A series of diagrams explaining how funding flows in the NHS and how providers are regulated and commissioned. Many believe that previous attempts at NHS reform have suffered from a top-down, one-size-fits-all approach. Despite the disappointments, successive governments have remained convinced that their latest round of payment reform would finally create a self-improving health system. Against this background, the Health Foundation and The King’s Fund are undertaking work exploring options for the future funding of social care. These include the following. The King’s Fund and the Nuffield TrustDeveloping a National Strategy for the Promotion of Integrated Care The Evidence Base for Integrated Care Nick Goodwin and Judith Smith. integrated care systems (ICSs), bringing together commissioners and providers of NHS services with local authorities and other partners to plan and manage services that benefit from being considered at greater scale than can be undertaken at place Is the integration of health and social care moving too fast for the current legal framework? In both cases NHS England and NHS Improvement looks to build on progress already made by the NHS and its partners in working together to integrate services in the response to Covid-19. Increasingly the NHS will organise its finances on an ICS footprint, such that resources and prioritisation decisions are taken at ICS level (except where there is a pre-existing national commitment, eg, on mental health, that they must implement). Whilst acknowledging that health is not a significant EU competence, the authors believe there could be major implications for health and social care due to political and economic instability. Chris Ham, The King’s Fund’s Chief Executive, says that integrated health care “offers the best prospect” of enabling the NHS to succeed in the future. Primary care leaders, local authorities (including the director of public health), Healthwatch, and community and mental health services must be included in the local place partnership as a minimum, and there must be agreed joint decision-making with local government. Working with CQC, NHS England and NHS Improvement will also look to include assessments of system participation (both in the ICS and provider collaboratives) in the CQC ‘well-led’ assessment. In this explainer, we set out the main commitments in the plan and provide our view of what they might mean, highlighting the opportunities and challenges for the health and care system as it moves to put the plan into practice. While NHS England and NHS Improvement has set out a roadmap for the future direction of the NHS and its co-operation with partners, there are questions about how this will work, though many of these pre-date these new legislative proposals. The future landscape for the NHS and its partners will be made up of four interlocking elements: Although not a major focus of the document, in practice these tiers will build on, and will need to support, work at the level of local neighbourhoods, where primary care networks (PCNs) will join up primary and community services. Remove: King's Fund source - 21 June 2018 The use of digital technology in health and social care can improve quality, efficiency and patient experience as well as supporting more integrated care and improving the health of a population. Critically, it is also where the partnerships with other sectors will be focused, including social care and public health, other local government services and the voluntary sector. My wife died two months later. Integrated care systems (ICSs) are a key part of the NHS long-term plan, and are intended to bring about major changes in how health and care services are … All legislative proposals include the full merger of NHS England and NHS Improvement, who have already started working together. 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