Working across boundaries: realising the vision of integrated care

The Nuffield Trust | September 2018 | Working across boundaries: realising the vision of integrated care

A new long read from the Nuffield Trust considers what might be standing in the way of integrated care, and argue what could be done about it.

Read the exploration in full at Nuffield Trust 


Joined-up listening: integrated care and patient insight

The King’s Fund | August 2018 | Joined-up listening: integrated care and patient insight

A new long read from The King’s Fund underlines the opportunity that integrated care presents for using insight from people and populations to design services that meet their needs and reflect their priorities. For the think-tank this includes breaking down siloes within and between organisations to listen to what patients are saying across their entire pathway of care (Source: The King’s Fund).



The long read covers:

  • The importance of patient insight
  • Interpreting and acting on patient insight
  • Sharing what we’ve learnt
  • Everyone’s business
  • It’s not just one method
  • An opportunity to do things differently
  • Local government inclusion

Read it in full here 

A year of integrated care systems

The King’s Fund | A year of integrated care systems

A year after the first integrated care systems were announced by NHS England, The King’s Fund online event brought local, national and international experts together to discuss how integrated care systems are developing, how the systems can involve key partners, and how learning from international examples of large-scale change can inform our efforts.

Discussion during the event included:

  • how integrated care systems are developing
  • how these systems can involve key partners – including patients, the community, clinicians and wider public services – in efforts to integrate care
  • how learning from international examples of large-scale change can inform these efforts.

Full details from The King’s Fund 

Key questions for the future of STPs and ICSs

NHS Providers | August 2018 | Key questions for the future of STPs and ICSs

NHS Providers have released the second in a  series of briefings on sustainability and transformation partnerships (STPs), this briefing follows a publication in February this year which set out the history of system working.  This latest  briefing summarises recent developments relevant to system working, sets out the state of play for STPs and integrated care systems (ICSs) and seeks to offer answers to a number of questions arising from the national policy focus on collaboration and integration.


The briefing includes:

Key points

The context for collaboration

The state of play for STPs and ICSs

What works?

Questions and (tentative) answers



Breaking down barriers to better health and care

NHS England | June 2018 | Breaking down barriers to better health and care

NHS England has produced Breaking down barriers to better health and care.

breaking down
Image source:

This guide provides details on how NHS organisations and local councils in England are moving from fragmented services to local partnerships and integrated care systems in order to meet the health needs of the population (NHS England). 

You can download the publication here 

Integrated Commissioning for Better Outcomes

Local Government Agency & NHS Clinical Commissioners | April 2018 | Integrated Commissioning for Better Outcomes: a commissioning framework 2018

Local Government Agency (LGA) and NHS Clinical Commissioners have updated Integrated Commissioning for Better Outcomes (ICBO) to better reflect the changing commissioning landscape.  The purpose of the framework is to support the general integration agenda across health and local government and promote consensus on good practice.

Although, the standards are primarily designed for use by commissioners in adult social care and the NHS, it is hoped that providers of services, people with personal budgets and other stakeholders are also engaged with locally when the standards are used to drive improvement. (Local Government Agency and NHS Clinical Commissioners)

It covers four areas:

  1. building the foundations;
  2. taking a person-centred, place-based and outcomes-focused approach;
  3. shaping provision to support people, places and populations;
  4. and continuously raising the ambition

The standards are intended:

  •  to support cross-organisational reflection and dialogue on how well integration in local commissioning arrangements are working
  • as a benchmarking diagnostic tool in critical self-assessment by system partners
  •  in a peer to peer review or peer challenge to promote sector led improvement.
    (Local Government Agency and NHS Clinical Commissioners )

It can be viewed here