- NHS England to set a “test” for the various governance structures proposed by local health systems
- There have been strong calls in larger systems for accountability and decision making to be maintained at a local level beneath the ICS
NHS England will be setting a ‘test’ for the various ways in which integrated care systems want to organise their governance structures, according to one of its directors.
All areas are currently debating the structure of their ICS as they are due to be created as legal entities for the first time in April next year, if proposed government legislation is passed.
One major consideration — especially for larger ICS — is the extent to which accountability and decision making will be positioned at “place” level, and how to decide the shape and size of each “place” area.
At an event on Monday, Bill McCarthy, regional director for the North West, said national leaders will recognise differences between ICS areas, meaning they will be allowed to structure themselves in ways that suit their communities.
But he suggested NHSE will then scrutinise the proposed arrangements and decide whether they are justified.
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