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Found 181 results
  1. News Article
    NHS England has demanded recovery plans from six systems with a poor record on delivering urgent cancer checks. NHS England has told the chief executives of the six integrated care boards they must “present and deliver a plan” to make more use of their diagnostic facilities for patients who need urgent cancer checks. The “facilities” referred to are all community diagnostic centres. The six were selected because they diagnosed or ruled out fewer than 70% of urgent cancer referrals within 28 days during February. This benchmark is known as the “faster diagnostic standard”. A letter to the chief executives said: “improving waiting times for patients referred for urgent suspected cancer will be a critical priority for the NHS over the coming year”. It adds: “it is essential… our national investments in diagnostic capacity are more clearly prioritised for patients being investigated for urgent suspected cancer”. Read full story (paywalled) Source: HSJ, 28 April 2023
  2. Content Article
    With record-long waits for treatment, it has never been so important for NHS trusts to understand the level of risk to patients on the waiting lists. But while it’s one thing to assess and categorise the patients and their risks while waiting, it’s quite another to then subsequently intervene to effectively care for patients during that wait. With the use of technology, there are potentially enormous gains to be made on waiting list management, and one integrated care system is forging ahead on this front. The ICS in question is Cheshire and Merseyside. HSJ takes a look at the progress Cheshire and Merseyside are making.
  3. News Article
    NHS England has launched a new framework for quality improvement and delivery, including a national board that will pick a “small number of shared national priorities”. The new document says NHSE will “establish a national improvement board, to agree the small number of shared national priorities on which NHS England, with providers and systems, will focus our improvement-led delivery work”. The review says NHSE will, among other actions: Create a “national improvement board” to “agree a small number of shared national priorities and oversee the development and quality assure the impact of the NHS improvement approach”. Set an expectation that all NHS providers, working in partnership with integrated care boards, will embed a quality improvement method aligned with the NHS improvement approach”. Incentivise a universal focus on embedding and sustaining improvement practice”, including with “regulatory incentives alongside clearer and more timely offers of support. Work with the [Care Quality Commission] to align the revised CQC well-led [inspection method] with the improvement approach. Read full story (paywalled) Source: HSJ, 21 April 2023
  4. Content Article
    How can improvement-led delivery enhance the quality of outcomes for our patients, communities and our health and care workforce? In April 2022, Amanda Pritchard requested a review of the way in which the NHS, working in partnership, delivers effectively on its current priorities while developing the culture and capability for continuous improvement. Led by Anne Eden, NHS Regional Director South East, with a steering group chaired by Sir David Sloman, Chief Operating Officer, NHS England, the review team co-developed 10 recommendations with health and care leaders that have been consolidated into three actions.
  5. Content Article
    Recording of a recent Care Quality Commission (CQC) webinar. Hear from Mandy Williams, Interim Director of integration, inequalities and improvement as she updates on CQC's approach to assessing integrated care systems. During the Q&A session, Mandy is also joined by Helen Rawlings, Deputy Director of Integration, Inequalities and Improvement, Matt Tait, Head of Acute Policy and Dominique Black, Strategy Manager who answers attendees questions from the live chat.
  6. Event
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    Public Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register
  7. Event
    until
    Public Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register
  8. Event
    until
    Public Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register
  9. Event
    until
    Public Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register
  10. Content Article
    Aqua recently convened a selection of expert panellists to a round table discussion, chaired by Professor Ted Baker, to consider ‘what does safety look like at a system level?’ and discuss the key issues and help support the development of Integrated Care Systems. This report captures the key themes covered in this discussion.
  11. Content Article
    The eagerly anticipated Hewitt Review into integrated care systems (ICSs), led by former Health Secretary Patricia Hewitt set prevention decentralisation and cross government co-production as key priorities. What have we learned so far? David Duffy discusses the key takeaways.
  12. News Article
    Confirmation the government has cut hundreds of millions from budgets partly designed to boost health and care integration has been met with fury, with the decision described as leaving the social care reform agenda in ‘tatters’. It was revealed last month that the £1.7bn promised in 2021’s social care white paper to strengthen the sector, and especially its contribution to more integrated services, was set to be drastically cut by ministers. Today’s announcement has confirmed the investment originally ear-marked for “investment in knowledge, skills, health and wellbeing, and recruitment policies [to] improve social care as a long-term career choice” has been cut from £500m to £250m, the £300m promised to “integrate housing into local health and care strategies" cut to zero. The white paper also promised “at least £150m” for investment in digital and technology, but today’s government announcement has capped this at £100m. Overall cuts to the series of reform programme are in the region of £600m. Only £520m has been allocated, and it is unclear where the rest of the original £1.7bn will be spent. Sarah McClinton, president of the Association of Directors of Adult Social Services, said the plan “takes us backwards” and “leaves the government’s vision for reform in tatters”, adding that it “ducks the hard decisions and kicks the can down the road again until after the next election.” Read full story (paywalled) Source: HSJ, 4 April 2023
  13. Event
    until
    The focus of GGI’s April health and care leaders webinar is systems partnerships and the Hewitt report, in conversation with Rt Hon Patricia Hewitt, a former Secretary of State for Health and now a Chair of an ICB. The Hewitt Report on systems partnerships and governance will really frame how boards will lead during this next crucial year for the NHS. With an election next year, all NHS board members will be navigating their way through financial and performance pressures of the likes never seen before. How the new ICBs behave will impact every single NHS board. In a ‘Chatham House Rule’ session this will be a valuable chance to understand the forces at play and what individual NHS directors need to understand in terms of context and direction. The webinar will be chaired by GGI Chief Executive Professor Andrew Corbett-Nolan. Register
  14. Content Article
    On 1 July 2022, Integrated care systems (ICSs) were placed on a statutory footing. ICSs are partnerships of organisations that come together to plan and deliver joined up health and care services, and to improve the lives of people who live and work in their area. Following their introduction, on the 18 November 2022, the Government announced that it would commission an independent review into the oversight of ICSs, considering how to best enable them to succeed, balancing greater autonomy and robust accountability, to be led by former Secretary of State for Health, the Rt Hon Patricia Hewitt. This report sets out the findings of this review.
  15. Content Article
    Aqua recently convened a selection of expert panellists to a round table discussion, considering ‘What does safety look like at a system level?’. The round table was chaired by Professor Ted Baker, who led the discussion around the key issues facing Integrated Care Systems and how we can help support their development.
  16. Event
    until
    This one-hour webinar will be an opportunity for providers and professionals who work in health and social care services, organisations who represent them, other stakeholders, local authorities, integrated care systems and stakeholders that represent the public to hear about CQC's approach to assessing integrated care systems and what it means for them. The webinar will be led by Amanda Williams, CQC's Interim Director of integration, inequalities and improvement. Register
  17. Event
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    This webinar shares the findings of a co-production project in Nottingham and Nottinghamshire Integrated Care Board (ICB) to remove barriers to shared decision making. The partners in the project were the ICB’s Personalised Care Team, the My Life Choices lived experience panel, the Patient Information Forum (PIF), and us, the Patients Association. The project was one we highlighted during Patient Partnership Week last year; you can learn more about it before attending this webinar by watching the recording of the Partnering with patients and communities - what's happening in ICSs session. Over the course of six co-production meetings, we developed simple resources to support patients and professionals to have better shared decision making conversations. This webinar shares the findings of the project. Speakers will discuss practical solutions to help patients and professionals get the most from limited appointment times which can be applied nationally. Register
  18. Content Article
    From April 2023, the Care Quality Commission (CQC) will have power to assess integrated care systems, implementing a phased approach to develop the necessary competencies and relationships needed to assess these complex systems. This briefing summarises the interim guidance on the CQC's approach, and shares the NHS Confederation's analysis and viewpoint.
  19. Content Article
    This guidance outlines the Care Quality Commission's (CQC's) approach to assessing integrated care systems (ICSs). It includes information on how these assessments will be carried out. The guidance focuses on: Themes and quality statements Evidence categories How we will assess integrated care systems Reporting and sharing information Intervention and escalation
  20. News Article
    Plans for integrated care systems (ICSs) to be given Care Quality Commission (CQC) ratings are on hold, and no ratings will be issued until summer 2024 at the earliest, HSJ understands. The government had previously said ICSs would be given ratings – after pressure from Jeremy Hunt, then Commons health committee chair and now chancellor – and there was an expectation the process would begin next month. However, while legislation says the CQC will review and assess ICSs, it does not require it to give ratings. HSJ understands the Department of Health and Social Care supports the CQC beginning early work on assessing ICSs shortly, but does not plan to sign off on ratings being issued, nor set any date for that to happen. It means that, at the very earliest, more detailed reviews leading to ratings could happen from spring/summer 2024. One source with knowledge of the decision said there was not strong support for ratings work to start, and the CQC still needed to do a lot of work to adapt its approach to ICSs. Read full story (paywalled) Source: HSJ, 27 March 2023
  21. Content Article
    How one Devon ICS has worked with local trusts to cut deliver extra capacity at a former Nightingale hospital, now converted into an elective centre.
  22. Content Article
    The first ever HETT North event, which brought together digital health leaders from across the country, took place in March 2023 in Manchester. The event highlighted the latest advancements in digital healthcare, and this blog reports on the final keynote session of the day, which focused on ‘Assessing the landscape of digital health transformation – past, present & future’. Key topics included identifying underlying issues that need to be addressed to allow for digital transformation, and the policy surrounding digital transformation in Integrated Care Systems (ICSs). Alongside Clive Flashman, Patient Safety Learning's Chief Digital Officer, the panel included: Sam Shah, Chair, HETT Steering Committee Henrietta Mbeah-Bankas, Head of Blended Learning & Digital Learning & Development Lead, Health Education England Tremaine Richard-Noel, Head of Emerging Technology, Northampton General Hospital NHS Foundation Trust Liz Ashall-Payne, CEO, ORCHA You can watch a video of the discussion on Youtube.
  23. Event
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    Communities are playing an increasingly important role in improving health and meeting the wellbeing needs of people locally, highlighted in part by their role in the response to the Covid-19 pandemic. Integrated care systems (ICSs) need to recognise the role communities can play in improving and sustaining good health, and as part of this they need to seek greater involvement with local voluntary, community and social enterprise (VCSE) groups at the place and neighbourhood level, where the link local communities is at its strongest. This conference will provide an opportunity to discuss the impact of community-led and person-centred approaches to improving health and wellbeing, and to explore what more can be done to build on community interventions, assets and solutions that developed as a response to the pandemic. It will also consider the challenges of demonstrating value and of working with communities to assess need and provide services. You will hear from community groups who have worked with others – including their ICS, local health system or local authority – to develop a collaborative approach to tackling health inequalities.
  24. Content Article
    The NHS Patient Safety Incident Response Framework (PSIRF) was launched in 2022 and is intended for full implementation by Autumn 2023. PSIRF requires Integrated Care Board (ICB)’s to work collaboratively with providers to develop a Patient Safety Incident Response Plan (PSIRP) and Patient Safety Incident Response Policy. Within the PSIRP, each organisation must work with their ICB and other stakeholders to identify how it will respond proportionately to all incidents requiring investigation.  Suffolk and North East Essex NHS Foundation Trust share their Standard Operating Procedure on PSIRF ICB sign off process.
  25. Content Article
    Major new reform of the NHS will not work until Government addresses multiple chronic issues in the service, says the Public Accounts Committee (PAC) in a new report. The case has not been made for what improvements Integrated Care Systems (ICSs) will bring to patients, and by when.  ICSs are the latest attempt to bring NHS and local government services together to join up services and focus on prevention. But the Committee says the reforms will founder if the major systemic problems in the NHS are not addressed by Government at a national level:  the elective care backlog has breached seven million cases for the first time; major workforce issues have hamstrung both the NHS and social care; constantly increasing demand; a crumbling NHS estate; and limits on funding.   These challenges require national leadership but there is a worrying lack of oversight in the new system, and crucial national projects like the NHS Workforce Plan and capital funding strategy are repeatedly delayed – what the Committee calls 'paralysis by analysis'. The cost of overdue maintenance has reached £9 billion - £4.5 billion classed as high or significant risk - and there are questions about who gets to keep proceeds of any assets sold under ICSs.    Not enough is being done to focus on preventing ill-health, and not enough joint working between government departments to tackle the causes of ill-health. The failure to ensure adequate NHS funded dental care risks creating more acute dental health problems.  
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