One in three people in England, 21 million, are set to further benefit from improved health and care, as three new areas were announced as ‘integrated care systems‘ (ICS).
The North East and North Cumbria will become the country’s largest ICS, serving more than three million people alone.
South East London becomes the first ICS in the capital while Buckinghamshire, Oxfordshire and Berkshire West makes up the third new area where different health and care organisations work together to plan and join up services.
Each has shown that its partners all share a common vision to improve health and care, backed up by robust operational and financial plans, and proposals for collective leadership and accountability.
They follow in the footsteps of the 12 earliest integrated care systems announced in 2018, plus two devolved health systems in Greater Manchester and Surrey.
ICSs are already helping people to stay healthy and independent for longer, giving more care closer to where they live and work, and improving response times and performance in areas such as cancer and A&E.
Successes to date include:
- 100,000 more general practice appointmentsavailable for patients in Gloucestershire backed up by extra home visits from paramedics and physiotherapists, and medication advice from clinical pharmacists based in GPs’ surgeries
- Best practice care for people with atrial fibrillation is being expanded to every GP practice in West Yorkshire and Harrogate. This will prevent nearly 200 strokes to 2021, saving £2.5 million in costs that the NHS will reinvest elsewhere.
- a single care recordfor each of Dorset’s 800,000 residents, allowing health and care professionals across the county to see the same information in real time. Joining up information in this way means patients no longer need to repeat their story to different teams and improves care because their full needs are better understood.
These changes have been made possible by different organisations – NHS hospitals, GPs, councils, care homes and others – joining forces to agree and plan for local people’s needs.
Speaking to health and local government leaders at the NHS Confederation’s conference NHS England chief executive Simon Stevens said : “The Long-Term Plan showed how the NHS and its partners will improve care and help people live healthier day-to-day lives over the next decade.
“To meet these ambitions, every NHS organisation will need to intensify partnership working with others – including local councils and community organisations – for the good of those we serve.
“These areas are among those showing the real gains of collaboration: helping more people to stay well and avoid needless trips to hospital, while making it easier to get high-quality specialist care.
“We must keep a laser focus on making services as convenient as possible – everyone should feel like they are dealing with one system instead of having to repeat their story to a series of different organisations.”
Cllr Ian Hudspeth, Leader of Oxfordshire County Council said: “The move to integrated care across the country gives us the opportunity to really make a different for our residents and communities. Locally, I’m convinced that working together in partnership with the NHS we will deliver huge benefits to the health and care system and will improve the health and wellbeing of Oxfordshire’s residents.”
The systems will be built on a foundation of primary and community care, with primary care networks bringing together different professional teams – GPs, pharmacists, mental health and others – to invest a growing share of funding to do more in community settings.
They will also lead the way in developing a shared, in-depth understanding of residents’ full health needs, using ‘population health management’ technology to identify those at greatest risk of different ailments and supporting them as early as possible.