Contents
1 Integrating care for patients
Need to define outcomes for patients
Visit to South Yorkshire and Bassetlaw
Section 1: Background on integrated care reforms
2 Progress towards more integrated care
Complexities of integrating health and social care
Integration, patient choice and competition
Conclusions and recommendations
Section 2: Changes to local planning and delivery of care
4 Sustainability and transformation partnerships and integrated caresystems systems
Development and status of sustainability and transformation plans
Development of sustainability and transformation plans
Conclusions and recommendations
Conclusions and recommendations
Status of Sustainability and Transformation Partnerships
Role of sustainability and transformation partnerships
Assessing the progress of sustainability and transformation partnerships
Conclusions and recommendations
Conclusions and recommendations
5 Integrated care partnerships and accountable care organisations
Accountable care organisations
Current status of proposals to introduce ACOs in the English NHS
Arguments for and against ACOs
Benefits of a single organisation and aligned financial incentives
Strengthening primary care and community services
Conclusions and recommendations
Conclusions and recommendations
6 Concerns about the direction of travel
Top-down reorganisation of the NHS without public consultation and parliamentary scrutiny
Inadequate response to system pressures
Conclusions and recommendations
Integrated care: positive examples of progress across the NHS in England
Section 3: The case for change
Communicating the case for change to patients and the public
Conclusions and recommendations
Section 4: Barriers to change
8 Funding and workforce pressures
Sustainability and Transformation Fund
Conclusions and recommendations
9 Oversight and regulation by national bodies
Incoherent approach by national bodies
Focus on individual organisations rather than placed-based care
Support directed at those furthest ahead
Role in accelerating improvement and new care models across the system.
Conclusions and recommendations
Governance and accountability arrangements
Conclusions and recommendations
11 Conclusion: A call to action
Integrated care: glossary of terms
Conclusions and recommendations
Annex: Visit to South Yorkshire and Bassetlaw STP
List of Reports from the Committee during the current Parliament
Published: 11 June 2018