Integrated Care System

In April 2020 the five Clinical Commissioning Groups in North Central London (NCL CCGs) – Barnet, Camden, Enfield, Haringey and Islington – merged to form one CCG in line with the NHS Long Term Plan. Alongside this, borough partnerships have been formed in each borough to support working at a ‘place’ level and we have 32 thriving primary care networks across the area.

Since becoming a single CCG, we have continued to work closely with Councils, providers, primary care, voluntary and community organisations, to respond to the pandemic. We have also continued to progress towards a more strategic approach to commissioning across NCL and within our borough partnerships through continued work on population health, health inequalities and strategic reviews of services.

As part of the white paper, Working together to improve health and social care for all, published earlier this year, the next stage of this work is to transition to an integrated care system with the aims of:

  • improving outcomes in population health and healthcare
  • tackling inequalities in outcomes, experience and access
  • enhancing productivity and value for money
  • helping the NHS to support broader social and economic development.

Despite the challenges of the past few years, we have built stronger partnerships, relationships, and new ways of working as a system across social, primary and secondary care. The pandemic has made us think and act more like an ICS, aiming to deliver the best and seamless care for our population throughout the pandemic and our collective system recovery. We have already started focusing work on a number of areas.

  • A move to single strategic commissioner for health services. 
  • Ensuring resident voice is heard at all levels of work.
  • Establishing five borough-based integrated care partnerships focused on the coordination, integration and development of out of hospital services based on population needs.
  • Supporting the development of Primary Care Networks.
  • Through our response to and recovery from the Covid-19 pandemic we have worked collaboratively with system partners to tackle challenges and find solutions to meet the needs of local people.

On Thursday 28 April 2022, the Health and Care Act 2022 completed the parliamentary process and received Royal Assent. This is a welcome and important step on the journey towards establishing Integrated Care Systems on a statutory footing, as communicated in the NHS 2022/23 priorities and operational planning guidance, and enabling more collaborative ways of working across the health and care system. The result of a successful passage means that Integrated Care Boards (ICBs) will be established as statutory NHS bodies on 1 July 2022 and CCGs will cease to exist. Our plans in North Central London have been progressing in line with the parliamentary process and the ICS Design Framework.

Our plans align with all national guidance that has been produced to date, and we will continue to work closely with local partners, residents and colleagues at a national level as we continue to develop and evolve our local health and care system.