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Introducing Integrated Care Systems

Status: Closed Opened: 30 Sep 2022 Closed: 13 Apr 2023 10 recommendations 10 conclusions 1 report

NHS services in England were commissioned by Clinical Commissioning Groups (CCGs). The Health and Social Care Act 2022 abolished CCGs and replaced them with 42 Integrated Care Systems (ICSs) in England from 1 July 2022. ICSs are made up of an Integrated Care Board, of NHS bodies, and an Integrated Care Partnership, including local government …

Clear

Reports

1 report
Title HC No. Published Items Response
Thirty-Fifth Report - Introducing Integrated Care Systems HC 47 8 Feb 2023 20 Responded

Recommendations & Conclusions

5 items
14 Conclusion Thirty-Fifth Report - Introducing Integ… Deferred

ICSs must contend with the legacy of an increasingly decrepit NHS estate and infrastructure.

ICSs must contend with the legacy of an increasingly decrepit NHS estate and infrastructure. The NAO’s report highlights that the cost of the work needed to bring the NHS estate back up to scratch has increased from just under £5 billion in 2015–16 to an eye-watering £9 billion by 2020–21, …

Government response. The government agrees and states that plans for a capital strategy remain under consideration, and the strategy is intended to be published within 2023.
HM Treasury
15 Conclusion Thirty-Fifth Report - Introducing Integ… Deferred

We asked the Department about the limited extent of capital investment in the NHS.

We asked the Department about the limited extent of capital investment in the NHS. It told us that it had taken an explicit decision to reduce capital investment prior to the COVID-19 pandemic in the interests of managing budgets but accepted this has now put pressure onto capital programmes.48 The …

Government response. The government agrees and states that plans for a capital strategy remain under consideration, and the strategy is intended to be published within 2023.
HM Treasury
17 Conclusion Thirty-Fifth Report - Introducing Integ… Deferred

The January 2019 NHS Long Term Plan originally committed to producing a workforce implementation plan...

The January 2019 NHS Long Term Plan originally committed to producing a workforce implementation plan by late 2019. In September 2020, the Department told us that it expected to publish the workforce plan following the December 2020 Spending Review.59 In July 2021, it finally commissioned the work from NHS England …

Government response. The government agrees and committed to publishing a long-term workforce plan for the NHS in 2023.
HM Treasury
18 Recommendation Thirty-Fifth Report - Introducing Integ… Deferred

The social care workforce is in a similarly precarious position, against a wider backdrop of...

The social care workforce is in a similarly precarious position, against a wider backdrop of declining local authority resources.64 Despite the Department’s assurances that “the numbers are moving in the right direction”, vacancies in social care have been on an upward trend over the last ten years at a national …

Government response. The government agrees with the recommendation but defers implementation until April 2025, when interim findings of its formal evaluation of workforce reform initiatives will be available; an update on the breakdown of spend will be available in April 2024 and …
HM Treasury
20 Recommendation Thirty-Fifth Report - Introducing Integ… Deferred

We asked the Department what the £500 million Adult Social Care Discharge Fund would achieve.

We asked the Department what the £500 million Adult Social Care Discharge Fund would achieve. It informed us this funding would be used primarily for measures to support discharge from hospitals into social care, with an expectation that much would be focussed on the domiciliary care workforce.73 The Department also …

Government response. The government provided £500 million to support safe discharge from hospital into social care and will publish joint plans from local authorities and NHS integrated care boards shortly; it will provide more detailed analysis and findings of the fund's evaluation …
HM Treasury

Oral evidence sessions

1 session
Date Witnesses
3 Nov 2022 Amanda Pritchard · NHS England, Edward Waller · NHS England, Matthew Style · Department of Health and Social Care, Sir Chris Wormald · Department of Health and Social Care View ↗

Correspondence

3 letters
DateDirectionTitle
28 Mar 2023 — Correspondence from Amanda Pritchard, Chief Executive Officer, NHS England, re …
6 Dec 2022 — Correspondence from Amanda Pritchard, Chief Executive Officer, NHS England, re …
29 Nov 2022 — Correspondence from Sir Chris Wormald, Permanent Secretary, Department of Healt…