Recommendation 20

The current state of the adult social care system is undermining the relationship building that is fundamental to the development of Integrated Care Systems (ICSs). Too much relies on local leadership, where often it feels that progress is made despite funding mechanisms rather than because of them. By maintaining a system which fosters disputes about money, the ability of ICSs to make the difference they were set up to make will be limited at best, and impossible at worst. (Conclusion, Paragraph 106)