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 6 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

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

2 results

7 Conclusion Acknowledged

Thirty-Fifth Report - Introducing …

We are concerned ICSs may struggle to make progress on their longer-term aims to prevent...

We are concerned ICSs may struggle to make progress on their longer-term aims to prevent ill-health, given pressure for progress on immediate national priorities, for example, the need to reduce elective care backlogs and bring down A&E and ambulance waiting … Read more

Government Response

The government agrees with the Committee's (implied) recommendation, setting an August 2023 target and committing the Department of Health and Social Care to write to the Committee by then.

HM Treasury

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8 Conclusion Acknowledged

Thirty-Fifth Report - Introducing …

We are also concerned about the lack of progress on preventing ill-health rather than simply...

We are also concerned about the lack of progress on preventing ill-health rather than simply treating it.17 There also do not appear to be effective joint working arrangements between different government departments to tackle the causes of ill-health.18 The Department … Read more We are also concerned about the lack of progress on preventing ill-health rather than simply treating it.17 There also do not appear to be effective joint working arrangements between different government departments to tackle the causes of ill-health.18 The Department began a consultation in July 2019, Advancing our health: prevention in the 2020s, seeking views on proposals to tackle the causes of preventable ill-health in England. Despite closing this consultation more than three years ago, in October 2019, the Department is yet to publish a response.19 The consultation included questions where the responses would now be particularly useful for ICSs, such as on how local authorities and NHS bodies can work together, what more government could do to help people live more healthily, and views on the wider government policies that have the biggest impact on peoples’ health and care. We challenged the Department on why it is taking so long to provide a follow-up and highlighted the risk of responses becoming out of date.20 Without sight of the consultation’s findings, it is impossible to evaluate any actions the Department subsequently took, or make a judgement on actions it could have taken but did not.21 The Department told us the response to the consultation constituted a policy document and that its publication was therefore a matter for ministers.22 We also challenged the 10 Q 27, C&AG’s Report, paras 3.12, ICS0012, ICS0019, ICS0023 11 Q 35, ICS0048 12 Q 35, C&AG’s Report, Figure 18 13 Qq 121–122 14 C&AG’s Report, Figure 18 15 Q 113, C&AG’s Report para 2.32, ICS0011, ICS0012, ICS0016, ICS0019, ICS0023 16 Q 113–114 17 Q 118–119 18 Qq 115, C&AG’s Report, paras 3.24–3.27, ICS0012, ICS0019 19 Qq 123–127 20 Qq 123–124 21 Qq 125, 128 22 Qq 123, 129 Introducing Integrated Care Systems 11 Department on the long delay in publishing the results of the review it commissioned almost five years ago into pregnancy loss before 24 weeks. Again, it was unable to provide any info Show less

Government Response

The government agrees with the Committee's (implied) recommendation, setting an August 2023 target implementation date and committing the Department of Health and Social Care to write to the Committee by then, addressing the concerns.

HM Treasury

View details

Government Response AI assessment · 20 of 10 classified

Accepted 6

Accepted in Part 1

Acknowledged 2

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