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Integrated care systems in Derbyshire

On 22 July 2021 the government announced that all parts of Derbyshire will be part of one new integrated care system which comes fully into place in 2022.

Plans for the integrated care system (ICS) will develop over the next few months but we have answered some questions.

What is an ICS?

Integrated care systems (ICSs) will be new statutory bodies that formally build on the existing partnership arrangements operated between the NHS and councils.

They will co-ordinate both health and care services across an area to join up care, better support the prevention of ill health, reduce health inequalities and improve healthy life expectancy.

How is it different to what already exists?

We currently provide social care and public health across the whole of Derbyshire whilst the NHS has 2 clinical commissioning groups operating across the county: one which includes the Glossop area (Tameside and Glossop CCG) and another covering the rest of the county and the city (Derby and Derbyshire CCG).

From 2022 health services in Glossop will be part of the Derbyshire ICS, which will reduce the duplication, inefficiency and potential confusion for residents that comes with working in multiple complex arrangements.

What difference will it make to me?

In terms of health and care services, it is unlikely to make any difference to the services you receive in the short or medium term.

In the longer term integrated care systems should enable us to ensure that those in Derbyshire with health or social care needs receive a much more joined up response and it should mean we are able to more effectively promote health and well-being across the local population.

Who is driving this?

Integrated care systems are part of the proposals in the government's Health and Care White Paper and are being driven by NHS England/Improvement.

Why is social care being included in an NHS led programme?

ICSs - and their predecessors Sustainability & Transformation Partnerships (STPs) - have existed since 2016. Derbyshire submitted its first STP Plan in October 2016 and work has continued since then to join up care for residents.

In 2018, the NHS and social care were brought together into a single government department to bring those responsible for health and social care even closer together.

Joining up the NHS and social care means residents can experience health care as one seamless service, with their needs placed at the centre.

The creation of a statutory ICS is the first of many programmes to achieve integrated care with more changes, such as reforms to social care, and changes to public health, expected later this year.

Why did the county council argue for a single Derbyshire ICS?

For NHS care, Tameside and Glossop CCG is currently responsible for the purchasing of healthcare for Glossop residents. We are responsible for social care in the area. This has been the arrangement for several years.

Splitting Derbyshire into 2 ICS’ would have introduced inefficiencies and extra costs which would affect services, not only in Glossop but across the whole of the county, in the future.

The proposed split did not reflect the government's preference to keep geographical areas together.

The government is making changes and looking to align health care with social care more closely because at the moment the system does not work as it should, and we support better alignment.

Suggesting Glossop should be separated from Derbyshire in relation to social care failed to recognise the rural nature of parts of Glossop and the High Peak and the challenges that brings in contrast to an urban area.

We also believed that it would have prevented effective strategic planning for care provision and preventative health measures.

Residents in Glossop would not have had the same democratic representation within the ICS as other Derbyshire residents.

We want to be able to provide the best value for money and efficient services for Derbyshire residents, which we can only do with a single ICS.

What is the Clinical Commissioning Group's role in this?

In order to deliver a new integrated care system in Derbyshire, new NHS ICS bodies will be established.

The new bodies will be responsible for the day-to-day running of the new integrated systems in Derbyshire and will replace the existing Clinical Commissioning Groups (CCG’s).

The CCG has acted as conduit in seeking views from local stakeholders on the matter of the boundary and presented a neutral summary report to NHS England to inform the decision making process.

Was a split ICS proposed in other parts of the country?

Yes. At least 10 other parts of the country were affected by similar issues with suggested boundaries and had similar discussions.

Will it mean that my doctor changes or I need to go to a different hospital?

No. Your health services will remain the same in the short / medium term.

This is about future services and making the best possible use of public money.