The Health and Care Bill 2022 created Integrated Care Boards (ICBs) as replacements for Clinical Commissioning Groups, and establishes in law the role of Integrated Care Partnerships as the committee where health, social care, the voluntary sector and other partners come together as an Integrated Care System (ICS).
Following the boundary changes announced by the government in 2021, we welcomed Bassetlaw into the Nottingham and Nottinghamshire Integrated Care System from 1 July, 2022.
Nottingham and Nottinghamshire Integrated Care System (ICS) is a partnership and collaboration that brings together NHS services, local authorities and other local partners across Nottingham and Nottinghamshire to collectively plan and deliver joined up health and care services to improve the lives of our population.
More citizens than ever need care in a range of settings, including at home, in hospital and in the community. However, care across different settings is often poorly coordinated and inefficient, leading to disjointed services that can be of variable quality. By working together as a whole system, we can address these issues and improve care for all citizens.
Our ICS has evolved from a long history of local health and care integration. We believe this history of working together puts us in a strong position for the future.
What is an ICS?
ICSs are a collection of organisations which aim to provide better health and care for everyone whilst using resources more efficiently, they are not one employer or organisation.
Please view our slides for more information.
The ICS will set out to achieve four aims:
- Improve outcomes in population health and healthcare
- Tackle inequalities in outcomes, experience and access
- Enhance productivity and value for money
- Help the NHS support broader social and economic development.
Our mission statement:
We will enable every citizen to enjoy their best possible health and wellbeing.
How does the ICS work?
Within the ICS, there are two statutory organisations – the Integrated Care Board (ICB) and the Integrated Care Partnership (ICP), acting as equal partners.
- an Integrated Care Partnership (ICP) is a statutory committee jointly formed between the NHS Integrated Care Board and all upper-tier local authorities that fall within the ICS area. The ICP will bring together a broad alliance of partners concerned with improving the care, health and wellbeing of the population, with membership determined locally. The ICP is responsible for producing an integrated care strategy on how to meet the health and wellbeing needs of the population in the ICS area.
- an Integrated Care Board (ICB) is a statutory NHS organisation responsible for developing a plan for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in the ICS area. When ICBs are legally established, Clinical Commissioning Groups (CCGs) will be abolished.
Due to the large geographical area that the ICS covers, within the ICS, there are different partnership and delivery structures, which operate on different scales:
Neighbourhood – served by groups of GP practices working with NHS community services, social care, and other providers to deliver more co-ordinated and proactive services. Primary Care Networks (PCNs) will operate at this level.
Place – served by a group of health and care providers in a town or district and connecting PCNs to broader services, including those provided by local councils, community hospitals or voluntary organisations. Place-based partnerships and Health and Wellbeing Boards will operate at this level.
System – in which the whole area’s health and care partners collaborate together to set strategic direction and to develop economies of scale. Provider collaboratives will operate at this level.
Our Integrated Care System
Nottingham & Nottinghamshire ICS Joint Capital Resource Use Plan
The ICS Joint Capital Resource Use Plan 2022/2023 provides an overview of how partners across the Nottingham & Nottinghamshire have prioritised and spent capital funding provided by NHS England to support the achievement of the ICB’s strategic aims.