Select committee: Health and Social Care Committee
Conclusion 16
Seventh Report - Integrated Care Systems: autonomy and accountability
Published 30 Mar 2023
Paragraph 53
Addressed to Department of Health and Social Care
Health and Social Care Committee Integrated Care Systems: autonomy and accountability All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Conclusion (the committee's words)
Following engagement with ICSs and being conscious of the space required for local priorities, DHSC and NHS England should issue guidance with additional detail on what ICSs are expected to achieve within each of the four core purposes. As we have said previously, the focus here should be on outcomes and not dictating to ICSs how they achieve the goals.
From: Health and Social Care Committee, Seventh Report - Integrated Care Systems: autonomy and accountability (HC 587), paragraph 53, 30 March 2023
Government response
The government responded to the whole report on 14 June 2023 (deadline 30 May 2023).
Summary written by Accountability Index from the government's response. It is not the government's own words.The government welcomes the committee's report and states that it "remains committed to the development of ICSs", responding to the committee's and the linked Hewitt Review recommendations together, with some accepted, some supported in principle or kept under consideration, and some not agreed.
- On leadership, it states: "We accept the value of having a national leadership programme across health, care and wider sectors."
- On a national prevention spending shift, it says: "we do not agree with imposing a national expectation of an essentially arbitrary shift in spending."
- On centrally gathering ICB membership data, it says this "will be duplicating efforts as all the information is publicly available".
- On CQC ratings, DHSC "will consider the best approach regarding ICS ratings" and states that CQC "will start to test the ratings" in 2024 to 2025.