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Reviews / 2023

Policy reviewPublishedWhole systemEngland

The Hewitt Review: an independent review of integrated care systems

Rt Hon Patricia Hewitt · work from 2022 · published 2023

What this was

Review of how integrated care systems were being overseen. It found too many national targets, too little autonomy, and prevention still losing out to acute pressure.

Why it sits in the hub

It is the governance review of the model the Five Year Forward View and the Long Term Plan created. The 10 Year Health Plan has since re-centralised some of what Hewitt wanted to let go.

Findings

  1. Finding 1

    ICSs were accountable in too many directions, with a target regime that rewarded the urgent over the important.

    Integration and neighbourhood careLeadership and boardsRegulation and oversight

Recommendations in this hub

Paraphrase of the public recommendations, not the official text.

  1. 1Partly doneGovernment and NHS England

    Reduce the number of national targets and judge systems on outcomes, including prevention.

    Data and early warningRegulation and oversight
  2. 2Not publicly clearNHS England

    Give ICSs real freedom where they can show capability, and intervene where they cannot.

    Integration and neighbourhood careLeadership and boards