Thread by @markgolledgeCH

Getting aroud to reading this a few days late but here's my take on the @NHSEngland publication - Integrating Care (responses to the proposals by 8th January)

There's a strong theme of partnership working between NHS including primary care, councils, voluntary sector and others working together with a committment make more decisions locally. It's not 100% clear on how much of this is at ICS vs Place.

There is though a committment to 'place' as well as focus on NHS providers, local government, primary care, voluntary sector working together within PCNs in neighbourhoods. The Long-Term Plan focus on integrated care at a local (30-50,000 level) remains.

A key theme of provider collaboratives. All NHS provider trusts expected to be part of these - working together on specific functions. More guidance from NHSE on this in April 21 (with a variety of forms / approaches in how this could exist).

ICS' will have more financial responsibilities - have financial accountability and financial governance and provide a 'single pot' of CCG, primary care, spec comm budgets. Distribution in line with national framework but more emphasis on allocation to address inequalities.

A committment for place-based partnerships led by a place-based leader (on behalf of the NHS). There's a focus these partnerships - 1). supporting PCNs 2). delivering modern services 3). proactively identify individuals and families 4). coordinate to reduce risks to ill health

At a place level there's a commitment to providers having greater say in how transformation funding is deployed - in partnership with councils and closer to communities.

A strong emphasis on digital and data - ICS Board SRO, system wide digital transformation plan (remember local digital roadmaps @paulricenhs?) - perhaps more emphasis on remote monitoring of LTCS. A little disappointed this sections wasn't more ambitious.

A new 'integration index' next year (whatever that means?!) but a welcome committment to shift commissioning to population health outcomes (which is long overdue) - and therefore the focus is on improving outcomes with providers working together.