NHS Integrated Care Systems: Clarity and BestOutcome (PM3)


BestOutcome (PM3) and Clarity Consulting Associates Ltd are partnering to help our NHS clients migrate to the new Integrated Care System (ICS) structures. This can be a complex process and we are providing a common PPM technology platform (PM3) and programme/change management services (Clarity Consulting) to work with our clients to deliver a successful ICS transition.

What is an ICS?

Integrated care is about giving people the support they need, joined up across local councils, the NHS, and other partners. It removes traditional divisions between hospitals and family doctors, between physical and mental health, and between NHS and council services. In the past, these divisions have meant that too many people experienced disjointed care.

ICSs and Integrated Care Partnerships (ICPs) are new partnerships and organisations that meet health and care needs across an area, coordinate services, and plan collaboratively in a way that improves population health and reduces inequalities.

Since 2018, there has been a deepening relationship in many areas between the NHS, local councils, and other important strategic partners such as the voluntary, community, and social enterprise sector. They have developed better and more convenient services, invested in keeping people healthy and out of hospital, and have set shared priorities for the future.

How do ICSs operate?

As part of the NHS Long Term Plan, the following principles must be in place by April 2022 to make a consistent transition to system working, focussing on greater partnership working at place and closer collaboration between providers on a larger footprint. The main themes are:

  1. Provider collaboratives

  2. Place-based partnerships

  3. Clinical and professional leadership

  4. Governance and accountability

  5. Financial framework

  6. Data and digital

  7. Regulation and oversight

  8. How commissioning will change

How can we help?

Establishing an ICS will require a transformation programme to be led and managed. Moving to a new organisational structure will require careful change management. Clarity have worked to:

  • merge and closedown CCGs

  • develop and deliver the programmes of collaboration between providers

  • develop business cases for the resources required to support new ways of working and

  • developed the analytics to support a population health management approach to addressing the needs at place and ICS (system) level

  • supported service redesign to improve efficiency and effectiveness