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
28 Mar
2023
Correspondence
8 Feb
2023
Report published
6 Dec
2022
Correspondence
29 Nov
2022
Correspondence
3 Nov
2022
Oral evidence
3 Nov
2022
Formal meeting (oral evidence session) · The Grimond Room, Portcullis House
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
Title HC No. Published Items Response
Thirty-Fifth Report - Introducing Integrated Care Systems HC 47 8 Feb 2023 20 Responded
Recommendations & Conclusions
6 results
Clear
3 Recommendation Rejected
Thirty-Fifth Report - Introducing …
The Department has started taking some action to address workforce challenges in social care, but...
The Department has started taking some action to address workforce challenges in social care, but vacancies have increased by 50% in the last year and the number of people working in social care fell in 2021/22 for the first time … Read more
Government Response
The government disagrees with the committee’s recommendation to provide a breakdown of how it spent and what impact it achieved and to set out the underlying reasons and forecasts for social care vacancies. The department will publish additional information on what it is doing to support care commissioners and employers improve workforce capacity, including an update on its workforce reform programme and international recruitment.
HM Treasury
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4 Recommendation Rejected
Thirty-Fifth Report - Introducing …
These reforms do nothing to address the longstanding tension caused by differences in funding and...
These reforms do nothing to address the longstanding tension caused by differences in funding and accountability arrangements between the NHS and social care. The Department, which has policy responsibility for both health and social care, is showing a worrying lack … Read more
Government Response
The government disagrees with the recommendation to publish guidance for ICSs on resolving joint working issues, stating that the existing structures and processes are designed to ensure partners support each other.
HM Treasury
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11 Conclusion Rejected
Thirty-Fifth Report - Introducing …
There is a well-established interdependency between health and local government, with local authorities responsible for...
There is a well-established interdependency between health and local government, with local authorities responsible for managing local social care markets. The stability and resilience of social services have a direct impact on the NHS. High-quality social care, if available, can … Read more
Government Response
The government disagrees with the committee's recommendation, stating that the Health and Social Care Act 2022 is designed to ensure partners support each other and that they will take action if arrangements are not working.
HM Treasury
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12 Conclusion Rejected
Thirty-Fifth Report - Introducing …
The oversight of ICSs largely focuses on the NHS elements, and we are concerned the...
The oversight of ICSs largely focuses on the NHS elements, and we are concerned the wider system is being overlooked. NHS England has established a very detailed performance regime to monitor Integrated Care Boards’ contributions to NHS objectives. NHS England … Read more
Government Response
The government disagrees with the Committee's recommendation, stating that the Health and Social Care Act 2022 is designed to ensure partners support each other and that they will take action if arrangements are not working.
HM Treasury
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13 Recommendation Rejected
Thirty-Fifth Report - Introducing …
NHS England noted the importance of ICSs’ Integrated Care Boards working constructively with the full...
NHS England noted the importance of ICSs’ Integrated Care Boards working constructively with the full range of local partners, including local government, elected members, community groups and the voluntary sector.40 We highlighted the necessity of MPs being able to raise … Read more
Government Response
The government disagrees with the recommendation, stating that the Health and Social Care Act 2022 is designed to ensure partners support each other and resolve issues together, further reinforced by the NHS Act 2006's duties to co-operate.
HM Treasury
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19 Recommendation Rejected
Thirty-Fifth Report - Introducing …
The Department told us numbers in the social care workforce were going in the right...
The Department told us numbers in the social care workforce were going in the right direction and that domiciliary care and care home workforces were expanding.70 However, written evidence sent to us by the National Care Forum highlights that, as … Read more
Government Response
The government disagrees with the Committee’s recommendation, stating that they don't hold further information to explain the underlying reasons for social care vacancies and don't produce forecasts for vacancies.
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