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

5 results

14 Conclusion Deferred

Thirty-Fifth Report - Introducing …

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 … Read more

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

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15 Conclusion Deferred

Thirty-Fifth Report - Introducing …

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 … Read more

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

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17 Conclusion Deferred

Thirty-Fifth Report - Introducing …

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 … Read more 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 and Health Education England and expected to publish this in Spring 2022, but this date was again missed and the plan was still unpublished when we took evidence for this report.60 NHS England informed us it hoped to complete and deliver this work to the Department before Christmas 2022, or by the end of the financial year at the very latest.61 We asked the Department to commit to publishing the plan by April 2023, but it declined to do so and informed us key conclusions from the plan would be published by ministers in due 49 Qq 63–65 50 HM Treasury, Treasury Minutes, Government response to the Committee of Public Accounts on the Seventh to the Thirteenth reports from Session 2019–21, CP 291, September 2020 51 Letter dated 15 November 2022 from the Shona Dunn at the Department of Health & Social Care to the Committee 52 Committee of Public Accounts, Sustainability and transformation in the NHS, Twenty-Ninth report of Session 2017–19, HC 793, 27 March 2018 53 Committee of Public Accounts, NHS backlogs and waiting times in England, Forty-Fourth Report of Session 2021–22, HC 747, 16 March 2022 54 Qq 75–76, C&AG’s Report, paras 2.25–2.26, ICS0011, ICS0012, ICS0019, ICS0048 55 C&AG’s Report, paras 2.25, ICS0048 56 Qq 97–98, 100 57 Q 80 58 Q 82, C&AG’s Report, para 2.26, ICS0012 59 Committee of Public Accounts, NHS capital expenditure and financial management, Eighth report of Session 2019–21, HC 344, 8 July 2020 60 C&AG’s Report, para 2.28 61 Qq 85–87 Introducing Integrated Care Systems 15 course.62 Shortly after our evidence session, the Department committed to “publishing a comprehensive NHS workforce plan, including independently verified workforce forecasts Show less

Government Response

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

HM Treasury

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18 Recommendation Deferred

Thirty-Fifth Report - Introducing …

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 … Read more

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 a plan for adult social care system reform will be published in Spring 2023.

HM Treasury

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20 Recommendation Deferred

Thirty-Fifth Report - Introducing …

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 … Read more

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 in summer 2023.

HM Treasury

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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