UK Inquiry Tracker

Introducing Integrated Care Systems

Public Accounts Committee Closed Inquiry

Opened: 30 Sep 2022 Closed: 13 Apr 2023 Parliament page

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 … Read more

10 Recommendations

10 Conclusions

1 Report

1 Oral session

3 Letters

1 Event

Activity timeline 7 events

12 Apr
2023

Report published

Treasury minutes: Government response to the Committee of Public Accounts on the Thirty fifth report from Session 2022-23

28 Mar
2023

Correspondence

Correspondence from Amanda Pritchard, Chief Executive Officer, NHS England, re Treasury Minute Thirty-Five (Establishing Integrated Care Sy…

8 Feb
2023

Report published

Thirty-Fifth Report - Introducing Integrated Care Systems

6 Dec
2022

Correspondence

Correspondence from Amanda Pritchard, Chief Executive Officer, NHS England, re Public Accounts Committee 3 November oral evidence session o…

29 Nov
2022

Correspondence

Correspondence from Sir Chris Wormald, Permanent Secretary, Department of Health and Social Care, re follow up information from the PAC on …

3 Nov
2022

Oral evidence

Introducing Integrated Care Systems

3 Nov
2022

Formal meeting (oral evidence session) · The Grimond Room, Portcullis House

Introducing Integrated Care Systems

Oral evidence sessions 1 session

3 Nov 2022

View on parliament.uk

Introducing Integrated Care Systems

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

Reports 1 report · click to expand

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

Recommendations & Conclusions

6 results

2 Recommendation Accepted

Thirty-Fifth Report - Introducing …

We remain very concerned about the critical shortages across the NHS workforce and the Department’s...

We remain very concerned about the critical shortages across the NHS workforce and the Department’s repeated delays in publishing a strategy to address them. Workforce shortages are widespread across the NHS, and particularly acute in some specialisms, for example midwifery. … Read more

Government Response

The government agrees with the recommendation and will publish a long-term workforce plan for the NHS in 2023.

HM Treasury

View details

6 Recommendation Accepted

Thirty-Fifth Report - Introducing …

NHS funded dental care is in crisis in some parts of the country, and NHS...

NHS funded dental care is in crisis in some parts of the country, and NHS England’s failure to ensure people can access routine dental care is leading to more acute dental health problems. NHS England, rather than ICSs, remains responsible … Read more NHS funded dental care is in crisis in some parts of the country, and NHS England’s failure to ensure people can access routine dental care is leading to more acute dental health problems. NHS England, rather than ICSs, remains responsible for most NHS dentistry but in some parts of the country it is impossible to find a dentist offering NHS treatment. At our evidence session in November NHS England could not tell us how much longer it expected these gaps in the provision of an essential service to remain. It told us about several changes it has recently made, including increasing payments for complex work, allowing dental health technicians to accept NHS patients for treatment, and increasing the activity cap for high performing practices. Following the session NHS England wrote to us to set out more details on these plans. We welcome NHS England’s assurance that it sees restoring dental services as a critical priority. However even in December 2019, before the pandemic, more than 40% of children and half of adults in England had not received any NHS dental care at all in the previous two years. We were disappointed that NHS England is still unable to say by when it expects the changes it is making to result in more dentists offering NHS treatment. 8 Introducing Integrated Care Systems Recommendation: Alongside the Treasury Minute response to this Report, NHS England should write to us and set out: • The funding intended for NHS dentistry in 2022/23 and 2023/24 and what coverage this provides, in terms of the proportion of adults and children who could access these services, and what services the funding will and will not cover. • Its understanding of the proportion of adults and children using non-NHS dentistry, and the proportion of people who do not access any dentistry services at all. • By when it expects to be able to consistently provide the target level of coverage, and • What patients should do if they require dental care and are unable to find a dentist o Show less

Government Response

The government agrees with the committee’s recommendation and sets out the funding intended for NHS dentistry in 2022/23 and 2023/24. The government outlines several measures taken to secure recovery of dental access, improve accessibility and indicates people can attend any dentist accepting NHS patients and where the person is unable to secure an appointment, or they are unknown to a dental practice then they should contact NHS 111 for assistance to find an emergency or urgent appointment.

HM Treasury

View details

1 Conclusion Accepted

Thirty-Fifth Report - Introducing …

On the basis of a report by the Comptroller and Auditor General, we took evidence...

On the basis of a report by the Comptroller and Auditor General, we took evidence from the Department of Health & Social Care (the Department) and NHS England about the introduction of Integrated Care Systems (ICSs) in England.1

Government Response

The government agrees with the Committee’s recommendation and states Integrated Care Systems will provide tangible benefits for local population, including the delivery of commitments that are set out in the government’s mandate to the NHS England and accompanying documents.

HM Treasury

View details

9 Conclusion Accepted

Thirty-Fifth Report - Introducing …

The threadbare provision of NHS funded dental care is a further example of a failure...

The threadbare provision of NHS funded dental care is a further example of a failure to provide preventative or protective routine care leading to more acute health problems.24 NHS England, rather than ICSs, remains responsible for most of NHS dentistry … Read more

Government Response

The government agrees with the committee's concerns and states that securing recovery of dental access is a key NHS priority, outlining existing measures such as funding allocations and reforms to the national dental contract.

HM Treasury

View details

10 Conclusion Accepted

Thirty-Fifth Report - Introducing …

However, NHS England was unable to tell us how many more dentists it expected these...

However, NHS England was unable to tell us how many more dentists it expected these reforms to produce, or by when they would appear. It told us that a sustainable solution required further engagement with the dental profession on the … Read more

Government Response

HM Treasury

View details

16 Recommendation Accepted

Thirty-Fifth Report - Introducing …

We have been raising concerns about the lack of long-term planning for the NHS workforce...

We have been raising concerns about the lack of long-term planning for the NHS workforce since well before the COVID-19 pandemic52. We have noted that among comparable OECD countries the UK has relatively low numbers of nurses and doctors per … Read more

Government Response

The government commits to publishing a long-term workforce plan for the NHS in 2023.

HM Treasury

View details

Government Response AI assessment · 18 of 10 classified

Accepted 6

Accepted in Part 1

Deferred 5

Rejected 6

Total 10 recs + 10 conclusions

Correspondence 3 letters

28 Mar 2023 Correspondence from Amanda Pritchard, Chief Executive Officer, NHS England, re Treasury Minute Thirty-Five (Establishing Integrated Care Systems) Recommendation Six, dated 30 March 2023

Parliament page

6 Dec 2022 Correspondence from Amanda Pritchard, Chief Executive Officer, NHS England, re Public Accounts Committee 3 November oral evidence session on Introducing Integrated Care Systems – follow up actions, dated 26 November 2022

Parliament page

29 Nov 2022 Correspondence from Sir Chris Wormald, Permanent Secretary, Department of Health and Social Care, re follow up information from the PAC on ICSs, dated 18 November 2022

Parliament page