Integrated cancer systems – governance workshop. 19 th May 2011. Agenda. Progress to date. Model of care published in August, subject to engagement, and now agreed by the NHS in London Integrated cancer system specification developed with providers and issued on 3 rd May
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19th May 2011
On your tables consider:
It is for each ICS and its constituent members to agree the governance arrangements that suit them best
Across the Pond – Lessons from the US on integrated healthcare. Richard Gleave. Nuffield Trust 2008.
A review of health partnerships suggested that there had been too much emphasis on process and structure and not enough on outcomes. Governance and leadership needed to be less rigid and fixated on process, more open ended and inclusive, and more focused on achieving ends that are emergent rather than pre-determined.
The governance and leadership needs to attend to these issues to support integrated working
Works best when
Efficiency vs inclusiveness
Internal vs external legitimacy
Flexibility vs sustainability