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Integrated care systems face challenges fulfilling hopes of better services, says watchdog

BMJ 2022; 379 doi: https://doi.org/10.1136/bmj.o2481 (Published 14 October 2022) Cite this as: BMJ 2022;379:o2481
  1. Matthew Limb
  1. London

New integrated care systems (ICSs) in England will struggle to deliver long term improvements in people’s health amid “extreme” funding and staffing pressures in the NHS and social care, the public spending watchdog has warned.

The National Audit Office said in a report1 that for the local care systems to succeed, ministers must tackle workforce shortages, ensure sustainable NHS finances, and coordinate measures across government to tackle wider determinants of ill health.

It said that the government had made “little progress” on action to tackle matters beyond clinical healthcare that contribute to poor health.

In the NAO’s survey of ICS staff, 77% reported their ICS intended to invest in prevention, but only 31% felt they currently had the capacity to do …

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