‘The evidence and our members are clear that joined-up health and care is better for both patients and the taxpayer, providing more efficient care and allowing organisations to work together to tackle health inequalities and improve health outcomes of whole populations.

‘For these ambitions to be fully achieved, we need to build on the progress that has been made in recent years and update the current legal and regulatory framework to ensure it better incentivises and enables collaboration and partnership working.’  

Sir Simon Stevens, chief executive of the NHS said: ‘Now is the time to accelerate on integrated care so we have strong health and care systems serving every part of the country.

‘The past year has demonstrated the importance of joined-up working. This will be just as critical as we work together to address the wider social and economic consequences of the Covid pandemic.’

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