Integrated Care Systems final report published
The aim of our research was to investigate the development of Integrated Care Systems (ICSs) in order to find out how effective these new forms of collaboration are in achieving their goals, and what factors influence this. The research investigated how ICSs were developing locally, the way system partners were reconciling organisational and system roles, how collaborations and providers could be held to account, the way local priorities were being reconciled with system priorities, and whether ICSs are able to allocate resources more efficiently across sectoral boundaries and bring their local health economies into financial balance.
Our research was conducted in two phases and used qualitative methods with a small quantitative component. Primarily, we used a case study research design, consisting of three in-depth case studies, each consisting of a system and its partners. The first phase of fieldwork was undertaken between December 2019 and March 2020 and focused on studying ICSs (and their predecessor STPs). Fieldwork was interrupted in March 2020 by the COVID-19 pandemic. The second phase of fieldwork took place between January 2021 and September 2021 and focused on a more detailed examination of one place within each of our case studies.
Our research suggests that the move to a more collaborative ethos has been welcomed, and system partners widely support the development of system working, and the opportunities for improved planning and provision of services which they believed system working offers. Local actors felt that collaboration in systems led to improvements to service planning and delivery in ways that did not occur previously. However, our findings also suggest that there are a number of key themes which need to be considered in relation to the capacity of systems to achieve their aims, including bringing their local health economies into financial balance. These are: the ongoing influence of competition; the importance of context; clarity of governance arrangements; limits of the consensual model of decision making; the development of accountability; and management of conflicts of interest.
- November 2023: Financially Incentivising Quality Improvement Activity in Primary Care - Literature Review
- August 2023: User research into referrals to expert work and health services: Final Report of Phase 2 research
- Community Nursing Services in England
- PRUComm Research Review 2021/22
- Integrated Care Systems final report published
- Eleventh National GP Worklife Survey 2021
- Telephone survey two - short report: PCNs and COVID-19
- November 2021: Health and Care Bill 2021 briefing - General Practice commissioning
- November 2021: Measuring unmet health and care needs among older people using existing data
- November 2021: Research note exploring the potential role of provider collaboratives
- Mar 2018: PRUComm Annual Research Seminar [Event]
- Apr 2016: The future of commissioning [Event]
- Mar 2016: Examining the impact of the Health & Social Care Act: Examining developments in the English health system from 2013-2015 [Event]
- Feb 2013: Healthcare Commissioning Seminar: A summary
- Feb 2013 PRUComm research seminar on healthcare commissioning [Event]
- Jun 2011: How can evaluation contribute to health policy in England? [Event]