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Integrated care system

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2516: 195:. There will be a contract that specifies the outcomes and other objectives they are required to achieve within the given budget over a period of time. This may extend well beyond health and social care services to encompass public health and other services. In Manchester, the objectives are specified over ten years. Keeping people out of hospital by moving services into the community is a common feature. 274:
business and that every system should develop a 10-year strategy, with annual milestones, for reducing inequalities. In July 2021 chairs had been appointed for 25 of the 42 NHS integrated care boards. 11 are women, and five have a minority ethnic background. The chairs must not be councillors or MPs, or to work for any of their ICS's constituent organisations.
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put these systems on a statutory basis, each with an approved constitution. On 1 July 2022, a total of 42 ICSs became statutory. There are more than 70 performance metrics by which they are judged, grouped into six "oversight themes": quality, access and outcomes, preventing ill health and reducing
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for each area. Each one will be run by a partnership board with members from commissioners, trusts, and primary care. But it has been suggested that "All ICSs are structured differently as there is no fixed model for how they should be developed; and the leadership is defined in terms of roles and
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Nineteen NHS minority ethnic leaders demanded in March 2021 that the executive officers (not just the non-executives) in the 42 emerging ICSs should be representative of the ethnic diversity in their communities. They wanted to see ethnic diversity and inclusion a part of every NHS board's core
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in December 2021 found that there was very little evidence that integration policies across the UK – including pooling budgets and creating new integrated boards and committees – had dramatically improved patient experience, quality of services or supported the delivery of more care outside of
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The areas covered by each ICS vary considerably by population and demographics. Population size ranges from 500,000 to more than 3 million people. Some have more than 10 upper-tier local authorities and some only one. Nearly 50% of the neighbourhoods in Birmingham and Solihull are in the most
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in August 2018 after the failure of two legal challenges to an earlier draft contract. The consultation said that this was not a new type of legal entity, but merely the "provider organisation which is awarded a contract by commissioners for the services which are within scope." Dudley
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produced a handbook designed to support the creation of new payment models which are intended to remove the direct relationship between NHS activity and payment, improve the alignment of payment for all providers within the care model and better incentivise prevention and wellbeing.
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as "coalitions of the willing" in 2018. He said that real progress had only happened in places where there was a history of collaborative working. He also commented that there was little guidance and so more latitude than is usually the case with national NHS initiatives.
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in September 2017 as lacking any element of public accountability. He said that existing models in other countries were interesting but not relevant to democratic accountabilities in the UK since they had different governance structures and forms of service provision.
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Health and Care System – a consortium of 30 public and private care providers with five clinical commissioning groups, five GP federations, 10 local, district and county authorities, two ambulance trusts and five mental health and community providers including
122:. He said they "will bring together providers and commissioners to help break down barriers between primary, secondary and social care". They would be given up to ÂŁ450 million between them in transformation funding over the next 4 years. The eight were: 72:
produced a model constitution in July 2021, which systems are expected to use when developing their own arrangements. Each ICS must have an integrated care board with at least five executive directors and three non-executives.
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The boards must work with local authorities to create an integrated care partnership (ICP) committee for each system, to include local organisations such as the voluntary sector and
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hospitals. They warned that without concurrent investment in social care and broader public services, it was “very likely” further reforms would not yield the desired results.
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is at the forefront of this exercise and will be able to implement the draft voluntary contract, subject to the outcome of this consultation exercise. It is proposed that
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will be able to sign fully or partially integrated contracts, and that fully integrated practices would give up their existing contracts to become salaried.
2008: 143:– with an initial focus on Greater Nottingham and the southern part of the sustainability and transformation partnership; includes seven public bodies and 191:
In each area a provider or, more usually, an alliance of providers will collaborate to meet the needs of a defined population with a budget determined by
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Three more areas were designated in June 2019, and four more in May 2020 (Hertfordshire and West Essex, Humber, Coast and Vale, South West London, and
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inequalities, leadership, people, and finances. The poorest performers will be put in a "recovery support programme", which will replace the label of
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South Yorkshire and Bassetlaw – seven NHS hospital trusts covering 15 hospital sites, which employ 45,000 staff and service 2.3 million residents;
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In February 2018 it was announced that these organisations were in future to be called integrated care systems, and that all 44
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Each ICS is to have a community pharmacy clinical lead, funded by the Pharmacy Integration Programme for the first two years.
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and local authorities in the new ACSs will "take on clear collective responsibility for resources and population health".
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agents, with little to guide leadership practices and behaviours in a complex, collaborative governance arrangement"
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would be expected to progress in this direction. The ten pioneer systems were described as nascent and fragile by the
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of January 2019 called for the whole of England to be covered by ICSs by April 2021. On 1 July 2022, ICSs replaced
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A consultation on the draft contracts for what were then called integrated care providers (ICPs) was launched by
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was not included because it already had more advanced arrangements under its 2015 "devolution" deal.
2454:"Twenty years of reforms to join up health and care have made 'little difference' to service users" 1618: 1610: 1572: 1458: 1450: 1424: 1366: 1346: 1316: 1312: 970: 370: 150: 45: 1686: 1678: 1446: 986: 752: 608: 316:
On 1 July 2022 NHS England established 42 integrated care boards, covering the whole of England.
243: 192: 168: 119: 1654: 1484: 1002: 924: 886: 2308:"Collaborative Leadership in Integrated Care Systems; Creating Leadership for the Common Good" 2536: 2388:"'Deeply disappointed' minority ethnic leaders demand NHSE ensure diversity in top ICS roles" 1746: 1720: 1716: 1700: 1536: 1488: 1362: 1350: 1302: 1168: 1122: 1082: 1064: 944: 912: 820: 764: 628: 624: 578: 542: 428: 1982:"New health and care Integrated Care Partnership appoints Wiltshire Council Leader as Chair" 258:
that by April 2021 integrated care systems were to cover the whole of England with a single
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deprived fifth of the neighbourhoods nationally, compared to 1% in Surrey Heartlands.
29: 28:, local authorities, voluntary and charity groups, and independent care providers. The 1858: 1792: 1712: 1644: 1498: 1256: 1198: 1184: 1176: 1110: 1106: 840: 748: 710: 692: 674: 604: 522: 450: 438: 82: 2319: 1842: 1824: 1808: 1696: 1342: 1206: 1098: 1056: 702: 632: 616: 590: 582: 488: 458: 50: 2324: 2307: 1862: 1820: 1734: 1550: 1260: 1252: 1146: 1138: 1134: 1060: 956: 760: 560: 492: 466: 374: 1812: 1682: 1562: 1412: 1386: 1378: 1374: 1218: 1210: 1156: 1126: 1032: 1006: 824: 454: 424: 304: 2432:"NHS England launches consultation on 'voluntary' new care models GP contract" 2525: 1854: 1788: 1784: 1354: 1298: 1290: 1118: 994: 882: 868: 844: 718: 514: 410: 333:
NHS Bath and North East Somerset, Swindon and Wiltshire Integrated Care Board
144: 2009:"NHS to appoint community pharmacy leads for each integrated health system" 1770: 1244: 1222: 1202: 1130: 722: 600: 496: 417:
NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
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NHS Buckinghamshire, Oxfordshire and Berkshire West Integrated Care Board
283: 226: 131: 115: 69: 25: 2339: 2130:"All STPs will become 'accountable care systems', NHS England announces" 1846: 1800: 1526: 1522: 948: 852: 782: 756: 744: 678: 662: 642: 384: 2174:"GPs could have indemnity covered under new accountable care contract" 1554: 1338: 1278: 1172: 1040: 940: 932: 650: 530: 480: 344: 247: 219: 196: 1850: 1828: 1804: 1264: 1102: 898: 890: 706: 658: 570: 556: 402: 1796: 1704: 1294: 1188: 998: 952: 916: 836: 794: 420: 1754: 1153:
NHS Leicester, Leicestershire and Rutland Integrated Care Board
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NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board
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Moore, Jacqui; Elliott, Ian C.; Hesselgreaves, Hannah (2023).
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The process was denounced by John Sinnott, Chief Executive of
118:, as a first wave in the development of what were then called 612: 366: 101: 1010: 2240:"Integrated care: organisations, partnerships and systems" 2031:"Simon Stevens names the first 'accountable care systems'" 1651:
NHS Staffordshire and Stoke-on-Trent Integrated Care Board
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NHS Herefordshire and Worcestershire Integrated Care Board
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NHS Cornwall and The Isles of Scilly Integrated Care Board
2305: 1907:"Integrated care systems to set own constitution and pay" 477:
NHS Cambridgeshire and Peterborough Integrated Care Board
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NHS Shropshire, Telford and Wrekin Integrated Care Board
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NHS Nottingham and Nottinghamshire Integrated Care Board
2476:"The Integrated Care Boards (Establishment) Order 2022" 2218:"ACSs get a rebrand as NHS England seeks 'next cohort'" 2053:"Greater Manchester Health and Social Care Partnership" 1986:
Bath and North East Somerset, Swindon and Wiltshire ICB
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NHS Suffolk and North East Essex Integrated Care Board
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NHS North East and North Cumbria Integrated Care Board
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NHS Lancashire and South Cumbria Integrated Care Board
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NHS Hertfordshire and West Essex Integrated Care Board
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NHS Hampshire and Isle of Wight Integrated Care Board
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NHS Humber and North Yorkshire Integrated Care Board
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NHS Coventry and Warwickshire Integrated Care Board
2410:"Named: the first 25 integrated care board chairs" 1954: 1929:"Integrated care systems: what do they look like?" 233: 1956:"What the leaked draft ICS constitution tells us" 511:NHS Cheshire and Merseyside Integrated Care Board 381:NHS Birmingham and Solihull Integrated Care Board 2523: 2105:"Surrey Heartlands Health and Care Partnership" 1885:"Revealed: How ICS performance will be judged" 1309:NHS North Central London Integrated Care Board 597:NHS Derby and Derbyshire Integrated Care Board 76: 2340:"Three new integrated care systems announced" 1271:NHS Norfolk and Waveney Integrated Care Board 1229:NHS Mid and South Essex Integrated Care Board 55:Secretary of State for Health and Social Care 2152:"New care systems must be truly accountable" 771:NHS Greater Manchester Integrated Care Board 277: 110:areas in England were named in June 2017 by 2198:. National Health Executive. 2 October 2017 2154:. Health Service Journal. 18 September 2017 1727:NHS Surrey Heartlands Integrated Care Board 1599:NHS South West London Integrated Care Board 1569:NHS South East London Integrated Care Board 1443:NHS North West London Integrated Care Board 1405:NHS North East London Integrated Care Board 2514: 1481:NHS Northamptonshire Integrated Care Board 163:Luton, with Milton Keynes and Bedfordshire 2323: 2220:. Health Service Journal. 2 February 2018 1629:NHS South Yorkshire Integrated Care Board 1017:NHS Kent and Medway Integrated Care Board 741:NHS Gloucestershire Integrated Care Board 311: 102:The first accountable care systems (2017) 2287:. Health Service Journal. 7 January 2019 2083:"Major new NHS devolution deal revealed" 1839:NHS West Yorkshire Integrated Care Board 254:In January 2019 it was announced in the 2390:. Health Service Journal. 30 March 2021 2263:"The impact of integrated care systems" 1952: 395:NHS Black Country Integrated Care Board 240:sustainability and transformation plans 2524: 2412:. Health Service Journal. 29 July 2021 2360: 2342:. Health Service Journal. 19 June 2019 2285:"All of England to become ICS by 2021" 2196:"NHS pricing: driving new care models" 2085:. Health Service Journal. 15 June 2017 2033:. Health Service Journal. 15 July 2017 1887:. Health Service Journal. 25 June 2021 1195:NHS Lincolnshire Integrated Care Board 218:would have to meet the costs of their 214:It is proposed that systems employing 108:sustainability and transformation plan 2456:. Home Care Insight. 15 December 2021 2006: 1909:. Health Service Journal. 7 July 2021 188:began a similar arrangement in 2018. 1976: 1974: 1948: 1946: 246:in May 2018. They were described by 2532:Health policy in the United Kingdom 2260: 2007:Burns, Corrinne (4 February 2022). 689:Bournemouth, Christchurch and Poole 39: 13: 1547:NHS Somerset Integrated Care Board 14: 2553: 2542:National Health Service (England) 2501: 2023: 1971: 1943: 1931:. Health Foundation. 15 June 2022 699:NHS Frimley Integrated Care Board 2261:Ham, Chris (20 September 2018). 1953:Brennan, Sharon (29 July 2021). 1781:NHS Sussex Integrated Care Board 685:NHS Dorset Integrated Care Board 2468: 2446: 2424: 2402: 2380: 2354: 2332: 2299: 2277: 2254: 2232: 2210: 2188: 2166: 2144: 2122: 2097: 639:NHS Devon Integrated Care Board 234:Integrated care systems (2018-) 2075: 2045: 2000: 1921: 1899: 1877: 1: 2325:10.1080/14697017.2023.2261126 2242:. Parliament.uk. 11 June 2018 1870: 298: 270:), bringing the total to 18. 208:Leicestershire County Council 201:Clinical Commissioning Groups 64: 34:clinical commissioning groups 2361:Kituno, Nick (11 May 2020). 2312:Journal of Change Management 1287:King's Lynn and West Norfolk 337:Bath and North East Somerset 289:clinical commissioning group 260:clinical commissioning group 7: 88: 77:Integrated care partnership 10: 2558: 2176:. GP Online. 8 August 2017 96: 2363:"Four new ICSs announced" 1559:Somerset West and Taunton 1181:North West Leicestershire 519:Cheshire West and Chester 278:Integrated care providers 151:Blackpool and Fylde Coast 2265:. Health Service Journal 2011:. Pharmaceutical Journal 1959:. Health Service Journal 971:East Riding of Yorkshire 120:accountable care systems 46:Health and Care Act 2022 1687:Tamworth, Staffordshire 1679:Staffordshire Moorlands 987:North East Lincolnshire 244:Health Select Committee 2434:. Pulse. 6 August 2018 2367:Health Service Journal 2132:. Pulse. 31 March 2017 1485:North Northamptonshire 1471:Kensington and Chelsea 1455:Hammersmith and Fulham 715:Windsor and Maidenhead 312:Integrated Care Boards 18:integrated care system 1489:West Northamptonshire 1169:Hinckley and Bosworth 1083:Blackburn with Darwen 1065:Tonbridge and Malling 821:Basingstoke and Deane 629:North East Derbyshire 579:Nuneaton and Bedworth 429:South Gloucestershire 293:general practitioners 216:general practitioners 114:, chief executive of 1743:Reigate and Banstead 1667:Newcastle-Under-Lyme 1615:Richmond upon Thames 1607:Kingston upon Thames 1409:Barking and Dagenham 1383:Redcar and Cleveland 1037:Folkestone and Hythe 501:South Cambridgeshire 363:Central Bedfordshire 1671:South Staffordshire 1519:Newark and Sherwood 1475:City of Westminster 1371:Newcastle-upon-Tyne 961:North Hertfordshire 505:North Hertfordshire 485:East Cambridgeshire 471:Vale of White Horse 349:Vale of White Horse 1659:East Staffordshire 1541:Telford and Wrekin 991:North Lincolnshire 983:Kingston upon Hull 921:East Hertfordshire 575:North Warwickshire 469:, and part of the 347:, and part of the 303:A report from the 256:NHS Long Term Plan 225:In September 2017 182:Greater Manchester 83:social enterprises 30:NHS Long Term Plan 1868: 1867: 1793:Brighton and Hove 1185:Oadby and Wigston 1079:Barrow-in-Furness 587:Stratford-on-Avon 451:South Oxfordshire 186:Surrey Heartlands 2549: 2518: 2513: 2512: 2510:Official website 2495: 2494: 2492: 2490: 2480: 2472: 2466: 2465: 2463: 2461: 2450: 2444: 2443: 2441: 2439: 2428: 2422: 2421: 2419: 2417: 2406: 2400: 2399: 2397: 2395: 2384: 2378: 2377: 2375: 2373: 2358: 2352: 2351: 2349: 2347: 2336: 2330: 2329: 2327: 2303: 2297: 2296: 2294: 2292: 2281: 2275: 2274: 2272: 2270: 2258: 2252: 2251: 2249: 2247: 2236: 2230: 2229: 2227: 2225: 2214: 2208: 2207: 2205: 2203: 2192: 2186: 2185: 2183: 2181: 2170: 2164: 2163: 2161: 2159: 2148: 2142: 2141: 2139: 2137: 2126: 2120: 2119: 2117: 2115: 2101: 2095: 2094: 2092: 2090: 2079: 2073: 2072: 2070: 2068: 2059:. 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Retrieved 1879: 1771:Surrey Heath 1721:East Suffolk 1717:West Suffolk 1303:East Suffolk 1245:Castle Point 1223:West Lindsey 1203:East Lindsey 1131:South Ribble 945:Three Rivers 723:Surrey Heath 609:Chesterfield 601:Amber Valley 497:Peterborough 315: 302: 281: 272: 265: 253: 237: 224: 213: 205: 190: 180: 105: 92: 80: 68: 59: 43: 36:in England. 21: 17: 15: 2483:NHS England 2416:6 September 2291:11 February 2109:NHS England 2057:NHS England 1963:6 September 1913:3 September 1739:Mole Valley 1709:Mid Suffolk 1003:Scarborough 903:Wyre Forest 861:Test Valley 857:Southampton 667:Teignbridge 655:North Devon 284:NHS England 227:NHS England 222:insurance. 132:Virgin Care 116:NHS England 70:NHS England 2526:Categories 2460:22 January 2269:30 October 2015:7 February 1871:References 1847:Calderdale 1833:Chichester 1817:Mid Sussex 1801:Eastbourne 1769:, part of 1767:Chichester 1765:, part of 1761:, part of 1757:, part of 1747:Spelthorne 1701:Colchester 1623:Wandsworth 1537:Shropshire 1527:Rushcliffe 1523:Nottingham 1473:, and the 1463:Hillingdon 1395:Sunderland 1363:Hartlepool 1351:Darlington 1249:Chelmsford 1165:Harborough 1141:, part of 1123:Rossendale 1025:Canterbury 949:Uttlesford 913:Broxbourne 879:Bromsgrove 865:Winchester 853:Portsmouth 849:New Forest 783:Manchester 765:Tewkesbury 757:Gloucester 745:Cheltenham 729:, part of 725:, part of 721:, part of 717:, part of 679:West Devon 663:South Hams 643:East Devon 543:Warrington 465:, part of 385:Birmingham 299:Evaluation 197:NHS trusts 193:capitation 65:Governance 2438:14 August 2202:3 October 2180:3 October 1992:27 August 1859:Wakefield 1763:Runnymede 1759:Guildford 1751:Tandridge 1731:Elmbridge 1663:Lichfield 1645:Sheffield 1641:Rotherham 1637:Doncaster 1593:Southwark 1581:Greenwich 1555:Sedgemoor 1515:Mansfield 1503:Bassetlaw 1429:Redbridge 1359:Gateshead 1339:Allerdale 1329:Islington 1279:Broadland 1275:Breckland 1241:Brentwood 1237:Braintree 1173:Leicester 1161:Charnwood 1107:Lancaster 1087:Blackpool 1053:Sevenoaks 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1697:Babergh 1603:Croydon 1585:Lambeth 1577:Bromley 1511:Gedling 1417:Hackney 1321:Enfield 1295:Norwich 1207:Lincoln 1189:Rutland 1115:Preston 1095:Chorley 1091:Burnley 1021:Ashford 999:Ryedale 953:Watford 917:Dacorum 837:Gosport 833:Fareham 795:Salford 621:Erewash 591:Warwick 489:Fenland 447:Reading 421:Bristol 407:Walsall 359:Bedford 341:Swindon 127:Frimley 97:History 2489:1 July 2394:10 May 2372:11 May 2114:11 May 2089:11 May 2067:11 May 1863:Craven 1821:Rother 1755:Woking 1685:, and 1643:, and 1621:, and 1619:Sutton 1611:Merton 1591:, and 1573:Bexley 1561:, and 1551:Mendip 1525:, and 1459:Harrow 1451:Ealing 1435:, and 1425:Newham 1347:Durham 1327:, and 1317:Camden 1313:Barnet 1263:, and 1253:Maldon 1221:, and 1199:Boston 1187:, and 1177:Melton 1147:Craven 1111:Pendle 1067:, and 1061:Thanet 1049:Medway 1009:, and 929:Harlow 901:, and 843:, the 841:Havant 809:, and 787:Oldham 775:Bolton 763:, and 761:Stroud 711:Slough 693:Dorset 691:, and 677:, and 671:Torbay 647:Exeter 631:, and 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1609:, 1605:, 1587:, 1583:, 1579:, 1575:, 1557:, 1553:, 1521:, 1517:, 1513:, 1509:, 1505:, 1501:, 1469:, 1465:, 1461:, 1457:, 1453:, 1449:, 1431:, 1427:, 1423:, 1419:, 1415:, 1411:, 1393:, 1389:, 1385:, 1381:, 1377:, 1373:, 1369:, 1365:, 1361:, 1357:, 1353:, 1349:, 1345:, 1341:, 1323:, 1319:, 1315:, 1297:, 1293:, 1289:, 1285:, 1281:, 1277:, 1259:, 1255:, 1251:, 1247:, 1243:, 1239:, 1235:, 1217:, 1213:, 1209:, 1205:, 1201:, 1183:, 1179:, 1175:, 1171:, 1167:, 1163:, 1159:, 1137:, 1133:, 1129:, 1125:, 1121:, 1117:, 1113:, 1109:, 1105:, 1101:, 1097:, 1093:, 1089:, 1085:, 1081:, 1063:, 1059:, 1055:, 1051:, 1047:, 1043:, 1039:, 1035:, 1031:, 1027:, 1023:, 1005:, 1001:, 997:, 993:, 989:, 985:, 981:, 977:, 973:, 955:, 951:, 947:, 943:, 939:, 935:, 931:, 927:, 923:, 919:, 915:, 897:, 893:, 889:, 885:, 881:, 863:, 859:, 855:, 851:, 847:, 839:, 835:, 831:, 827:, 823:, 805:, 801:, 797:, 793:, 789:, 785:, 781:, 777:, 759:, 755:, 751:, 747:, 713:, 709:, 705:, 673:, 669:, 665:, 661:, 657:, 653:, 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Index

NHS
NHS Long Term Plan
clinical commissioning groups
Health and Care Act 2022
special measures
Secretary of State for Health and Social Care
NHS England
social enterprises
sustainability and transformation plan
Simon Stevens
NHS England
accountable care systems
Frimley
Virgin Care
Nottinghamshire
Circle Health
Blackpool and Fylde Coast
Dorset
Luton, with Milton Keynes and Bedfordshire
West Berkshire
Buckinghamshire
Greater Manchester
Surrey Heartlands
capitation
NHS trusts
Clinical Commissioning Groups
Leicestershire County Council
general practitioners
indemnity
NHS England

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