The fact that health and social care services are currently commissioned separately is a major obstacle to the development of integrated care. Support is growing for a new settlement based on a single ring-fenced budget and a single local commissioner – as recommended by the independent 'Commission on the Future ...
The 23 vanguard sites chosen to develop the multispecialty community provider (MCP) and primary and acute care system (PACS) new care models have been working to pool budgets and integrate services more closely. Some are continuing to use informal partnerships, but others are opting for more formal governance arrangements. Commissioners ...