Integration and neighbourhood care

Shift care from hospital to neighbourhood, from paper and siloed systems to digital, and from treating sickness to prevention.

NHS and government

Join local Healthwatch with ICB and provider engagement, instead of running parallel listening structures.

DHSC and ICBs

Replace the single gender identity development service with regional services embedded in children's healthcare.

NHS England

Use the diagnosis as the brief for a ten-year plan built on community, digital and prevention.

Government

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

NHS England

Build integrated neighbourhood teams for people who need continuity.

ICBs

Make collaborative leadership across organisational boundaries a requirement, not a preference.

ICBs and providers

Move care upstream, with integrated care systems responsible for population health.

NHS England

Give successful organisations a practical route to support or take on weaker ones.

NHS England and government

Develop place-based models that join primary, community, mental health and hospital care.

NHS England

Shift effort towards prevention and a radical upgrade in public health.

NHS and government

Stop using hospitals as long-term homes for people with learning disabilities and autism.

NHS and local authorities

Give clinicians a leading role in designing local services.

NHS

Share information about a child at risk across health, social care and police.

Local agencies