Harnessing the winds of change – early learning on integrated care systems

Harnessing the winds of change – early learning on integrated care systems Working with a group of leaders from one of the ‘first wave’ integrated care systems (ICSs) the other day, I was reminded yet again of how important ‘local weather’ conditions can be – in this case influencing the nature of collaborative working between staff from four NHS organisations. To date, the work of the integrated care system has been held by a small group of leaders and a few senior staff from participating organisations. The senior leadership group was discussing how to increase local capacity for system working. There was recognition, as in other ICS areas, that other groups of staff such as clinicians and middle managers must become more involved to achieve the desired changes in patient care and population health. The King's Fund