29 Jun 2022
by Policy, Practice and Innovation Team

On 1 July 2022, Integrated Care Systems (ICSs) become formally established across England under the Health and Care Act 2022.  After several years of development, the 42 ICS assume responsibility as the key partnerships of organisations that plan and deliver joined up health and care services for people in their area.

The ICS comprise an Integrated Care Partnership (ICP) – a statutory committee made up of the NHS Integrated Care Board and all upper-tier local authorities that fall within the ICS area, responsible for producing an integrated care strategy, and an Integrated Care Board (ICB) – a statutory NHS organisation responsible for developing a plan for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in the ICS area. This replaces clinical commissioning groups (CCGs).

The Homecare Association has been working since the early days of the development of ICS to ensure that the social care provider voice is heard at a variety of levels within the new structure.

There is more information about how the structure will work on the NHS England website here. Other sources of information are:



Guidance that has been updated to reflect the new structures includes:

Public information leaflet: NHS continuing healthcare and NHS-funded nursing care

Hospital discharge and community support guidance, which explains that Section 91 of the Health and Care Act comes into force on 1 July 2022 and introduces a new duty for NHS trusts and foundation trusts to involve patients and carers (including young carers) in discharge planning.


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