Where next for integrated care organisations in the English NHS?

This report examines ways in which the integrated care approach can work in the English NHS.

Since the 1950s, the NHS has been looking at ways of improving care coordination. Lord Darzi’s NHS Next Stage Review introduced a new concept, that of the integrated care organisation (ICO). Since then, the Government has begun piloting schemes that offer different models of integrated care.

This report, published jointly by The Nuffield Trust and The King’s Fund, examines some of these new models. It focuses in particular on organisations that combine commissioner and provider roles. These, the authors suggest, offer the most promise for aligning incentives to produce efficient care across primary, community and acute services.

This report examines ways in which the integrated care approach can work in the English NHS

Where next for integrated care organisations in the English NHS? forms part of work by both The Nuffield Trust and The King’s Fund examining new forms of structuring and delivering care over the coming decade.

This report will be of interest to healthcare policy-makers, senior managers and clinicians, and others involved in commissioning,as well as academics and students in the fields of health care and social policy.

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Suggested citation

Lewis R, Rosen R, Goodwin N and Dixon J (2010) Where next for integrated care organisations in the English NHS? Research report. Nuffield Trust and King's Fund.