Integrated care is about giving people the support they need, joined up across local councils, the NHS, and other partners. Health and care organisations – clinical commissioning groups, hospitals and community trusts, councils and others – have been working together in different ways for several years and while there has been lots of great collaboration already, previous laws have prevented services becoming properly joined-up.  The 2022 Health and Care Act aims to change this and make it easier for NHS and social care organisations to work together.  

The new Act sets up 42 new Integrated Care Systems (ICSs) across England. Each Integrated Care System has two core parts: an Integrated Care Board (ICB) and an Integrated Care Partnership (ICP).

  • an Integrated Care Board (ICB) is a statutory NHS organisation that decides how to spend the NHS budget and plans how to improve people’s health, deliver high-quality care and get better value for money. 
  • an Integrated Care Partnership (ICP) is a statutory committee that brings the NHS together with local authorities and other key partners, to develop the overall strategy to improve health and wellbeing.

NHS trusts are also already coming together as “provider collaboratives”, new partnerships between hospitals, mental health services and community services.


The Buckinghamshire, Oxfordshire, Berkshire West Integrated Care System (BOB ICS)

From 1 July 2022, the new BOB Integrated Care Board (ICB) will take over the commissioning responsibilities of the area’s three Clinical Commissioning Groups (CCGs – which will be dissolved from 30 June), together with some current national functions, including pharmacy, optometry and dentistry.

The BOB Integrated Care Partnership (ICP) – whose statutory members are the ICB and the five upper tier local authorities – will develop an overall strategy by the end of 2022. This strategy will be developed through local consultation. It will set out how we can improve health and care outcomes for our population through stronger partnership working between the NHS, our local authorities and other providers and it will inform the ICB, local authorities, NHS trusts and NHS England which will fund and deliver health and care services.

Patients and the public will continue to access care and services in exactly the same way as before but these changes will increase the integration of health and care services, building on the many great examples of partnership working and providing more joined up care.

Across BOB ICS, we will plan and provide joined up health and care services through the NHS, local authorities and third sector organisations to:

  • improve the health and wellbeing of people in our area
  • tackle health inequalities
  • improve productivity
  • support broader social and economic development.

By collaborating across the ICS, we will help health and care organisations tackle complex challenges, including:

  • improving the health of children and young people
  • supporting people to stay well and independent
  • acting sooner to help those with preventable conditions
  • supporting those with long-term conditions or mental health issues
  • caring for those with multiple needs as populations age
  • getting the best from collective resources so people get care as quickly as possible.

Video about Integrated Care Systems

Follow the link below to watch a video about Integrated Care Systems (ICSs) and how they plan to deliver joined up health and care services to improve the lives of people who live and work in Buckinghamshire, Berkshire and Oxfordshire.