Westminster Health Forum

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Next steps for integrated care systems - commissioning and service redesign, population health and addressing inequalities, and learning from the response to COVID-19

November 2020

Price: £95 PLUS VAT

***Full-scale policy conference taking place online***
This conference will discuss the the next steps for integrated care systems (ICS), with the target for nationwide rollout by 2021.

The discussion is bringing together stakeholders with key policy officials due to attend from the DHSC; the Cabinet Office; the Government Legal Department; the National Audit Office; The Scottish Government and the Department of Health, NI.

The discussion at a glance:

  • progress in integrated care:
    • sharing best practice from areas with ICS status
    • the support required for areas that are not yet fully integrated
    • avoiding variation from the different stages of development around the country
  • the NHS Long Term Plan - what is needed to take forward integrated care systems to deliver the policy ambitions
  • learning from the pandemic - with the response to COVID-19 demanding an integrated response, how ICS have played a key role in the local response to the pandemic
  • service provision - key issues for commissioning, joined-up care delivery, service redesign and the role of primary care networks
  • addressing health inequalities - the role of ICS in delivering population health, including moving forward technology adoption and the utilisation of data

A scan of relevant developments:

  • Implementation Framework - with 5-year strategic plans being developed to implement the NHS Long Term Plan
  • NHS People Plan - outlining how ICS can become more responsible for the workforce as systems develop
  • Integrated Care Provider Contract - development and adoption
  • NHS response to COVID-19 as NHS England and Improvement re-establishes its system-by-default operating model
    • Time to be Radical? The View from System Leaders on the Future of 'System by Default' - findings from the NHS Confederation of an increasing number of system leaders favouring a move away from the current voluntary partnerships approach to more formalised working arrangements
    • commissioning - the Government considering plans for social care services to be commissioned and run by ICS as part of their commitment to social care reform
  • NHS Long Term Plan:
    • targets - nationwide completion of integrated care systems by April 2021
    • streamlining - to around one CCG per ICS
    • digitally-enabled care - plans for it to increase
    • population health management - the aim for each ICS to have systems in place and Chief Information Officers within every local NHS organisation board by 2021/22
  • a ‘clear vision’? - Professor Michael Green’s evidence to the Health Select Committee calling for long term plan for ICS and citing the scale and impact of staff burnout during the pandemic
  • Health Equity in England: The Marmot Review 10 Years On - finding an increased health gap based on local affluence, slowed life expectancy rise, and people spending longer in poor health
  • Advancing our health: prevention in the 2020s - the Government’s green paper setting out a preventative approach to healthcare

The discussion in detail:

Integrated care progress and next steps

  • rollout - the record so far, best practice in areas that have integrated successfully and ways of driving forward progress in areas not yet fully integrated
  • clinical engagement - assessing its progress within the development of ICS, and ways that it can be improved
  • ICS culture - best practice in developing the collaborative approach that is required, and values that everyone across the system can share and work towards
  • avoiding variation and disparity - priorities as ICS develop at different levels around the country and ensuring there is enough support for STPs that have not received ICS status yet
  • moving towards a system-by-default model - the challenges of improving localised system relationships with national programmes ahead of becoming ICS by April 2021.
  • innovation - responses to the COVID-19 pandemic, requiring a joined-up approach that considers place, that have been used to keep services going and increase capacity, including:
    • telemedicine - the increased use of remote healthcare in general practice
    • the sharing and integration of patient records within systems
    • engagement with community care - as it supports the clinically vulnerable
  • measuring success - both in terms of achieving ICS status but beyond that in also improving the health of the local population and the role of regulation in supporting integrated care

The response to COVID-19 and service recovery

  • the ICS response - the role in the test and trace response and using local data, understanding and knowledge of the area to inform an effective local test and trace response
  • service recovery - moving through and on from the pandemic:
    • managing the backlog - appointments, treatments and operations, and the role of integrated care systems
    • what can be learnt - carrying forward best practice from how systems adapted to urgent need during the pandemic

Commissioning, care delivery, service redesign and primary care networks

  • effective commissioning - key issues for in integrated care and implementing commitments in the NHS Long Term Plan, including:
    • providing joined-up services - and adopting the Integrated Care Provider Contract which awards one integrated contract across general practice, local authority and wider NHS services
    • streamlining of CCGs - as envisaged in the NHS Long Term Plan with one CCG per ICS area
  • engagement - public, patient and the community involvement in the development of ICS - assessing success so far and ways that this can be improved moving forward
  • the workforce - supporting, managing and developing staff - with the NHS People Plan outlining how ICS can become more responsible for the workforce as systems develop
  • primary care networks (PCNs) within ICS - looking at integrating primary care within wider services, ways that PCNs can create efficiencies and share resources in a local areas, and best practice

Health inequalities and population health

  • using data and local intelligence - approaches to delivering population health and understanding needs - including developing both public engagement and team-based care
  • technology - its potential for supporting collaboration and integration between health and social care, in the context of ambitions within the NHS Long Term Plan for more digitally-enabled care and the National Audit Office report Digital transformation in the NHS which outlined the investment needed to deliver improvements in population health and care
  • population health management systems - progress in their setting up, effective ways of utilising data for population health, and examples of where this is working well
  • health inequalities - how ICS can work to address issues across local areas as the importance of place is emphasised
  • preventative healthcare - opportunities for ICS in delivery and progress being made in delivering population health:
    • how this can be built upon as ICS reach maturity
    • ways of supporting the workforce to identify the local social determinants of health
    • the role that the community can play within population health

The agenda:

  • Driving forward progress in integrated care systems
  • The COVID-19 pandemic and the role of integrated care systems in managing recovery
  • Key issues for commissioning to support integrated and effective care
  • Next steps for integrated care systems and implementing ambitions in the NHS Long Term Plan
  • Joined-up care delivery and service redesign - implementation, community and patient engagement, and developing the workforce
  • The role of primary care networks in delivering integrated care and supporting community care
  • Progress in the role of integrated care systems in population health management, addressing health inequalities and improving outcomes - and opportunities going forward
  • Next steps for integrated care systems and implementing ambitions in the NHS Long Term Plan

Policy officials attending:

Our forums are known for attracting strong interest from policymakers and stakeholders. Places have been reserved by officials from the DHSC; the Cabinet Office; the Government Legal Department; the National Audit Office; The Scottish Government and the Department of Health, NI.

This is a full-scale conference taking place online***

  • full, four-hour programme including comfort breaks - you’ll also get a full recording to refer back to
  • information-rich discussion involving key policymakers and stakeholders
  • conference materials provided in advance, including speaker biographies
  • speakers presenting via webcam, accompanied by slides if they wish, using the Cisco WebEx professional online conference platform (easy for delegates - we’ll provide full details)
  • opportunities for live delegate questions and comments with all speakers
  • a recording of the addresses, all slides cleared by speakers, and further materials, is made available to all delegates afterwards as a permanent record of the proceedings
  • delegates are able to add their own written comments and articles following the conference, to be distributed to all attendees and more widely
  • networking too - there will be opportunities for delegates to e-meet and interact - we’ll tell you how!

Full information and guidance on how to take part will be sent to delegates before the conference

This pack includes

  • Dropbox video recording of the conference
  • PDF transcript of the discussion, including all speaker remarks and Q&A
  • PDFs of speakers' slide material (subject to permission)
  • PDFs of the delegate pack, including speaker biographies and attendee list
  • PDFs of delegate articles